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 vascular dementia. Show all posts
Showing posts with label vascular dementia. Show all posts

Monday, October 30, 2017

she is wrong

SHE IS WRONG
Image result for george hw bush
nbcnews.com

first let me say
that sexual harassment is unacceptable behavior
that should not be tolerated in normal society
at least 50% of you that are reading this
have probably been the victim of it

that said

thats what i told my wife she as i watched her on tv
i think she really doesnt understand
on the news i dont hear anyone really explaining why
this may be happening
but
finally on one news show there he was
a neuroscientist explaining what can happen

these are the major dementias
in the order of their prevalence
many of the folks with dementia really have a mixed type
of some of these
eg
the most common mixed dementia is
alzheimers disease and vascular dementia

first is alzheimer disease
second is vascular dementia
then
lewy body dementia thats robin williams disease
parkinsons dementia
frontotemporal dementia

the two i wouldnt want to have for my familys sake are
lewy body dementia and frontotemporal dementia

i call them the fast and furious dementias
the behavior can be very inappropriate
it can be extremely stressful on the family

with parkinsons dementia
usually the disease starts with the movement stuff
think michael j fox and george hw bush
then
after a period of time the parkinsons dementia can kick in
it moves like the lewy body dementia
with some inappropriate behaviors
plus there is the side effect of all the drugs

just ask any nurse who works in a memory center
about those behaviors
they are not acceptable to the rest of us in society

now enter expresident george hw bush
he has had parkinsons for years the results of
small strokes
he probably is in the later dementia stage now
it will not get better
it will only worsen
the death like alzheimers disease or lewy body dementia
can be an awful terrible gut wrenching end to ones life
devastating to the family

so i say
she whoever that person is is wrong about george hw bush
is he really responsible for his actions
maybe his family is responsible
by
exposing others to what he really has no cognitive control
over
here is a well done news report on usa today about all this

i think she should apologize to the bush family for
her lack of understanding
i can only imagine how they feel

one of my biggest fears
as i progress down that alzheimers disease journey
near the end of it
i fear that i will change
as the disease takes over the brain
takes over that personality part of the brain
takes over the front part of the brain
making people like me say and do things that we would
never ever do

i right now while i am able to i want to apology to anyone i offend
when that happens
please dont report it in the news
for my familys sake
i will like george hw wont know the difference
but they will
things will be bad enough for the family
without making it worse for them

i personally hope that i die before i reach that point

so back to expresident george hw bush
im sure that if he was his brain normal self
that this would never ever happen

we as a society and her as a person
if you dont understand this all
then
well
we have gone too far with all this

the organicgreen doctor

Friday, February 6, 2015

talking and more on the study

TALKING AND MORE ON THE STUDY
i enjoy doing talks on alzheimers disease
especially doing q and a ones

this week i did a two hour talk to a small group
as part of a two day seminar for cmes for
memory care facilities

so many of the facilities now are using techniques to
handle the residents that have been proven to work so much
better than the old methods of
sitting them in a chair all day
over medicating them
not keeping them active mentally and physically
its really changed a lot in the last few years

the best ones ive visited have incorporated these techniques
in their facilities

i spoke of the common dementias
talking the most of course about alzheimers disease
since thats what i know best

besides alzheimers disease
there is
dementia of lewy bodies caused by the deposition of a protein
in the brain called lewy bodies
the comedian robin williams had this
its probably the worst to get
it strikes younger folks in their 50-70s
it hits fast goes fast
and is devastating to the families
its like what i call alzheimers on steroids

vascular dementia caused from strokes or minstrokes
commonly seen along with alzheimers disease
the symptoms are variable based on where the stroke is

parkinsons dementia that comes usually several years after
the movement disorder of parkinsons starts
its symptoms when it happens is like dementia of lewy body
it can be a difficult one for families also

frontotemporal dementia patients have shrinkage of the front
and side of the brain
symptoms are based on the damage done to these areas
behavior is an issue
they lose all inhibitions
another bad one

then i talked about alzheimers research
which i know more about
and
spent time talking about
dr bredesens article on reversal of cognitive decline

i found a good article from webmd about the study
here is the link
click here

until this 36 point plan is proven not to work i will
continue to be a believer in it
and will be following it myself

half of it is stuff we all should be doing


the good thing about dr bredesen is that he is a well respected
alzheimers researcher
he just received a multimillion dollar grant to further his other
research in his lab
so
hes not some off the wall researcher that is spouting some
weird recommendations

he just is thinking outside the box
sometimes those folks make the best researchers

he does say that there are a lot of pills to take
i have added now close to 20 a day to my regimen
it can be expensive
however its about half the cost of a  prescription of namenda
or exelon

he also says and i understand that myself that this is not a cure
for alzheimers disease
its not going to stop the disease
hopefully it slows things down for me
so
if i gain a few years its worth it to me

if you have a group like a club or church group that would
like to have me do a q and a or a talk for them on
alzheimers disease  i would be glad to do it

the organicgreen doctor

Friday, August 22, 2014

is it, whats the difference

IS IT, WHATS THE DIFFERENCE
to those who were at my alzheimers presentation yesterday
here are the links to the online quizes i mentioned

21 question questionnaire

five best online quizzes




i got asked this question twice yesterday
is alzheimers disease dementia
or
is dementia alzheimers disease

the answer is yes and no

dementia is a general term that is loss of memory that interfers
with your daily life
it has several causes

one of them is alzhiemers disease
the most common type of dementia
it makes up 60-80% of all cases of dementia
inside the brain beta amyloid and tau protein accumulation occurs
that results in brain cell damage and death

vascular dementia
is the second most common cause of dementia
it represents 10% of all cases
commonly its caused by strokes or ministrokes
also on brain imaging vascular changes can be seen
sometimes these are silent changes
the symptoms can vary based on the area of the brain affected

dementia with lewy bodies
not as common as the other two above
its is caused by an accumulation of proteins in the cortex of the brain
called alphasynuclein
the diagnosis is made  by an experienced doctor like a neurologist
who puts the patients history together to make the diagnosis
final true diagnosis can only be made by autopsy

mixed dementia
it represents a mixture of more than one type of dementia
usually a mixture of alzheimers disease and vascular dementia
lewy body dementia can also be mixed with alzheimers disease
and or vascular dementia
mixed is more common than we realized before

parkinsons disease
it can lead to a progressive dementia
there can be changes caused by the protein alphasynuclein
like in lewy body dementia

frontotemporal dementia
the front lobes and temporal lobes are affected
think front of brain and over temples
they get changes in personality and behavior at a earlier age
they tend to progress faster than alzheimers disease
theres not the microscopic changes you see in the dementias above

creuztfeldt jakobs disease cjd
a very rare disease
a variant found in cattle called mad cow disease can be transferred
to humans
its a rapid progressive disease

normal pressure hydrocephalus
a rare one but its an important one since if its diagnosed
and treated with shunting a person might show marked improvement
there is increased fluid buildup in the brain which can be relieved for
some by removing the fluid by placing a shunt to the brain to drain
the fluid or ny removing the fluid by spinal tap

huntingtons disease
a genetic progressive disease

wernicke-korksakoff syndrome
is caused by a severe lack of vitamin b12 or thiamine
commonly caused by alcohol abuse
thiamine is needed by the nerve cells to provide sugar for energy
no thiamine no energy production so brain cells dont work

so in summary
yes alzheimers is the most common cause of dementia
but a patients dementia can be caused by many causes as above

an excellent online reference on dementia is
the alzheimers associations website
www.alz.org/what-is-dementia.asp

also
the organicgreendoctor team in the williamson county walk to end alzheimers
has its
online silent auction in progress now and will end on september 21th
www.32auctions.com/ogd

click here to donate or join
our team organicgreendoctor at the williamson county walk on september 27th

the organicgreen doctor

Friday, October 19, 2012

prevent it, happy birthday

Walk to End Alzheimers
we are walking in the bell county/temple 
walk to end alzheimers on saturday november 3 2012

you can walk free but a donation to and or joining
my organicgreendoctor team is appreciated

join us there

PREVENT IT
you can prevent it you know
this vascular dementia
doing the things we do to prevent heart attacks

control your blood pressure
control your lipids your cholesterols your triglycerides
control your diabetes
dont smoke
dont drink to excess
eat a healthy diet
maintain a normal weight

dementia is cognitive impairment and results in problems with memory
thinking and reasoning

(i have early mild cognitive impairment amnestic type
-cant remember s&^%-
that is possibly due to alzheimers disease and
that is mostly not noticeable to anyone but can be documented on
neuropsychological testing
i notice it though)

dementia has many causes but the most common is alzheimers disease
with vascular dementia causing about 20% of dementias
there is an overlay that can occur with alzheimers disease and
vascular dementia
its called combined dementia or mixed dementia
the older you are the more likely you are to get it

my mother had alzheimers disease but also had a component of
vascular dementia
as she had several small strokes and tias (transit ischemic attacks)
her confusion facial weakness arm weakness difficulty talking would
appear then over a few days would resolve some

it seemed with her each episode just added to the demise of her
cognition and was sped up by the progression of the alzheimers
diesease


what happens with vascular dementia is that a vessel will burst
either large small or real tiny or atherosclerosis the clogging of the
vessel with debri or a clot will form in the vessel and  will damage
the surrounding brain tissue some of it permanent and
will chip away at the brains functioning much
as alzheimers disease does as the nerve cells are damaged by the
process that occurs in alzheimers
the theory now is that beta amyloid is deposited and is the
cause of the damage or the end result of whatever the
alzheimers process is

combine the two dementias together and you can a
devastating progression of symptoms

the older you get the more likely the dementia is the combo
or mixed variety

so
if you are young and its in your family
you need to be doing those things mentioned above to slow
down or prevent this dementia

nows the time to do something
yes im talking to you

HAPPY BIRTHDAY
today is the birthday of my younger brothers wife

she deserves to have a happy birthday today

she may see my brother today
he may or may not remember probably not that its her day
as he has alzheimers disease and has had to be placed
in a long term care facility to provide the special care
he needs

i can only describe her as remarkable
as she is having to deal with this in her life
but she has shown her ability to deal with this
at least to the outside world
im sure in her private moments its difficult

i know in my private moments i can have a temporary
decomposition that can occur and mine is nowhere
near what she has to deal with

she always has done whats best for my brother as
the disease has progressed

so today i want to wish her a happy birthday
its her day and i hope she can enjoy it
you are really doing a good job
we are all proud of you
and are always thinking of you

the organicgreen doctor