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

Showing posts with label aducanumab. Show all posts
Showing posts with label aducanumab. Show all posts

Friday, July 27, 2018

alzheimers news-its not my drug

ALZHEIMERS NEWS-ITS NOT MY DRUG
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several folks contacted me yesterday asking if the drug that was in the news was my drug
it was on a lot of tv channels and on my newsfeeds yesterday and today

that drug is called ban2401
my drug is called aducanumab
both are made by biogen

Image result for ban2401
ban2401 attacks the amyloid at a particular site called protofibrils
aducanumab attacks the amyloid at a different site
both drugs grabs the amyloid and removes it
both are antibodies against the amyloid given as an injection or an infusion

ban2401 is about 2-5 years behind my drug aducanumab
ban2401 is in phase 2 studies
aducanumab is in phase 3 studies

the aducanumab phase 3 study ends for me after my next 2 infusions in 6 weeks
others in my study are further behind me
there are about 1200+ of us in the aducanumab study

it should be all finished in 2019 with the final results out probably 2020
it could be on the market the following year or two pending fda approval
ban2401 wont be available if it continues to do well until 2021+

dont worry starting in october i begin to definitely receive the aducanumab and not the placebo and will receive it for another 18 months or longer
that should carry me into 2020 when the results come out
if it doesnt work then ill stop it
if it does work then ill probably stay on it since they usually will continue the studies for a long term after that
ie
im covered for now

ban2401 in this phase 2 study didnt work except at the higher doses
it worked best in folks like me with the apoe 4 gene
this higher dose study has only about 200-300 folks in it
the drug in the higher dose not only removed the amyloid
but
the patients memory improved by 30% on the memory tests they used

Image result for aducanumab
aducanumab results from nature

my drug aducanumab in its phase 1 study on 100+ patients also worked best at the higher doses
the amyloid was mostly removed
the higher the dose the more removed
also all in the phase 1 study had improvement in their memories
except
those who received the placebo
it always sucks to be in the placebo group

so unlike the ban2401 drug it worked at the lower doses just not as strongly
the folks in the phase 1 study of aducanumab have now been followed for over 5 years
they have continued to have less amyloid in the brain and have showed continued improvement in their memory

my aducanumab drug also has higher side effects at the higher doses
in fact in the phase 3 study they dropped the highest dose because of the side effects
the biggest side effect is micorobleeds that may occur as the amyloid plaques are removed
a side effect that most of us with this disease would readily accept
but
the fda doesnt like them

when my drug aducanumab publishes its results next year or next expect the same hype that the ban2401 is getting now
the difference is that it will be available first for treatment for alzheimers disease

it probably will be used in folks with prealzheimers disease
prealzheimers disease is where many of you are
you dont have symptoms but your amyloid pet scans and or your spinal fluid for amyloid are positive
you just dont know that yet

it will be also used in folks like me with the diagnosis of mild cognitive impairment or those with mild alzheimers
it probably wont be used in moderate to severe alzheimers since by then so much damage has been done that little gain will come from using this expensive drug on those patients

getting diagnosed early is going to be important in the near future if you are going to be able to stop or slow down this disease

in the meantime be aggressive in taking care of your health

the early the better is the rule

so thats my answer to the question
is this your drug

the organicgreen doctor

Friday, June 15, 2018

alzheimers news-3 more and what it is

ALZHEIMERS NEWS-3 MORE AND WHAT IT IS
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yesterday at the ucla infusion center i received my 17th infusion in the biogen aducanumab study of either a placebo or the drug aducanumab
aducanumab is an antibody against the bad beta amyloid that is thought to be the cause of alzheimers dieseae
the aducanumab is the most promising drug thats being investigated now to eventually make to the market if it shows promise in slowing down or stopping the disease

yesterday i had a bad headache when i got home which for me is a good sign since thats a major side effect of his drug
if my headache which is still present this morning despite acetaminophen is from my infusion then that would mean i am getting the real drug which is a real good thing
as i discussed with the research director and nurse yesterday if i have side effects thats a good thing
folks like me who have the apoe4 gene are much more likely to have this headache side effect

in fact if i am getting this real drug the dose will be a lower dose to prevent worsening headaches which is caused by microbleeds where the bad beta amyloid plaques are being removed by the drug

a little micobleed i can handle
like i told them
the option for me and others well there really isnt one right now
a little headache and microbleed we will accept

dont worry they do regular mris of the brain to make sure this hasnt happened
in fact i have one in 10 days back at ucla

the only problem is if i were to have a microbleed which means im getting the drug then im out of the study
a bad thing that would be

starting in october all of those 1200 plus folks in the study who want to can continue for another 2 years receiving all of us the real drug and not the placebo with the possibility of getting it even longer if its promising in its effect against this awful disease

so if its approved for use i and we may if we didnt get the placebo get 4+ years of this drug before it reaches the market

for me eg it would have slowed down the disease for me so i would have more cognitive presence here on this earth

thats why i and the others have gone on this journey in hopes of getting some treatment not available elsewhere

otherwise it just taking meds like aricept (donepezil) and its cousins and living a healthy life and taking some recommended supplements
those are your options

its well worth the effort being in this study if it works
if it doesnt work then we have solved whether this approach works or not and science can move in another direction

this week the nih thats the national institute of health published this youtube video on
HOW ALZHEIMERS CHANGES THE BRAIN

if you have it or if you have a loved one who has it or if you are worried you have it
then
watch this video below to see what happens inside the brain



the organicgreen doctor

Sunday, May 27, 2018

alzheimers news-whats next

ALZHEIMERS NEWS-WHATS NEXT

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if you take a cholesterol drug
why do you take it

i know i know
because your doctor tells you to
but
why do you take it

you take the cholesterol drug so that down the road a few
years your arteries wont get all clogged up
and cause you to
have a stroke
have a heart attack

thats really why

so it is with the goal of a new alzheimers drug
you start it early years before its time to lose your memory

these new drugs
based on those in the works
prevents or removes beta amyloid from forming
or
maybe
prevents or removes the tau protein tangles that may form
after amyloid plaques form

both are believed to be what happens in alzheimers
to kill brain cells

so
all the new drugs for alzheimers slows or stops this process
hopefully

they like the cholesterol drugs will really need to be started
before symptoms start to have their maximum effect

the problem is many of them may not work at all
maybe
either they were tested wrong or they just dont work

some may have been tested in folks way too advanced in the
disease to have an affect on the outcome

much like taking cholesterol drugs after youve had
a major heart attack or stroke
it may help some but not much

we are now at the point
maybe a breaking point
in alzheimers research where its possible none of these new drugs
will work to cure or treat alzheimers

a former patient was diagnosed with lymphoma
she is about to start a 5 drug regimen to treat her lymphoma
which is now considered a curable cancer

one of the drugs she will take is an antibody against a protein
on the lymphoma cancer cell
it grabs the protein by doing so kills the lymphoma cell

my drug aducanumab grabs the beta amyloid protein and
extracts it from the brain

they work similar ways but on different proteins

now her antibody will not totally wipe out the lymphoma
thus she will be given 4 other drugs that each attacks the
lympoma cancer in different ways
they will weaken the cancer so it gets wiped out completely
ie a cure

thats what i think will happen in alzheimers treatment
my drug eg will be given to remove and prevent more amyloid
from being formed
being developed are drugs that attack the alzheimers forming
mechanism in the brain in different ways
this combo like the lymphoma treatment
may cure or keep the alzheimers at bay or stop it where its at

i read an article just this week that aricept (donepezil) that i take
that if given to prealzheimers folks
those who have beta amyloid accumulation with no symptoms
this may delay the deposition of beta amyloid if the aricept is
started early

oh wait what if you took aducanumab my drug with the aricept
would that make it work better like with treating cancer

i hope so since im on both of those now

usually aricept is started when symptoms start and the disease
starts to worsen

so
this week i noticed that he company that makes my drug has
gotten a favorite recommendation from the financial world
because well it seems the financial world seems to know these
things before the scientific world gets the information out
to all of us

i think what will happen is
aducanumab will not cure alzhiemers
it may slow it down or stop it where its at but if its stopped
the alzheimers will then take off again

a combo regimen will have to be used

well at least i am like my former patient with lymphoma
i am getting the preliminary treatment with my antibody to clear
things out until that regimen is invented

please hurry
we can hold down the fort for only so long

the organicgreen doctor

Friday, May 4, 2018

alzheimers news-maybe a little here and a little there will help

ALZHEIMERS NEWS-MAYBE A LITTLE HERE AND A LITTLE
THERE MAY HELP

Image result for organicgreendoctor
the clocks aticking
i realized this this week
when an alzheimers wife called me about her husband
listening to his story i realized that he is past the halfway point
on that downward slide that doesnt end well
it that slide will intensify over the next several months
then he will fall off

he was diagnosed the same year i was
he was a working professional forgetting things
he has now reached the edge and will soon start that fall

when he and i were diagnosed
i really expected to be where he was today

instead
here i am giving advice to an alzheimers wife who
when you look at her you see the fatigue dripping from her face
that tired tired walk she has
he is taking her down with him it seems
not on purpose though
its part of the disease
this caregiving thing

she was asking me about getting him into research studies
i thought to myself
its too late way too late to do anything else for him
but love him and care for him
and
get yourself some relief and help

i didnt encourage her to seek research help
it would be fruitless

this last week merck the drug company is publishing results
of its study on its new bace inhibitor
that blocks the production of the bad beta amyloid that gets
deposited in the brain in alzheimers

in the study it worked but the folks didnt get better
maybe because the folks were like the above guy
too far along in the disease

now
the long term studies that are being done are done on folks
who are early in the disease or have no symptoms at all
ie they have positive scans for alzheimers
but who have no symptoms

those are the ones that may be helped by these bace inhibitors
they dont remove the stuff the amyloid and plaques like
the infusions that i am on

my infusions remove the amyloid and the plaques and stimulate the
garbage cells to clean up things
the bace inhibitors only stop the amyloid production
doing that after the fact doesnt undo whats been done

so for me and others my age
the drugs like the aducanumab is our last hope
if they dont work or the bace inhibitors dont work
the next wave of drugs for this awful disease is meant
for those in the generation behind us

if this stuff fails all we have to work with is maybes
like

eating a mediterranean or mind diet that may delay things if done
long term by a few years

looking at the 36 point plan outlined in dr bredesens reversal of
cognitive decline article
highlight the above and google it

i am doing all those things he recommends if i can tolerate them
no
they arent proven to help scientifically
they many of them are maybes

well doing all the healthy things on the list are almost sure to help
the supplements are maybes

but
my and our choices are what

there is not one if the aducanumab like drugs dont work

we are left with the maybes
we as a generation missed the ride to the cure

now i do feel like that something im doing has slowed things
down a lot
im not sure what it is
but
i plan on continuing what im doing
and
adding any maybes that may appear in research that
wont cause me harm or interfere with my medications

my most recent maybe is
cbd oil
ive found the research that says maybe
maybe

i know what dose to take
i plan to take it
just
when i come to visit texas or arkansas this summer
i have to leave it at home since i could get busted with it
in my possession

how does it work
it seems to help remove the bad beta amyloid in the brain
well why dont they just do the research to know if it does
for sure
the federal government makes it almost impossible to do the
research
so
i cant wait on this maybe
at least
i live in a state that allows me to purchase it legally here
and
not feel like a criminal

i can see it now
retired austin doctor arrested at the airport with illegal substance

so
im getting ready
if my aducanumab fails
starting now
to take my maybes
that maybe helps
maybe

ive told several well all of the doctors that i see what im doing
they give me that look
i know it cause i use to do the same thing to patients
but
i really have no other choice
other than do nothing

i know thats not going to help any

the organicgreen doctor


Friday, March 16, 2018

alzheimers news-im sleepy

ALZHEIMERS NEWS-IM SLEEPY
Image result for organicgreendoctor
i seem to say that to my wife she twice a day
once after lunch
the other
after supper

i do notice its worse in regards the after lunch sleepiness
a week after my infusions i get monthly in the
aducanumab study at ucla

whether or not its really that im not sure
i guess one day if i find out im getting the placebo
then ill know those infusions didnt do it
it maybe was
a placebo effect

sleep is important in regards to developing alzheimers disease
as you are sleeping there are garbage cells that are
programmed to go into the brain and clean up any debris
that has accumulated
this seems to happen during your deep sleep
this usually requires a good 7-8 hours of sleep for
all this to happen

part of this debris that accumulates is the bad beta amyloid
that is produced and builds up in the brain
its that bad beta amyloid that kills brain cells as it forms
plaques of amyloid
this is what is thought to be the cause of alzheimers disease
the accumulation of amyloid
the lack of adequate sleep exacerbates this
it may not be the only cause but it makes it worse

so a good restful adequate sleep is important

now researchers in a recent article found that this excessive
daytime sleepiness may indicate an individuals risk for
alzheimers disease
man am i in trouble

in this mayo clinic study following 70 year olds with excessive
daytime sleepiness for seven years with amyloid brain scans
they found 22% of them accumulated the amyloid
in places where alzheimers disease usually starts in the brain

so does the excessive sleepiness cause the accumulation
or
does the accumulation cause the excessive sleepiness
the chicken or the egg theory

so
get adequate sleep please
the early in life you start the better

i wonder what is going to happen in all those young folks
who dont get enough sleep due to cell phones computers
excessive lights working etc
just ask any high school or middle school teacher about this

they are doing a long term experiment on themselves that will give us
an answer in 40-50 years

im hoping it wont happen to them

the organicgreen doctor

Friday, March 2, 2018

alzheimers news-baceless

ALZHEIMERS NEWS-BACELESS
Image result for organicgreendoctor
in the amyloid theory of alzheimers disease
beta amyloid accumulates in the brain
this accumulation leads to brain cell death

many of the new drugs are aimed at
1 removing the amyloid thats accumulated in the brain
or
2 preventing it from being deposited
or
3 preventing it from being produced in the first place

the drug biogens aducanumab that i receive in my monthly infusions
at ucla if i am getting the real drug instead of the placebo
is an antibody that goes in and does 1 and 2
it removes the accumulated amyloid from the brain
and
it prevents it from being deposited in the brain by binding it
up before it can be stuck in the brain

as aside
i have now done 1 year of these infusions
in 6 months i will be switched to definitely getting
the real aducanumab for at least 2 more years
so
i am hoping that ive been on the real drug so that by
septermber 2018 i will have received 20 doses of the
real drug

if that is so my amyvid pet scan for the amyloid that was
in my brain 1 year ago should be all clear
fingers crossed

now there is a lot of research going on to block the
bace gene or beta secretase gene in the brain that
cleaves the beta amyloid to make the stuff that sticks in the brain

there is a tablet produced now that is taken regularly
is called a bace inhibitor
which means it blocks the gene
so the bad protein amyloid is not produced

by preventing the amyloid from being made it cant be
deposited in the brain

Image result for organicgreendoctor amyvid
studies using this bace inhibitor are ongoing now
in patients

who are prealzheimers
which means they have no memory issues but they have
positive scans like that above for the bad beta amyloid in the brain
eg
if i had a scan 20 years ago it probably would have been positive
for the bad beta amyloid

who have mild cognitive impairment or early alzheimers

so by stopping or reducing the amyloid production in the brain
alzheimers disease would be slowed or stopped

recently researcheres were able to remove the bace gene
totally in rats with alzheimers disease
the rats memory improved back to normal
so there was no bad beta amyloid in the brain

so by removing this gene or inhibiting it with drugs
alzheimers disease could be prevented or slowed down

so
maybe in the future
folks will take a bace inhibitor pill to prevent the
bad amyloid from being produced
then
add a drug like aducanumab that i am on
to remove any beta amyloid that was produced or deposited
then
you could treat
or
if we are lucky
cure alzheimers disease

lets hope we are this close

the organicgreen doctor

Friday, February 2, 2018

alzheimers news-i think he had it

ALZHEIMERS NEWS-I THINK HE HAD IT
Image result for organicgreendoctor
i know an author who wrote several books about him
says he didnt have alzheimers disease when he was president
Image result for ronald reagan official portrait
reaganlibrary

well
i think
ronald reagan was in the early stages of the disease when
he was president
he had to have been

i read that his doctors back then in the 80s said he showed
no evidence of alzheimers
did he have memory tests like trump had earlier this year
the one i have had several times over the last 8 years
the moca test
no reagan didnt have that since it was developed in 1997
the other one used commonly is the mmse
it was developed in 1975
it could have been given to reagan but i doubt that it was

if you are early in the disease the mmse misses the diagnosis
the moca test usually doesnt

so my guess he was never ever really tested while in office
even by his private doctors

i was a primary care doctor having graduated in 1982
and finishing my residency in 1985
starting private practice in 1985
i will admit i never recall actually diagnosing alzheimers
disease in my career
it was something like cancer you didnt talk about with
patients
it sort of got ignored

my guess is that his symptoms were ignored
and not tested for

ive watched reagan on tv clips since i was diagnosed
and now knowing a lot more about the disease

you can hear it in his speech
you can see it in his face
the stare
if you have had a loved one with this disease
you recognize that stare
you know what im talking about

there are three stages in alzheimers
prealzheimers with normal memory tests and abnormal spinal fluid and a positive amyvid scan
mild cognitive impairment with slightly abnormal memory tests and abnormal spinal fluid and a positive anyvid scan
alzheimers with abnormal memory tests and abnormal spinal fluid and a positive amyvid scan

if trump will develop alzheimers as he ages he would be prealzheimers now
he would be in the white area
i have mild cognitive impairment
i am in the pink area
reagan at the end of his second term probably had early alzheimers disease
he would have been in the grey area




this is the alzheimers graph
the graph of the typical late onset alzheimers patient
it shows the development of symptoms and testing that we
now have available

this graph was developed from data from the large research
study that i was in called the adni 2 study

he died at 93
he quit the presidency at 77
plot those points on the graph
he was first president at 70 years old
plot that point on the graph

if this was his path which it probably comes close to
at 70 he probably had early mci or mild cognitive impairment
if you had done the moca test on him it might have been abnormal
not like the good score trump had

he probably noticed things himself
maybe his wife
probably not others unless they knew him real well
if he had had a full neuropsychological test it would
have been there
its the gold standard memory test
his spinal tap analysis for the bad amyloid and the tau
would have been abnormal
his amyvid pet scan the one for the bad beta anyloid
the hallmark of alzheimers disease would have been
positive
maybe early changes would even been seen on a mri scan

so i think when he was first inaugurated as president
these would have been positive

i have been exposed in the last eight years to a lot
of folks who have mci and real early alzheimers
they function quite well
they work they write they give lectures they drive
they travel they do all their financial stuff
most folks dont even know

when he was first inaugurated
my guess he would have qualified to be
in the aducanumab study that i am in now

wouldnt that have been interesting
if a sitting president was undergoing a novel treatment
for alzheimers disease

it probably would have been the best thing that
could have happened to the alzheimers movement

but none of this was available

my guess is he functioned quite well in his first term
my guess is that he started to have issues in the end
of his last term
issues he noted
his wife nancy noted
his close white house staff really noticed
and
they were able to protect him
he did a good job at the end
but
had his disease been a faster progresser
it might not have been a good ending on that second term

so
i believe
knowing all i know now
that he could have been diagnosed while in office
alzheimers just doesnt pop up one day
its a usually slow gradual process that can take
like in him
30 years to fully develop and cause death

lets dont be ashamed if he did have it while in office

the organicgreen doctor

Friday, January 26, 2018

alzheimers news-its in the blood

ALZHEIMERS NEWS-ITS IN THE BLOOD
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the other day while at the ucla infusion center
as i was getting my iv started
i saw the red blood ooze out the long tubing
thats connected to the iv

i said
did you hit an artery there
i was joking
she the nurse looked up at me
for a second
i think she thought
did i
no you didnt
i was joking

but
as i looked at that blood oozing down that line
i was thinking
the answer to all this alzheimers thing
is in that blood flowing down that line

in that blood a genetic test was done
positive for the apoe 4/apoe 4 gene
the one that increases your odds for getting
late onset alzheimers disease

knowing you have it is nice i guess
but
it would have been better to have known it when
i was in my 30s and 40s
i probably would have gotten even more aggressive
with my health
eating right
controlling my blood pressure and cholesterol
controlling my weight
sleeping better
all those things that make a person live longer
it the genetic test
sort of gives you an incentive to try harder
to be healthy
like
when you get a report back that your cholersterol is way too high
which
increases your risk one day to have a stroke or heart attack

ok
so that one happened to me when i was forty

then
as i looked at that blood as it flowed out the end of the tube
soaking into the sheet
i thought
that stuff im taking
in a lot of folks
that aducanumab antibody
its in their blood naturally
lucky them

then when she finally got it all hooked up
and cleaned my arm all up
into the vein went that stuff
either salt water or the aducanumab
im sure i dont have any naturally of that aducanumab

later when i got home
i saw this article about infusing young blood into folks
that it might slow down the alzheimers disease

i knew it
i thought
when i was looking at my blood flow out the end of that
iv line
i know its in the blood

we just need to figure out what that it is
and
give that it to all of us

when blood from young donors were given to patients
with mild to moderate alzheimers disease
functional improvements were noted
like
paying bills and taking medicines and cooking for yourself

that fountain of youth stuff in blood may help folks
have better memory

now i understand what those vampires are all after

the organicgreen doctor

Thursday, January 25, 2018

i was thinking...

I WAS THINKING...
thats what i call my infusion days
thinking days
since
like yesterday
i have to lay on a bed
hooked to an iv
getting this clear liquid
covered with a brown opaque bag
like they are hiding it for all to see
not knowing
whether
its just salt water in there or is it the
real stuff
acucanumab
a potential life changing drug for me and my family
if it works
if im getting the real stuff

in 6 months i will for sure get the real stuff
for another 2+ years
hopefully by then if it works it will be on the market
if it fails
well
we start all over again

the problem is that during this 3.5 years+ of getting this
stuff
i and the others in this study want really ever know
how well its working
we get the memory tests and the scans
but
we never see the results
so
we really wont know how well this stuff is working
except
that
we wont none of us be getting worse
if it works

the further along you are with the disease
maybe
the easier it will be for you and your family to tell the difference

i always tease the nurses
you know
i say
with a serious face
i always feel smarter after i get these aducanumab infusions
they stop
just look at me
then they get it
they smile then laugh

so i was thinking on thinking day

now
i could sit and watch tv
but i decide every time i go there
to let it be my thinking day
for most of the time
its just me and my iv
with the ocassional checkin by the nurse
a few minutes with the neurologist
a few minutes with the research manager
but
mostly
its just me

its my time
my thinking time
we all need
thinking time
you know

my wife she stays out since she is squeamish about the
iv and blood drawing and all
i dont want her to become the patient
so
i like my thinking day

i solve problems
i do my garden planning my weekly planning
i do my moments of zen stuff

when i leave though
im ready
i have this blue wrap on my arm
and
a head full of ideas
and
i am always at peace with myself when i leave there

the organicgreen doctor

Friday, December 22, 2017

alzheimers news.its been seven years since...

ALZHEIMERS NEWS-ITS BEEN SEVEN YEARS SINCE...
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ten years ago i applied for long term insurance and got it
after passing a mental status exam
i got all of the questions correct
then
7 years ago i contacted the alzheimers center at ut southwestern in dallas
to be followed annually as i aged so i would know if i developed
memory issues
if i did i had decided that i would stop practicing medicine

i underwent a neuropsychological exam to get into the normal control
group of a large study called the adni 3
being in this study would allow me to be monitored long term
i was also added to a state run study doing the same thing

as a normal control you are what those with memory issues are
compared to

as i sat in that chair in that room answering those questions
many the same as i answered correctly 3 years before
for my long term care insurance
well
i felt like i was in a fog
got real sweaty
as i couldnt answer the questions
i knew then
my time like with my mom and my brother
it was my time

when i got the official report
memory loss greater than you should have for your age and education
you need to see a neurologist they said
i made a neurology appointment in a month
i started my month long slow down of my practice
not letting anyone know except my wife she
well
my nurse and our clinic supervisor sensed it
they knew
my last day she the supervisor said
you arent coming back are you

no
i said to myself
i knew that was it
i had promised myself i wouldnt stay too long
when the time arrived

my last patient i saw in practice was an employees son
who needed a two year check up
i contacted her to bring him in at the end of the day
he was the last patient i ever saw

the next day i got my diagnosis
mild cognitive impairment probably due to alzheimers diseas
i got a new drug
aricept (donepezil) to slow things down
it slows the symptoms but not the disease

i must say i felt devastated
as did most of my coworkers and patients

i couldnt go back
mentally emotionally i coudnt
legally with this diagnosis
medically legally i was now a high high risk physician
i retired my license
that was it

lucky for me
hundreds of patients reached out to me
ive maintained contact with many of my patients via social media
i have got to see the kids grow up
many now having kids
that all helps a lot

i reentered the study having been placed in the
mild cognitive impairment branch of the adni 2 study for 5 years

today i am receiving monthly infusions for another
3 plus years if not longer of aducanumab
which will probably slow down the disease
hopefully until even more new treatments become available

Image result for organicgreendoctor school garden
my goal is to see my granddaughter graduate from high school
she is 2 1/2

Image result for pat summitt
since my diagnosis
pat summit the tennessee womens basketball coach was diagnosed
with early alzheimers
she died over this 7 year span

Image result for organicgreendoctor.com joe nash
my younger brother joe
the mirror i looked into when i saw him
died also from alzheimers disease during this 7 years

7 years ago
i really expected to be further along in this disease
at least where my brother joe was and pat summit was when
they were diagnosed

why am i better or why am i not worse than i was 7 years ago
aricept (donepezil)
healthy living
aggressively controlling my diet weight exercise blood pressure stress
cholesterol
i take a boatload of supplements that may possibly help
i think i was also really early in the disease
earlier than most are when they are diagnosed
having been diagnosed almost by accident

my diagnosis has been confirmed by several neurologists
diagnostic studies like spinal tap analysis and the amvid amyloid scans

so as i sit here typing this blog
i am so thankful to be here today
cognitively here
to be able to enjoy our family
our new life
still doing all the things i was doing before i was diagnosed
and since then

im lucky to be alive
im lucky to be this healthy
physically and mentally

thats my new years resolution
let this all continue
please

fire update
were done
the fire on this side is stopped
folks are being let back in their houses
the air is crisp and clear
thank you thank you thank you firefighters
you are the greatest

have a happy holidays
for those who celebrate
merry christmas

the organicgreen doctor