Showing posts with label Cleveland Clinic. Show all posts
Showing posts with label Cleveland Clinic. Show all posts

Larry King: Alzheimer's Special

Contributed by: Dennis Fortier, President, Medical Care Corporation

Many of you may have seen Larry King's CNN special last night on Alzheimer's disease.  It was a one-hour special report on the urgency of the challenge this disease poses for our aging population, for our health care system, and for our society.

Overall, I thought there was a fair amount of good information presented.  The expert testimonies from Dr. Ron Petersen at the Mayo Clinic and Dr. Jeffrey Cummings from the Cleveland Clinic were excellent and clearly characterized the nature and the magnitude of this epidemic.  Heartfelt stories from care givers brought a very personal face to the disease and provided an in depth look at the way this disease can affect an entire family.

Having said that, I also thought the show performed one major disservice to the public.  There was much dramatic emphasis on the fact that Larry King and Ron Reagan visited the Cleveland Clinic to be evaluated for early signs of Alzheimer's and Ron Reagan chose to forgo an evaluation based on his preference to remain "blissfully ignorant".

To be clear, everyone has the right to make such a decision and I don't begrudge Reagan his right to do so.  However, he couched his decision against the backdrop that "there is no cure" and implied that it is therefore better "not to know" about the early presence of disease process.  This is a myth we need to stop perpetrating and Larry King missed the opportunity to set the record straight.

While there is no cure for Alzheimer's disease, there is certainly treatment.  Importantly, some people respond remarkably well to treatment, adding years of independence to their lives.  Broadcasting the message that it is "better not to know", as King did last night,  may prevent some people from gathering the facts and making a more informed decision,based on the knowledge that early intervention and appropriate treatment could be significantly beneficial.

Retirement and Alzheimer's Disease

Contributed by: Dennis Fortier, President, Medical Care Corporation
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Is there a relationship between retirement and Alzheimer's disease? Sure, they both tend to happen later in life, but is there a deeper connection?

The answer to this question is not known with any certainty. However, there is growing evidence that keeping your mind actively engaged in purposeful activities may reduce the risk of cognitive decline. A meaningful job, or at least an occupation that one strives to do well, provides a structure for such constant, mental engagement.

It is plausible that the removal of such structure, through retirement at a socially anticipated age in the mid to late sixties, could have a significant impact on the cognitive wellness of an entire population. If so, actively developing a new perspective on how we view retirement and the relative merits of the "easy life", might be an excellent avenue for improving the health of our aging nation.

An excellent discussion of this topic, including the informed opinions of Dr. Jeffrey Cummings, Director of the Cleveland Clinic Lou Ruvo Center for Brain Health, was published last week in the Las Vegas Review Journal.
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A better understanding and more awareness of Alzheimer's related issues can impact personal health decisions and generate significant impact across a population of aging individuals. Please use the share buttons below to spread this educational message as widely as possible.

Functional MRI may be useful in detecting early stage Alzheimer's Disease

Contributed by: Dennis Fortier, President, Medical Care Corporation
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We have seen much press about the promise of advanced tracers and binding agents that improve the ability of imaging technologies to identify signs of early stage Alzheimer's disease. Due to the popularity of the amyloid hypothesis, suggesting that beta amyloid plaques are a key culprit in Alzheimer's pathology, research on agents that bind to amyloid have been especially present in the recent literature.

A study now published in Neurology suggests that functional MRI might also be useful in detecting early signs of Alzheimer's disease. In a study conducted at Cleveland Clinic’s Lou Ruvo Center for Brain Health, a group of 69 cognitively healthy adults, some of whom were genetically at risk to develop Alzheimer’s disease, were evaluated. Functional MRI was used to measure the participant's brain activity during a series of recognition tasks and the results of the at-risk group were compared to the results of the others.

The results showed an increased activation of certain parts of the brain in at-risk individuals which may reflect a compensatory brain response by those in the earliest stages of Alzheimer’s disease. If so, fMRI could prove to be a key technology for earlier identification of and intervention against emerging Alzheimer's disease.

A better understanding and more awareness of Alzheimer's related issues can impact personal health decisions and generate significant impact across a population of aging individuals. Please use the share button below to spread this educational message and help the world.