Hello, I'm Agatha Thrash a staff physician from 00:00:01.98\00:00:04.52 Uchee Pines Institute. 00:00:04.55\00:00:05.96 This institute is a place where we teach people how to do 00:00:05.99\00:00:11.22 medical missionary work, and health education. 00:00:11.25\00:00:13.61 As such we deal with people who are aging quite a lot, 00:00:13.64\00:00:17.08 sometimes we have people who have Alzheimer's Disease. 00:00:17.11\00:00:19.70 I suppose that part of the body that we hate to see aging 00:00:19.73\00:00:24.11 the most is the nervous system, because that brings with it 00:00:24.14\00:00:27.56 a lot of loss of function, and for the next half an hour 00:00:27.60\00:00:31.48 we will be talking about aging of the mind, 00:00:31.51\00:00:34.55 maybe you would like to join us. 00:00:34.58\00:00:36.56 Welcome to Help Yourself To Health 00:00:55.59\00:00:58.37 with Dr. Agatha Thrash of Uchee Pines Institute, 00:00:58.40\00:01:01.74 and now here is your host Dr. Thrash. 00:01:01.77\00:01:04.75 Aging comes to the body at a different rate for many of 00:01:04.78\00:01:11.19 the organs. 00:01:11.22\00:01:12.50 Our first organ to begin to age is the thymus gland, 00:01:12.53\00:01:17.39 it is located in the chest, and even before we are born 00:01:17.42\00:01:20.41 it is beginning to involute, or to age, and then we age 00:01:20.44\00:01:25.89 the other organs at different rates, of the spleen, 00:01:25.92\00:01:28.85 the liver, the pancreas, muscles, bones, joints, 00:01:28.88\00:01:33.54 and we hope that the nervous system will be the very last 00:01:33.57\00:01:37.14 that will age. 00:01:37.17\00:01:38.38 We want to see this slow progression, 00:01:38.41\00:01:41.19 in fact the ideal would be that we would never loose 00:01:41.22\00:01:44.73 function even though we do age. 00:01:44.76\00:01:47.56 Aging should not be a time when we expect ill health, 00:01:47.59\00:01:50.76 aging and ill health should not be synonymous. 00:01:50.79\00:01:54.32 we should recognize that during the aging process we can keep 00:01:54.35\00:01:59.55 ourselves quite healthy by strict obedience to the 00:01:59.58\00:02:03.06 eight natural laws of health. 00:02:03.09\00:02:04.06 In fact one of the great reasons to institute these laws, 00:02:04.09\00:02:07.94 in childhood is that that you can preserve the youthful 00:02:07.97\00:02:12.86 functioning's of the various parts of the body into 00:02:12.89\00:02:16.53 advanced old age. 00:02:16.56\00:02:17.85 As Americans we often loose our functions one point at a time, 00:02:17.88\00:02:23.41 we loose our teeth, we loose our vision, we loose the 00:02:23.44\00:02:27.61 elasticity of the skin. 00:02:27.64\00:02:29.32 Then we loose our muscle tone, we began to loose our bone, 00:02:29.35\00:02:33.36 so little by little, then we may loose a little part of the 00:02:33.39\00:02:37.04 heart, or we may loose a little part of the intestinal tract. 00:02:37.07\00:02:40.60 Little by little we loose our organs until finally we get so 00:02:40.63\00:02:44.97 that we can't walk, we don't sleep well, we can't eat 00:02:45.00\00:02:48.38 a lot of things, and we're essentially becoming aged. 00:02:48.41\00:02:54.10 Aged because of the loss of various functions, one step 00:02:54.13\00:02:58.57 at a time. 00:02:58.60\00:02:59.96 Now as we come to think about what is memory loss, 00:02:59.99\00:03:03.47 or the loss of the nervous system, not all of memory loss 00:03:03.50\00:03:09.50 is Alzheimer's Disease. 00:03:09.53\00:03:11.01 Although we may jokingly say when we forget something 00:03:11.04\00:03:15.23 that my Alzheimer's is working up today. 00:03:15.26\00:03:17.66 We should not say that because it may not be that we have 00:03:17.69\00:03:22.48 special forgetfulness at all. 00:03:22.51\00:03:24.97 In the age of 20 or 30, we may have as much forgetfulness 00:03:25.00\00:03:31.02 as we have at 50 or 60, or 70, but because at 60 and 70 00:03:31.05\00:03:36.91 we think that the person should be beginning to show signs 00:03:36.94\00:03:41.18 of Alzheimer's, any forgetfulness at all, 00:03:41.21\00:03:44.68 or any lack of planning or loss of memory of how to do 00:03:44.71\00:03:51.07 some function, we began to be worried, and we begin 00:03:51.10\00:03:54.26 to think, is this Alzheimer's? 00:03:54.29\00:03:56.26 Now if a person has a serious loss of memory, then we should 00:03:56.29\00:04:01.50 not just immediately label it Alzheimer's but look for 00:04:01.53\00:04:04.52 some other cause which may be treatable. 00:04:04.55\00:04:07.33 A treatable cause not recognized may cause the person to get 00:04:07.36\00:04:13.12 to a position where they are really crippled with the 00:04:13.15\00:04:16.33 mental functions, and of course at that point 00:04:16.36\00:04:19.07 they then have a serious difficulty in returning to 00:04:19.10\00:04:24.51 a place o functioning. 00:04:24.54\00:04:25.70 Let's talk about one of the commonest causes of the loss 00:04:25.73\00:04:29.72 of mental functioning and that's atherosclerosis, 00:04:29.75\00:04:32.91 or hardening of the arteries. 00:04:32.94\00:04:34.46 We have two carotid arteries that are the principle sources 00:04:34.49\00:04:39.92 of blood flow to the brain, we also two vertebral arteries 00:04:39.95\00:04:45.05 that go up from the back, but having four arteries altogether 00:04:45.08\00:04:50.27 that supply the brain, and we can get hardening of the 00:04:50.30\00:04:53.88 arteries in any one of those, or in all of those. 00:04:53.91\00:04:57.16 Or we could have a fairly clear carotid artery system 00:04:57.19\00:05:01.72 and the hardening of the arteries can be inside the head 00:05:01.75\00:05:05.27 without a lot of significant artery hardening lower down. 00:05:05.30\00:05:10.15 Even the very tiny blood vessels of the brain can become 00:05:10.18\00:05:15.76 hardened and loose their function, loose their ability 00:05:15.79\00:05:19.82 to carry the blood to the brain and all of these can 00:05:19.85\00:05:23.36 cause deterioration. 00:05:23.39\00:05:24.89 If you have a stethoscope in your home, or if your 00:05:24.92\00:05:29.06 doctor listens to your carotid arteries, the doctor may say 00:05:29.09\00:05:33.70 to you that you have a bruit, it is spelled bruit, 00:05:33.73\00:05:38.28 which means a noise or a sound made by the blood 00:05:38.31\00:05:44.30 as it swishes past some obstruction or partial 00:05:44.33\00:05:48.19 obstruction in your carotid arteries. 00:05:48.22\00:05:50.51 You may also hear this in the aorta, hear this bruit, 00:05:50.54\00:05:55.11 or this noise in the aorta, or in the iliac veins that 00:05:55.14\00:05:59.77 go down through the groin into the legs. 00:05:59.80\00:06:03.66 Wherever we hear a bruit it's always unpleasant for the 00:06:03.69\00:06:07.99 doctor to hear because he knows that inside that artery 00:06:08.02\00:06:11.52 is a cushion or mound causing and eddying of the blood 00:06:11.55\00:06:18.23 as the blood swishes over it, and that is a cause for concern, 00:06:18.26\00:06:23.31 it indicates that the person has hardening of the arteries. 00:06:23.34\00:06:26.67 We need to recognize hardening of the arteries because it 00:06:26.70\00:06:29.99 can be reversed to some degree and by changes 00:06:30.02\00:06:33.60 in lifestyle by very careful attention to one's food, 00:06:33.63\00:06:37.62 one's exercise, even such things as sunning, breathing, 00:06:37.65\00:06:41.79 deeply of fresh air, all of these things may help to 00:06:41.82\00:06:45.74 reduce one's likelihood of getting this hardening 00:06:45.77\00:06:48.76 that causes the closure of the blood vessels going 00:06:48.79\00:06:52.59 up to the head. 00:06:52.62\00:06:54.53 Then another thing is that of trauma, repeated trauma 00:06:54.56\00:06:58.00 to the head, such as might come from competitive sports, 00:06:58.03\00:07:01.76 of course whatever is done there is usually a permanent 00:07:01.79\00:07:05.34 loss and may not be reversible. 00:07:05.37\00:07:07.57 But that at least would not be Alzheimer's and we need 00:07:07.60\00:07:11.40 to recognize that there can be a difference. 00:07:11.43\00:07:13.59 Then there is a theory that partially cooked grains 00:07:13.62\00:07:18.48 may be a real problem for some people. 00:07:18.51\00:07:21.99 We know that grains may start out, let us say this 00:07:22.02\00:07:26.63 size, relatively speaking and as we cook them a little 00:07:26.66\00:07:29.40 bit they become a little softer. 00:07:29.43\00:07:32.11 The outside part of the grain dissolves or cooks or softens 00:07:32.14\00:07:38.84 and becomes a part of the fluid around it, and then 00:07:38.87\00:07:43.25 the grain becomes smaller and smaller, and finally it's 00:07:43.28\00:07:47.15 small enough that it can enter a capillary, 00:07:47.18\00:07:49.87 but not small enough that it can go through the finest 00:07:49.90\00:07:53.75 meshes of the capillary meshwork and there it stops. 00:07:53.78\00:07:58.13 So when it gets into the blood stream through the 00:07:58.16\00:08:00.84 intestinal tract, it flows or travels to a certain 00:08:00.87\00:08:05.16 distance and then stops at that point. 00:08:05.19\00:08:08.61 That means that the blood flow to the tissue beyond that 00:08:08.64\00:08:12.71 is cut off, then the person gets a tiny micro-abscess 00:08:12.74\00:08:17.64 a little sterile abscess there has no germs in it but it is 00:08:17.76\00:08:22.14 in a place where we have lost some tissue, 00:08:22.17\00:08:24.17 and the tissue has died and then be replaced by a scar. 00:08:24.20\00:08:28.15 Now interestingly enough the radiologist tell us that 00:08:28.18\00:08:33.22 after a person passes about the age of 30, they have many 00:08:33.25\00:08:37.82 tiny scars called Lacunar Scars in the brain, 00:08:37.85\00:08:42.10 and these are postulated by some researchers to be 00:08:42.13\00:08:46.12 caused by partly cooked grains. 00:08:46.15\00:08:48.25 So we need to recognize that this may be a thing of prudence 00:08:48.28\00:08:51.96 for us to remember to cook grains well, several hours 00:08:51.99\00:08:54.59 of cooking are required to properly cook grains that 00:08:54.62\00:08:58.15 are used for cereal or mush. 00:08:58.18\00:09:00.11 Such as rice or oatmeal, or corn grits, all of these 00:09:00.14\00:09:07.02 require several hours of cooking before they are 00:09:07.05\00:09:09.83 ready for a person to eat. 00:09:09.86\00:09:13.05 Now stress is another reason for loss of memory, 00:09:13.08\00:09:16.74 some of you may have had the experience of a very 00:09:16.77\00:09:19.54 stressful day, and then you say where are my keys, 00:09:19.57\00:09:23.31 or where is my notebook, or where did I leave my 00:09:23.34\00:09:25.74 pocket PC, and you can't remember where these things are. 00:09:25.77\00:09:30.71 They are lost! 00:09:30.74\00:09:32.68 You may even forget your purse or you billfold, 00:09:32.71\00:09:36.11 something very important and may be just out of place 00:09:36.14\00:09:40.32 because of stress. 00:09:40.35\00:09:41.53 Stress can also have a permanent effect if it is 00:09:41.56\00:09:45.45 serious enough, then a serious loss such as a house 00:09:45.48\00:09:49.88 burning down, or someone in the family dying. 00:09:49.91\00:09:53.97 These things may be stressful enough that it may cause 00:09:54.00\00:09:57.09 some kind of permanent loss of memory, at least for the 00:09:57.12\00:10:00.35 things that surround that period of time, 00:10:00.38\00:10:03.71 any major loss can be associated with that. 00:10:03.74\00:10:06.88 Now there are some physical stresses, metabolic stresses, 00:10:07.64\00:10:10.85 such as come on with over eating, overeating is a 00:10:10.88\00:10:13.63 metabolic stress on the body, it also is a stress 00:10:13.66\00:10:17.97 on the central nervous system, and it is nothing to 00:10:18.00\00:10:23.46 joke about that we overeat. 00:10:23.49\00:10:26.51 When we overeat, we increase the likelihood that we may 00:10:26.54\00:10:31.13 get Alzheimer's disease or Parkinson's disease, 00:10:31.16\00:10:34.59 this is a very important thing for us to recognize. 00:10:34.62\00:10:38.01 So as we consider these things there are many things that 00:10:38.04\00:10:42.99 we can do to make certain that we do not have these 00:10:43.02\00:10:46.23 kinds of problems that reduce the mental functioning 00:10:46.26\00:10:49.22 of the person. 00:10:49.25\00:10:50.38 Now alcoholism and other toxins illicit and licit drugs 00:10:50.41\00:10:56.53 that we may take can also make their toll on the 00:10:56.56\00:11:00.59 central nervous system and make it so that we are 00:11:00.62\00:11:02.64 unlikely to maintain brisk mental functioning right into 00:11:02.67\00:11:06.44 advanced old age. 00:11:06.47\00:11:07.78 A B-12 deficiency, especially for tall blue eyed, fair skinned 00:11:07.81\00:11:13.93 or freckled individuals who have a north European 00:11:13.96\00:11:16.85 extraction, these individuals tend to be more susceptible 00:11:16.88\00:11:20.77 to B-12 deficiency and it may be correctable, at least 00:11:20.80\00:11:26.68 early enough it is correctable so tests should be done, 00:11:26.71\00:11:30.49 the person should be evaluated for that kind of problem. 00:11:30.52\00:11:34.93 Also a Folic Acid deficiency, for the same reasons that 00:11:34.96\00:11:39.28 B-12 causes a problem, and then hypercalcemia, 00:11:39.31\00:11:44.96 that's an increase in calcium, this can cause also deposits 00:11:44.99\00:11:50.48 of calcium in the central nervous system, 00:11:50.51\00:11:52.44 and that can result in a reduced mental functioning. 00:11:52.47\00:11:56.50 Lo thyroid is another very correctable problem that 00:11:56.53\00:12:01.69 a person may have and that can easily be corrected 00:12:01.72\00:12:06.72 and we will want to do so. 00:12:06.75\00:12:08.19 Of course there are serious organ failures that occur 00:12:08.22\00:12:12.28 in people who have serious disease of liver and kidneys 00:12:12.31\00:12:17.83 and these can cause also a loss of mental functioning. 00:12:17.86\00:12:22.37 We need to be able to diagnose some of these problems and 00:12:22.40\00:12:27.35 to help me talk with you about the whole problem of 00:12:27.38\00:12:32.38 mental and emotional problems is Don Miller who is a 00:12:32.41\00:12:36.41 health educator/health counselor at Uchee Pines Institute 00:12:36.44\00:12:40.36 and Don Miller will now talk with you some things about 00:12:40.39\00:12:43.29 the diagnosis of Alzheimer's disease, Don Miller! 00:12:43.32\00:12:46.39 Thank you Dr. Thrash! 00:12:46.42\00:12:47.69 You know Dr. Thrash just mentioned many things 00:12:47.72\00:12:50.28 that can give Alzheimer's type symptoms, but we have to 00:12:50.31\00:12:54.45 understand that those things alone do not give a diagnosis 00:12:54.48\00:12:57.88 of Alzheimer's, matter of fact it's really hard to diagnose 00:12:57.91\00:13:01.63 Alzheimer's. 00:13:01.66\00:13:02.63 One thing by itself cannot be the one, let's say one 00:13:02.64\00:13:06.28 that we always think about is loss of memory. 00:13:06.31\00:13:09.26 I just can't think of any more, we all have losses of memory 00:13:09.29\00:13:13.49 we've been forgetting things all of our lives, and that by 00:13:13.70\00:13:16.87 itself is not a loss of memory. 00:13:16.90\00:13:18.68 Let's take it to a finer tuned thing. 00:13:18.71\00:13:20.99 I am always loosing the keys to my car, but it's when we 00:13:21.02\00:13:25.85 forget that we have a car that we might be a little bit 00:13:25.88\00:13:28.11 more concerned with a memory loss. 00:13:28.14\00:13:30.00 One way, and I think I need to at the same time we are talking 00:13:30.03\00:13:35.22 about some of the things that may be a diagnosis of 00:13:35.25\00:13:38.18 Alzheimer's, I can also mention some things along the way 00:13:38.21\00:13:41.55 that we can protect ourselves from developing these types 00:13:41.58\00:13:44.82 of diseases. 00:13:44.85\00:13:46.92 This is just theory on my part, we need to keep the mind 00:13:46.95\00:13:50.76 strong, and we realize that one thing, that deranges 00:13:50.79\00:13:54.62 the mind, and this is a mind derangement type of illness 00:13:54.65\00:13:58.77 is a disorderly environment. 00:13:58.80\00:14:00.90 We need to keep our environment neat. 00:14:00.93\00:14:03.34 We miss-lay our keys because our place is a wreck, 00:14:03.37\00:14:06.16 we don't have any system to our lives, we need to develop 00:14:06.19\00:14:10.11 a system in our lives where everything, 00:14:10.14\00:14:12.19 a place for everything, and everything in it's place, 00:14:12.22\00:14:14.96 which is the way the saying goes. 00:14:14.99\00:14:16.58 If we do these, we're talking about not so much as one 00:14:16.61\00:14:20.28 messy corner, the trunk of your car can't even be messy 00:14:20.31\00:14:24.28 and as we keep everything arranged, our mind will keep 00:14:24.31\00:14:28.03 from becoming deranged. 00:14:28.06\00:14:30.51 The second one of the diagnosing steps might be, a difficulty 00:14:30.54\00:14:36.31 in performing familiar tasks, things like tying your shoes, 00:14:36.34\00:14:40.63 or winding your watch, or turning on the stove. 00:14:40.66\00:14:43.68 I remember a few years ago being in someone's home 00:14:43.71\00:14:45.71 where the person in the home had gone in to make himself 00:14:45.74\00:14:51.08 a sandwich, but he forgot how to make a sandwich. 00:14:51.11\00:14:53.36 Now it wasn't Alzheimer's in this case, he had just had 00:14:53.39\00:14:56.74 a TIA, and his mind wasn't working well, so we cannot 00:14:56.77\00:15:00.16 misdiagnose by calling on a lot of other things 00:15:00.19\00:15:03.65 that might be causing this particular problem. 00:15:03.68\00:15:06.44 Another one of the warning signs, or diagnostic signs 00:15:06.47\00:15:10.35 of Alzheimer's is a language difficulty, 00:15:10.38\00:15:14.29 I just can't think of that word any more. 00:15:14.32\00:15:17.45 It's no problem not being able to think of that word, 00:15:17.48\00:15:20.06 but when we are constantly not being able to bring up 00:15:20.09\00:15:23.00 that word that we need, a familiar word, that might be 00:15:23.03\00:15:26.00 a little bit of a diagnostic clue, that we might be heading 00:15:26.03\00:15:29.12 down Alzheimer's highway, so look for the person who just 00:15:29.15\00:15:33.63 is always grasping for words. 00:15:33.66\00:15:35.72 Disorientation as regards to time and place. 00:15:35.75\00:15:40.18 Now I travel a lot, and I travel internationally a lot 00:15:40.21\00:15:44.96 and I go through lots of time zones, I remember the last time 00:15:44.99\00:15:49.74 I traveled, I came back from Africa, 00:15:49.77\00:15:52.47 it was the longest day of my life. 00:15:52.51\00:15:55.18 It happened to be my birthday, I left 15 minutes before 00:15:55.21\00:15:57.84 my birthday, got home about five hours before my birthday 00:15:57.87\00:16:01.88 ended, and that was the longest day of my life. 00:16:01.91\00:16:04.06 I remember going to bed that night, waking up in the 00:16:04.09\00:16:06.17 middle of the night, laying there in bed, 00:16:06.20\00:16:07.47 I had no idea where I was, when it was, or even who I was, 00:16:07.50\00:16:11.73 that was because of a disorientation as to time 00:16:11.76\00:16:15.76 and place because of an upset schedule. 00:16:15.79\00:16:18.93 So, what do we do with somebody who might be going down 00:16:18.96\00:16:21.72 Alzheimer's highway, they've got to become regular 00:16:21.75\00:16:24.99 in their schedules, everything on their right time, 00:16:25.02\00:16:28.45 everything on schedules. 00:16:28.48\00:16:30.20 If someone seems to be going down that slope, 00:16:30.23\00:16:32.24 correct the damage right now, you might be able to slow 00:16:32.27\00:16:36.08 it down if not stop it. 00:16:36.12\00:16:38.33 People who show poor or decreased judgment, 00:16:38.36\00:16:42.86 now most of us show poor and decreased judgment 00:16:42.89\00:16:46.01 all the time, but someone who has been consistently 00:16:46.04\00:16:48.85 of a good judgment all of a sudden starts making poor 00:16:48.88\00:16:52.86 judgment choices, that's one of the diagnostic 00:16:52.89\00:16:55.61 tools of Alzheimer's. 00:16:55.64\00:16:57.45 Problems with abstract thinking, another one of the diagnostic 00:16:57.61\00:17:03.83 tools of Alzheimer's. 00:17:03.86\00:17:05.48 Misplacing things, and again that goes along with the memory, 00:17:05.51\00:17:09.28 I sort of put these two together, but we are always 00:17:09.31\00:17:12.16 miss-laying things, we can't find... 00:17:12.19\00:17:14.16 I remember one time I spent a half an hour looking for 00:17:14.19\00:17:17.48 my glasses and I finally found them they were hanging 00:17:17.51\00:17:19.63 on my nose. 00:17:19.66\00:17:20.64 Now I don't have Alzheimer's, I just was really flustered 00:17:20.67\00:17:23.64 that day and I don't understand why I couldn't see them, 00:17:23.67\00:17:25.63 as soon as I looked in the mirror I saw my glasses 00:17:25.66\00:17:28.31 where they were supposed to be, hanging off my nose. 00:17:28.34\00:17:30.43 Those people who are always misplacing things could be 00:17:30.46\00:17:34.44 a diagnostic tool. 00:17:34.47\00:17:35.79 Changes in mood and behavior. 00:17:35.82\00:17:38.53 Now I need to mention as I talk about mood and behavior 00:17:38.56\00:17:41.60 the fact that sometimes we can keep who we really are 00:17:41.63\00:17:46.49 under wraps, and who we really are when we start 00:17:46.52\00:17:51.56 getting into areas of Alzheimer's or dementia, 00:17:51.59\00:17:54.53 or just senility which is probably what we can group 00:17:54.56\00:17:57.95 them all as in some form, the real you comes out. 00:17:57.98\00:18:02.12 I remember my great-grandmother 1969, she was lying in bed 00:18:02.15\00:18:07.79 at home, she was in her upper 90's. 00:18:07.82\00:18:09.93 She was the most beautiful woman in life, and there she was 00:18:09.96\00:18:13.81 laying in her bed, and I went in to see her, and she said 00:18:13.84\00:18:17.36 oh Donny, get my purse, I've got a million dollars 00:18:17.39\00:18:21.53 in there for you. 00:18:21.56\00:18:22.53 That was my grandmother, that's the way she was, 00:18:22.54\00:18:25.28 she never had anything to give me really, except for her love. 00:18:25.31\00:18:28.49 But she wanted to give me everything that she had, 00:18:28.52\00:18:31.35 and that's who she was, and as we get into these areas 00:18:31.38\00:18:34.92 where we start to loose that mental control over 00:18:34.95\00:18:38.10 who we are, we become who we really are. 00:18:38.13\00:18:40.58 I like that saying, you may not be who you think you are, 00:18:40.61\00:18:43.25 but what you think, you are. 00:18:43.28\00:18:45.77 So allow the Lord to change that character now, so that 00:18:45.80\00:18:49.25 when the day comes, and it may come for some of us, 00:18:49.28\00:18:51.86 that we start loosing that physical control, 00:18:51.89\00:18:54.42 that mental control over who we are, what we then are 00:18:54.45\00:18:58.24 is a pretty nice person still. 00:18:58.27\00:19:00.16 I remember walking though a nursing home years ago 00:19:00.19\00:19:03.20 in Oklahoma where I was going to graduate school 00:19:03.23\00:19:07.83 and the lady... she used to invite me home for lunch 00:19:07.86\00:19:11.12 every day, now this lady was 89 years old. 00:19:11.15\00:19:13.29 Every Sabbath she invited me home for lunch, 00:19:13.32\00:19:15.30 and she would spread the table... 00:19:15.33\00:19:17.04 I've always been thin, they are always trying 00:19:17.07\00:19:18.36 to fatten me up, it's great to be thin, 00:19:18.39\00:19:20.09 and we would walk in there feed me all this food, 00:19:20.12\00:19:22.65 then we would go to the nursing home where she 00:19:22.68\00:19:24.33 took care of people. 00:19:24.36\00:19:25.82 I remember walking down the highway and there was this 00:19:25.85\00:19:28.67 lady over there in one of these rooms, rocking in her 00:19:28.70\00:19:31.60 rocking chair, with one steady stream of profanity 00:19:31.63\00:19:35.24 coming out of her mouth. 00:19:35.27\00:19:36.45 It was frightening, maybe that's who she really was, 00:19:36.48\00:19:39.53 I don't know but one of these personality and judgment 00:19:39.56\00:19:43.21 things when they start to change, it could be one of 00:19:43.24\00:19:45.28 the signs of Alzheimer's. 00:19:45.31\00:19:48.68 Changes in personality, and loss of imitative, 00:19:48.71\00:19:52.88 you just no longer want to do anything. 00:19:52.91\00:19:55.43 A person who used to love just to play the piano, 00:19:55.46\00:19:59.45 they no longer have an interest in playing the piano any more, 00:19:59.48\00:20:02.62 all of these things are diagnostic clues that you 00:20:02.65\00:20:07.12 might be going down Alzheimer's highway. 00:20:07.15\00:20:09.56 Going back to this recognition and memory thing, 00:20:09.59\00:20:12.37 it's when we can see the person, or see the thing 00:20:12.40\00:20:16.39 and we still can't remember who it is or what it is, 00:20:16.42\00:20:19.56 whether we can see it or hear it, or feel it, or whatever, 00:20:19.59\00:20:23.16 if we can't do that, one of the diagnostic signs that 00:20:23.19\00:20:27.06 we might be going down Alzheimer's highway. 00:20:27.09\00:20:29.39 There are things that we can do to maybe slow it down 00:20:29.42\00:20:32.14 but whatever the case is, we need to be aware 00:20:32.17\00:20:35.71 that it is happening because we've got to be ready 00:20:35.74\00:20:37.53 for it too, if we are not getting it, if our loved one is 00:20:37.56\00:20:40.03 I'll talk about that in a few minutes. 00:20:40.06\00:20:41.57 Dr. Thrash! 00:20:41.60\00:20:43.01 Alzheimer's by any means is not funny although sometimes 00:20:43.04\00:20:46.43 we loose our keys and we make a joke about it, 00:20:46.46\00:20:49.28 but Alzheimer's has a great impact on us and we need to 00:20:49.31\00:20:54.39 recognize the seriousness of this diagnosis. 00:20:54.42\00:20:59.68 There are certain things that happen to us in the brain 00:20:59.71\00:21:04.38 that are diagnostic of Alzheimer's, unfortunately 00:21:04.41\00:21:08.17 we have to have a sample of the brain itself in order to 00:21:08.20\00:21:11.43 make that diagnosis, and not very many people are going to 00:21:11.46\00:21:15.73 let you have that kind of sample to examine under 00:21:15.76\00:21:20.77 the microscope, but I would like to show you on 00:21:20.80\00:21:22.74 the white board here just what kind of thing we are 00:21:22.77\00:21:25.77 dealing with in the brain when we are talking about 00:21:25.80\00:21:29.31 Alzheimer's disease. 00:21:29.34\00:21:30.62 Let us say that we have here a nerve cell, here it is, 00:21:30.65\00:21:36.17 looks somewhat like this, and I'm going to draw it as if 00:21:36.20\00:21:39.44 it were on it's side so that I can make this extension 00:21:39.47\00:21:42.12 out here like that. 00:21:42.15\00:21:43.95 This is the axon, this is the cell body, and over here 00:21:43.98\00:21:48.30 we have some more processes which we call dendrites. 00:21:48.33\00:21:53.38 Now when the person is getting Alzheimer's disease, one of the 00:21:53.41\00:21:57.63 first things that happens is that, or one thing that 00:21:57.66\00:22:00.91 may happen is that they get Amyloid plaques that form 00:22:00.94\00:22:04.61 on the nerve cells somewhere. 00:22:04.64\00:22:08.01 It can be on the axon, it can be on the processes, or it 00:22:08.04\00:22:11.42 can be on the cell body. 00:22:11.45\00:22:13.02 These Amyloid plaques are of unknown source, we don't 00:22:13.05\00:22:19.49 really know where they come from, nor what makes them. 00:22:19.52\00:22:22.80 Although I have a theory, I think it may be from 00:22:22.83\00:22:25.80 our overeating or it may be from something that we do 00:22:25.83\00:22:30.11 that breaks one of the eight laws of health. 00:22:30.14\00:22:32.52 Another good reason to be careful about all of those, 00:22:32.55\00:22:36.14 but at any rate, at the present time we do not know 00:22:36.17\00:22:39.15 where these Amyloid plaques come from. 00:22:39.18\00:22:41.08 Another thing is a tangle of these processes, 00:22:41.11\00:22:45.82 these are called neurofibrillary tangles 00:22:45.85\00:22:48.93 and they can occur right up on the cell body or out 00:22:48.96\00:22:51.97 in the processes out here like this. 00:22:52.00\00:22:55.00 And then of course another thing that can happen is that 00:22:55.03\00:22:58.34 we can loose the entire cell, it just drops out and dies, 00:22:58.37\00:23:03.59 and this is a thing that we can understand as being 00:23:03.62\00:23:08.34 what Alzheimer's disease is. 00:23:08.37\00:23:11.15 It's a number of things that make it so that we are 00:23:11.18\00:23:15.12 unlikely to be able to transmit nerve impulses which we call 00:23:15.15\00:23:20.49 memory. 00:23:20.52\00:23:22.93 These changes usually occur in a portion of the brain 00:23:22.96\00:23:27.59 which might be thought of as being between the temples 00:23:27.62\00:23:33.38 and between the eyebrows where those two lines intersect 00:23:33.41\00:23:38.90 would be about where the hippocampus would be, 00:23:38.93\00:23:42.02 that's about the level, but it is on one side or the other. 00:23:42.05\00:23:45.83 Now some other things that we can tell you about Alzheimer's 00:23:45.86\00:23:51.40 that make a very serious problem is the impact that 00:23:51.43\00:23:55.30 Alzheimer's disease has on others. 00:23:55.33\00:23:58.06 I think that is one of the most serious things that we have, 00:23:58.09\00:24:00.97 and Don Miller is going to talk with you a bit about that. 00:24:01.00\00:24:03.97 You may be that other one of these days! 00:24:04.00\00:24:06.79 How do you deal with your loved one becoming a victim 00:24:06.82\00:24:11.31 of Alzheimer's? 00:24:11.34\00:24:12.82 First of all we have to not get flustered in the face 00:24:12.85\00:24:17.54 of that loved one because they to, where as they may seem like 00:24:17.57\00:24:21.78 they don't remember anything, they to are struggling with it 00:24:21.81\00:24:24.72 somewhere in that lost confused mind, so we have to do 00:24:24.75\00:24:27.97 a number of things for this person. 00:24:28.00\00:24:29.45 You have to realize that that person is going to go from 00:24:29.48\00:24:32.28 total independence, to total dependence. 00:24:32.31\00:24:35.50 They will go from the place where they can take their bath 00:24:35.53\00:24:38.67 by themselves, to the place where you've got to remind them 00:24:38.70\00:24:41.11 to take their bath, to the place where you have to 00:24:41.14\00:24:43.79 help them take the bath. 00:24:43.82\00:24:45.00 And the time is going to come when they don't want to 00:24:45.03\00:24:47.03 take the bath, and you can't force them at that point, 00:24:47.06\00:24:50.06 You've got to slowly bring them into that experience, 00:24:50.09\00:24:52.54 you've got to talk gently to them, they've got to be talked 00:24:52.57\00:24:55.54 gently to. 00:24:55.57\00:24:56.54 I've heard people with loved ones who may not have had 00:24:56.55\00:25:00.30 Alzheimer's but some type of dementia, some type of senility 00:25:00.33\00:25:04.24 and the person would ask the same question over... 00:25:04.27\00:25:07.45 Where are we going? 00:25:07.48\00:25:08.50 We're going to town! Where are we going? 00:25:08.53\00:25:11.41 We are going to town! 00:25:11.44\00:25:12.66 Where are we going? 00:25:12.69\00:25:14.52 And that would happen 20, 30 times, I would always marvel 00:25:14.55\00:25:18.01 that the person could sit there and answer that same question 00:25:18.04\00:25:21.57 the same kind way, exactly the same answer, every single time. 00:25:21.60\00:25:26.62 We have to become like that, that's the way Jesus 00:25:26.65\00:25:29.19 would like us to be in those situations. 00:25:29.22\00:25:31.73 We have to make sure we insure adequate time for all the 00:25:31.76\00:25:35.89 tasks that have to be preformed, if we have to go over here for 00:25:35.92\00:25:38.87 a purpose, or over there for a purpose, 00:25:38.90\00:25:40.52 don't think you are going to do it like you did it last week 00:25:40.55\00:25:42.91 or last year, it's going to take a little bit longer 00:25:42.94\00:25:44.96 to get there, a little bit longer to get out to the car, 00:25:44.99\00:25:46.75 because the person's going to be a little bit more afraid 00:25:46.78\00:25:49.20 of falling perhaps. 00:25:49.23\00:25:50.35 You've got to install some grab bars and some 00:25:50.38\00:25:52.83 protective things in the home for the person who is going 00:25:52.86\00:25:56.60 down Alzheimer's highway. 00:25:56.63\00:25:58.55 You've got to prepare for any task that you are going to be 00:25:58.58\00:26:01.61 taking that person to, if you are going to give them a bath 00:26:01.64\00:26:03.72 have everything ready before you put them in that bath. 00:26:03.75\00:26:06.88 You can't put them in that bath and then go off looking for 00:26:06.91\00:26:09.50 the towel or the soap, or the scrub brush, everything 00:26:09.53\00:26:13.09 has to be there, they can not be left alone, 00:26:13.12\00:26:15.07 especially in situations where it could become rather dangerous 00:26:15.10\00:26:18.78 for them. 00:26:18.81\00:26:19.78 And please protect their privacy, understand they need 00:26:19.79\00:26:23.59 that time of privacy, even though they may seem 00:26:23.62\00:26:26.04 like they don't know what's going on around them, 00:26:26.07\00:26:28.09 you have to give them that private moment, protect them, 00:26:28.12\00:26:31.57 don't make fun of them. 00:26:31.60\00:26:32.92 I've seen people make fun of people who are becoming 00:26:32.95\00:26:35.04 senile, it's not the time, it's not the place for it. 00:26:35.07\00:26:38.78 These people are to be loved as they loved you when they 00:26:38.81\00:26:41.38 had their full minds. 00:26:41.41\00:26:42.56 Take good care of these people and it will be 00:26:42.59\00:26:46.30 a whole lot better, and then you have to as I've already 00:26:46.33\00:26:49.39 mentioned, make sure you have a regular, rigidly regular 00:26:49.42\00:26:52.84 schedule for that person, and tell them even while they are 00:26:52.87\00:26:57.13 getting into that experience, that they have to always put 00:26:57.16\00:27:01.22 your keys here, and your water is always going to be here. 00:27:01.25\00:27:04.06 Set up a routine, so that they will get into a routine 00:27:04.09\00:27:06.78 and it might be a little bit better Dr. Thrash, 00:27:06.81\00:27:08.79 as they go down that highway. 00:27:08.82\00:27:10.27 Yes! We look at the aged with respect 00:27:10.30\00:27:15.33 and yet we must treat them often as children, 00:27:15.36\00:27:19.19 which is a very difficult balance for people to take. 00:27:19.22\00:27:22.62 Those who take care of them have to balance between 00:27:22.65\00:27:25.67 the respect and the love that they've always had for them, 00:27:25.70\00:27:29.66 the privacy that we know that they must have, 00:27:29.69\00:27:32.88 and also the care that we must take over them as if they were 00:27:32.91\00:27:37.58 actually children. 00:27:37.61\00:27:38.93 They may not look at themselves as being helpless, 00:27:38.96\00:27:41.81 but they often are helpless, they often need everything 00:27:41.84\00:27:45.97 done for them. 00:27:46.00\00:27:46.97 They may even need you to answer questions for them, 00:27:46.98\00:27:50.06 and so as God gives you the grace, deal with these people 00:27:50.09\00:27:53.62 with respect. 00:27:53.65\00:27:55.41