welcome to the organic green doctor blog

i am a family physician who was diagnosed with
early mild cognitive impairment(mci) amnestic type on december 21, 2010
this is a precursor to alzheimers disease
because of this diagnosis i have opted to stop practicing medicine
this blog will be about my journey with this disease
please feel free to follow me along this path
i will continue blogging on organic gardening, green living,
solar power, rainwater collection, and healthy living
i will blog on these plus other things noted to be interesting

Wednesday, July 10, 2024

alzheimers news-i have no tattoo


thats right
i dont have a tattoo on my brain but he does
dr daniel gibbs a retired neurologist wrote in his blog a tattoo on my brain and in his book with that name and now with a documentary with that name
he got a tattoo on his brain
i did not

he is a retired neurologist 
i am a retired family physician
we both retired due to our diagnosis
mci or mild cognitive impairment due to alzheimers disease

he in homozygote for apoe4 ie he is apoe4 apoe4
making him high risk for getting alzheimers diseaes
i have the same apoe4 apoe4 gene

we both entered the biogen aduhelm or aducanumab study receiving monthly infusions of aduhelm
after a few infusions he developed a massive brain bleed that almost killed him
thought to be due to the infusions of aduhelm 
its a risk that is explained to you when you sign the permits
i read it like he probably did and probably like him i accepted the risks

after months of rehab he eventually returned back to where he was when he started the aduhelm
he now will not qualify for any new treatments

why did he bleed
having the homozygous apoe4 apoe4 put you at risk for brain bleeds
these patients like he and i can get deposits of amyloid in the walls of blood vessels so when the aduhelm or the new drugs leqembi or the new drug donanemab are given they tear the plaques off the blood vessels which can cause brain bleeds
thats what happen to him
he almost died

now i didnt have brain bleeds or edema called aria or amyloid related imaging abnormalities
i did have bad headaches with visual aura that would incapacitate me for 15 minutes to an hour after i got my highest dose of the drug
these headaches lasted several days and over time became less and less intense
after stopping the aduhelm at the end of the study my headaches resolved and have not returned
knock on wood

his mri shows iron deposits where he had bleeds
he calls them a tattoo on his brain

my mri is normal and shows no tattoo on my brain

his amyloid pet scan which you can see in his documentary has gradually progressed over the last few years
this matches his decline he notices as he talks about in the documentary

my amyloid pet scan since i got 34 months of aduhelm shows no amyloid plaque
my amyloid pet scan has gone from positive to now negative for amyloid plaque

his amyloid pet scan is red throughout
my amyloid pet scan is now red free

the question is if he had been able to complete the full treatment like i did would he be able to do all those things he was doing when he had his bleed
would it make a difference

for me my memory i feel and those around probably feel the same is the best its been over the last 14 years since i have been diagnosed

my moca memory test are now normal
i usuall score 29-30 on my moca test
orginally i scored a 25
for those who are familiar with the test

he scores at 22 which is probably early alzheimers disease vs previously he was mci

to be political here if both biden and trump took the moca test they would more than likely not score in the normal range like i do

the moca test is being mentioned a lot in the media right now
maybe some test like that should be required for the public to know about our politicians especially our presidents

when i scored a 25 and was diagnosed i chose to stop practicing medicine because in my occupation i knew what that meant
the same would be for an air traffic controller a pilot a general or a president

thats not for me to decide 
it for us as a society to decide

im just glad i have no tattoo on my brain like dr gibbs has

if you are in the alzheimers world i recommend you 
read dr gibbs interiview in the jama or journal of the american medical association
watch his new documentary linked here
we watched it on paramount tv

when i watched the documentary it was surreal
i watched his wife the new caretaker as she seemed to be in pain emotionally
it was hard to watch
i first watched it alone and later watched it with my wife she
yes i cried since i realized that would be me some time in the future
hopefully not soon

since for me i know thats where i am headed 
how soon i dont know
i am enjoying each day i have gardening being with my grandkids and family writing and doing all the things i enjoy doing

i dont have a tattoo
im glad i dont

in a recent posting on the dementia website being patient they reposted part of my interview i did with them about being in clinical trials
it is liked here

the organicgreen doctor


  1. Interesting. Good to be your FB friend again. My dad and his brother had zero short term memory for years before they died.Their older sister, a retired teacher, had full blown Alzheimer's. I just turned 73 and...afraid the "Payne brain" is affecting me. Do you think Prevagen would help?