Neurology
Lessons from a caregiver for a rare neurodegenerative disorder [PODCAST]
Advancements in technology offer hope for those with Alzheimer’s disease
According to the Centers for Disease Control and Prevention, as of 2020, approximately 5.8 million people in the U.S. were living with Alzheimer’s disease, a progressive brain disorder affecting memory, thinking, and behavior. The prevalence of this disease is expected to continue to rise as the population ages. The number of people living with the disease is projected to grow threefold to 14 million by 2060. While there is …
The heartbreaking realities of being a caregiver with Huntington’s disease
An excerpt from Huntington’s Disease Heroes: Inspiring Stories of Resilience from the HD Community.
These days as my father’s Huntington’s disease progresses and I take on more and more, I have learned how quickly being a caregiver can consume my life. Yes, he is still living two hours away, and …
From uncertainty to certainty: Finding the cause of seizures in a young patient
It was a Tuesday evening when I received a call from the emergency room that a young lady had been brought in after experiencing seizures. I quickly walked over to the ER, preparing myself for what was to come. As I walked through the entrance, I could see the family of the patient huddled together, whispering to each other. The patient was lying on the hospital bed with wires attached …
Fighting for life: inside an emergency room during a medical crisis
The emergency room was bustling with activity as the medical staff worked to stabilize the patient, who was lying unconscious on a hospital bed. His wife sat anxiously by his side, tears streaming down her face.
It wasn’t the first time 70-year-old Mr. Smith had been to the emergency room. His past medical history included high blood pressure and cholesterol, but his non-compliant attitude towards medication had put him at risk. …
Uncovering the hidden causes of Alzheimer’s disease [PODCAST]
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Join us on this episode as we welcome Arnold Eiser, an internal medicine physician, as he shares his insights on Alzheimer’s disease. Arnold believes that Alzheimer’s may be largely preventable, despite conventional wisdom suggesting otherwise. He argues …
Overcoming Parkinson’s: a journey of laughter and resilience
In 2017 at the age of 62, I retired from my position as a family nurse practitioner when the small, independently owned private practice where I had been employed for 20 years was sold to the local hospital. I had been having some odd motor symptoms that were diagnosed as akinetic-rigid Parkinson’s disease in 2015.
The stiffness and reduced fine motor coordination on my dominant left side made many common tasks, …
What causes fainting and how to prevent it during needle procedures
Fainting, or syncope is a temporary loss of consciousness when the brain doesn’t get enough oxygen. Many things, including dehydration, low blood sugar, or anxiety, can cause it. As all doctors know, a common trigger for fainting is seeing blood or a needle.
Emotional fainting is very common in humans, especially in younger people, but it is extremely rare in non-human vertebrates. Fainting may be a response that Homo sapiens …
The unpredictable wave: a physician’s journey through seizures
The first seizure I remember was like a wave in the ocean. Over my head, sudden dizziness, ready to go over the crest, then down into the dark. The dark was just not there. Or anywhere. Coming up was like being thrown out into the flotsam and jetsam, not knowing which way was up—seeing but not. A slow coming to the shore, a slow return. I knew I was there, …
From stroke to strength: one person’s story of overcoming challenges
My story began in the early morning of November 17, 2021, and resulted in a re-birthing of who I am and what I’m becoming. I had a massive stroke that caused paralysis of my right side and left me unable to speak. I was life-flighted to the hospital where I work, and suddenly, I became the patient, not the caregiver. I received thrombolytics, then went to the neuro-interventional suite, where …
Chris Hemsworth and personalized medicine: How genetic testing can impact your health [PODCAST]
Understanding the memory loss of aging: How to tell normal forgetfulness from brain disorders
An excerpt from Why We Forget and How To Remember Better: The Science Behind Memory.
“I’m so worried about my memory,” says the 82-year-old accountant and mother of three. “All of my friends are having memory problems. Many of them have dementia, and some even have Alzheimer’s disease. I think I’m …
A Father’s Day golf game to remember
It started with an early morning drive to the golf course on the day before Father’s Day. It was a beautiful spring day in the Southwest, and the Man had it all to himself. However, the second half of the day would belong to others — his wife, his kids, his house, and his job. He was hoping for a quick 18 requiring no mental gymnastics beyond that of a …
A heartbreaking yet heartwarming story of a pediatric neurology resident’s struggle and empathy
The pager beeps early on the first day of my inpatient pediatric neurology service week. The pediatric intensive care unit (PICU) would like us to perform a brain death examination on a young boy before potential organ donation. An apparently healthy boy who had an unexpected clinical course that led to his current state.
As a pediatric neurology resident, I often have difficult conversations with our patients and families, but the …
Challenging conventional wisdom: How to reduce the risk of Alzheimer’s disease
Alzheimer’s disease is a devastating illness without effective treatment. Yet it may, in fact, be largely preventable. The first shocking fact to absorb is that the pathogenesis is largely extracranial, though assuredly not entirely so. That clearly defies the conventional pharmacologic wisdom, which has obsessed with amyloid-beta as the offending agent and has approached it by crafting and evaluating antibodies against it. The FDA has even bought into that theory …
A couple’s journey with a rare neurodegenerative disorder
It was in 2012 that I started to realize that my wife Jennifer’s memory lapses were a significant sign to be taken seriously. That insight set us on a four-year journey, during which we engaged four neurologists in our quest for an answer. At last, Dr. Brent Fogel at the David Geffen School of Medicine at UCLA diagnosed Jennifer with adult polyglucosan body disease (APBD), an ultra-rare, neurodegenerative disorder characterized …
Timely treatment decisions: the promise of surrogate markers
Driving around, searching for children’s Tylenol and a pharmacy that had the antibiotics my son needed, was not how I wanted to spend the holidays. I am not alone – shelves are bare, and antibiotics are in short supply as we head into the new year in the midst of a triple threat of COVID-19, flu, and RSV.
While this drug shortage is incredibly frustrating, at least there is …
In light of Chris Hemsworth’s APOE news: Don’t panic
Recent news on actor Chris Hemsworth and his genetic test has been widely covered in the media. The actor said he is taking a break from acting after learning he has a heightened risk of developing Alzheimer’s disease.
I learned this from my teenage son, who read in the news that the Thor star discovered this after undergoing tests as part of his Disney+ documentary series Limitless.
Hemsworth learned that he has …
Managing key risk factors may lower your dementia risk
Close to 6 million adults in the U.S. are currently living with Alzheimer’s disease or a related form of dementia, according to CDC data. And that number will grow as the U.S. population ages. The number of people with Alzheimer’s and related forms of dementia is projected to increase to approximately 14 million over the next 38 years.
Dementia impacts not only the people who develop this condition but also …
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