Dementia Prevention question

February 24, 2011

Hello all -

I am preparing a lecture on Primary Prevention of Dementia.

What do you all tell your middle-age or senior patients with benign memory loss

when they ask you " Doc, is there anything I can do so I don't get Alzheimer's? " .

Would be interested in your thoughts.

IMP since 2005 - cash-only, opted out of Medicare, out of network to all

insurance

PALM DESERT, CALIFORNIA

February 25, 2011

Recent study suggests having metabolic syndrome leafs to cognitive decline:http://www.theheart.org/article/1181423.doRockySent from my iPhone4

Prevent hardening of the arteries. A recent educational

piece I listened to mentioned that the degree of dementia more closely

correlated with the degree of hardening of the arteries on autopsy then the

number of neurofibrillatory tangles. So prevent confounding

factors.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ] On Behalf Of

Sent: Thursday, February 24, 2011 6:44 PM

To:

Subject: Dementia Prevention question

Hello all -

I am preparing a lecture on Primary Prevention of Dementia.

What do you all tell your middle-age or senior patients with benign memory loss

when they ask you "Doc, is there anything I can do so I don't get

Alzheimer's?".

Would be interested in your thoughts.

IMP since 2005 - cash-only, opted out of Medicare, out of network to all

insurance

PALM DESERT, CALIFORNIA

CyberDefender has scanned this email for potential threats.

Version 2.0 / Build 4.03.29.01

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February 25, 2011

Recent study suggests having metabolic syndrome leafs to cognitive decline:http://www.theheart.org/article/1181423.doRockySent from my iPhone4

Prevent hardening of the arteries. A recent educational

piece I listened to mentioned that the degree of dementia more closely

correlated with the degree of hardening of the arteries on autopsy then the

number of neurofibrillatory tangles. So prevent confounding

factors.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ] On Behalf Of

Sent: Thursday, February 24, 2011 6:44 PM

To:

Subject: Dementia Prevention question

Hello all -

I am preparing a lecture on Primary Prevention of Dementia.

What do you all tell your middle-age or senior patients with benign memory loss

when they ask you "Doc, is there anything I can do so I don't get

Alzheimer's?".

Would be interested in your thoughts.

IMP since 2005 - cash-only, opted out of Medicare, out of network to all

insurance

PALM DESERT, CALIFORNIA

CyberDefender has scanned this email for potential threats.

Version 2.0 / Build 4.03.29.01

Get free PC security at http://www.cyberdefender.com

February 25, 2011

Exercise !

Hello all -I am preparing a lecture on Primary Prevention of Dementia.What do you all tell your middle-age or senior patients with benign memory loss when they ask you " Doc, is there anything I can do so I don't get Alzheimer's? " .

Would be interested in your thoughts.IMP since 2005 - cash-only, opted out of Medicare, out of network to all insurancePALM DESERT, CALIFORNIA

February 25, 2011

Exercise !

Hello all -I am preparing a lecture on Primary Prevention of Dementia.What do you all tell your middle-age or senior patients with benign memory loss when they ask you " Doc, is there anything I can do so I don't get Alzheimer's? " .

Would be interested in your thoughts.IMP since 2005 - cash-only, opted out of Medicare, out of network to all insurancePALM DESERT, CALIFORNIA

February 25, 2011

The Nun study done a few years back has some interesting findings and would be good for your talk.Aging with Grace by Snowdon, PHD wrote a book about the study.NIA has some recent studies on their website.

(I am preparing for a similar talk also)good luck

Exercise, keep your weight in the normal range, eat plenty of fruits and vegetables, don't smoke, and get better parents.

Deanna, FNP

Prevent hardening of the arteries. A recent educational piece I listened to mentioned that the degree of dementia more closely correlated with the degree of hardening of the arteries on autopsy then the number of neurofibrillatory tangles. So prevent confounding factors.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From: [mailto: ] On Behalf Of Sent: Thursday, February 24, 2011 6:44 PMTo: Subject: Dementia Prevention question

Hello all -I am preparing a lecture on Primary Prevention of Dementia.What do you all tell your middle-age or senior patients with benign memory loss when they ask you " Doc, is there anything I can do so I don't get Alzheimer's? " .Would be interested in your thoughts.IMP since 2005 - cash-only, opted out of Medicare, out of network to all insurancePALM DESERT, CALIFORNIA

CyberDefender has scanned this email for potential threats.Version 2.0 / Build 4.03.29.01Get free PC security at http://www.cyberdefender.com

February 25, 2011

Walking 6-9 miles per week. (October 13 online issue of 'Neurology.')

>

> >

> > Exercise, keep your weight in the normal range, eat plenty of fruits and

> > vegetables, don't smoke, and get better parents.

> >

> > Deanna, FNP

> >

> > In a message dated 2/24/2011 5:05:28 P.M. Mountain Standard Time,

> > qualityfp@... writes:

> >

> > Prevent hardening of the arteries. A recent educational piece I listened

> > to mentioned that the degree of dementia more closely correlated with the

> > degree of hardening of the arteries on autopsy then the number of

> > neurofibrillatory tangles. So prevent confounding factors.

> >

> > Kathy Saradarian, MD

> >

> > Branchville, NJ

> >

> > www.qualityfamilypractice.com

> >

> > Solo 4/03, Practicing since 9/90

> >

> > Practice Partner 5/03

> >

> > Low staffing

> >

> > *From:* [mailto:

> > ] *On Behalf Of *

> > *Sent:* Thursday, February 24, 2011 6:44 PM

> > *To:*

> > *Subject:* Dementia Prevention question

> >

> > Hello all -

> >

> > I am preparing a lecture on Primary Prevention of Dementia.

> >

> > What do you all tell your middle-age or senior patients with benign memory

> > loss when they ask you " Doc, is there anything I can do so I don't get

> > Alzheimer's? " .

> >

> > Would be interested in your thoughts.

> >

> > IMP since 2005 - cash-only, opted out of Medicare, out of network to all

> > insurance

> > PALM DESERT, CALIFORNIA

> >

> > CyberDefender has scanned this email for potential threats.

> > Version 2.0 / Build 4.03.29.01

> > Get free PC security at http://www.cyberdefender.com

> >

>

February 25, 2011

Thank you all, great suggestions.

Have any of you heard of the benefits of meditation on cognition and the brain? I am in southern California so people are very open to this, but I am wondering if any of you incorporate some kind of mindful reflection or meditation recommendations for your patients with memory concerns?

Thanks for the help.

Subject: Re: Dementia Prevention questionTo: Date: Friday, February 25, 2011, 7:18 AM

Walking 6-9 miles per week. (October 13 online issue of 'Neurology.')> > >> > Exercise, keep your weight in the normal range, eat plenty of fruits and> > vegetables, don't smoke, and get better parents.> >> > Deanna,

FNP> >> > > >> >> >> > Prevent hardening of the arteries. A recent educational piece I listened> > to mentioned that the degree of dementia more closely correlated with the> > degree of hardening of the arteries on autopsy then the number of> > neurofibrillatory tangles. So prevent confounding factors.> >> > Kathy Saradarian, MD> >> > Branchville, NJ> >> > www.qualityfamilypractice.com> >> > Solo 4/03, Practicing since 9/90> >> > Practice Partner 5/03> >> > Low staffing> >> > *From:* [mailto:> > ] *On Behalf Of *> > *Sent:* Thursday, February 24, 2011 6:44 PM> > *To:* > > *Subject:* Dementia Prevention question> >> >> >> > Hello all -> >> >> > I am preparing a lecture on Primary Prevention of Dementia.> >> > What do you all tell your middle-age or

senior patients with benign memory> > loss when they ask you "Doc, is there anything I can do so I don't get> > Alzheimer's?".> >> > Would be interested in your thoughts.> >> > > > IMP since 2005 - cash-only, opted out of Medicare, out of network to all> > insurance> > PALM DESERT, CALIFORNIA> >> >> >> > CyberDefender has scanned this email for potential threats.> > Version 2.0 / Build 4.03.29.01> > Get free PC security at http://www.cyberdefender.com> >> > > >>

February 25, 2011

Thank you all, great suggestions.

Have any of you heard of the benefits of meditation on cognition and the brain? I am in southern California so people are very open to this, but I am wondering if any of you incorporate some kind of mindful reflection or meditation recommendations for your patients with memory concerns?

Thanks for the help.

Subject: Re: Dementia Prevention questionTo: Date: Friday, February 25, 2011, 7:18 AM

Walking 6-9 miles per week. (October 13 online issue of 'Neurology.')> > >> > Exercise, keep your weight in the normal range, eat plenty of fruits and> > vegetables, don't smoke, and get better parents.> >> > Deanna,

FNP> >> > > >> >> >> > Prevent hardening of the arteries. A recent educational piece I listened> > to mentioned that the degree of dementia more closely correlated with the> > degree of hardening of the arteries on autopsy then the number of> > neurofibrillatory tangles. So prevent confounding factors.> >> > Kathy Saradarian, MD> >> > Branchville, NJ> >> > www.qualityfamilypractice.com> >> > Solo 4/03, Practicing since 9/90> >> > Practice Partner 5/03> >> > Low staffing> >> > *From:* [mailto:> > ] *On Behalf Of *> > *Sent:* Thursday, February 24, 2011 6:44 PM> > *To:* > > *Subject:* Dementia Prevention question> >> >> >> > Hello all -> >> >> > I am preparing a lecture on Primary Prevention of Dementia.> >> > What do you all tell your middle-age or

senior patients with benign memory> > loss when they ask you "Doc, is there anything I can do so I don't get> > Alzheimer's?".> >> > Would be interested in your thoughts.> >> > > > IMP since 2005 - cash-only, opted out of Medicare, out of network to all> > insurance> > PALM DESERT, CALIFORNIA> >> >> >> > CyberDefender has scanned this email for potential threats.> > Version 2.0 / Build 4.03.29.01> > Get free PC security at http://www.cyberdefender.com> >> > > >>

February 25, 2011

Thank you all, great suggestions.

Have any of you heard of the benefits of meditation on cognition and the brain? I am in southern California so people are very open to this, but I am wondering if any of you incorporate some kind of mindful reflection or meditation recommendations for your patients with memory concerns?

Thanks for the help.

Subject: Re: Dementia Prevention questionTo: Date: Friday, February 25, 2011, 7:18 AM

Walking 6-9 miles per week. (October 13 online issue of 'Neurology.')> > >> > Exercise, keep your weight in the normal range, eat plenty of fruits and> > vegetables, don't smoke, and get better parents.> >> > Deanna,

FNP> >> > > >> >> >> > Prevent hardening of the arteries. A recent educational piece I listened> > to mentioned that the degree of dementia more closely correlated with the> > degree of hardening of the arteries on autopsy then the number of> > neurofibrillatory tangles. So prevent confounding factors.> >> > Kathy Saradarian, MD> >> > Branchville, NJ> >> > www.qualityfamilypractice.com> >> > Solo 4/03, Practicing since 9/90> >> > Practice Partner 5/03> >> > Low staffing> >> > *From:* [mailto:> > ] *On Behalf Of *> > *Sent:* Thursday, February 24, 2011 6:44 PM> > *To:* > > *Subject:* Dementia Prevention question> >> >> >> > Hello all -> >> >> > I am preparing a lecture on Primary Prevention of Dementia.> >> > What do you all tell your middle-age or

senior patients with benign memory> > loss when they ask you "Doc, is there anything I can do so I don't get> > Alzheimer's?".> >> > Would be interested in your thoughts.> >> > > > IMP since 2005 - cash-only, opted out of Medicare, out of network to all> > insurance> > PALM DESERT, CALIFORNIA> >> >> >> > CyberDefender has scanned this email for potential threats.> > Version 2.0 / Build 4.03.29.01> > Get free PC security at http://www.cyberdefender.com> >> > > >>

February 25, 2011

I certainly thought any brain stuff (crosswords, Suduko, work, volunteering, writing) works, so why not meditation?Sharon ,_._,___

February 25, 2011

I cannot say I know the literature like some have mentioned gosh I am still on the gi bleed discussion ( whew I use SENSA )My first thought was my own docs advice to me " Stop complaining and don.t get any older "

We had about 5 yrs ago a speaker come here who had done alot of work on mild cognitive impairmetn He talked about some work done in a relatively controlled place- it was a community of retired military folks .All reasonably educated fit active walking playing bridge going to chorus and all sorts of community actviites and attending to the use it or lose it theory ANd as I recall he said ti was all bunk that you cannot stave off dementia by crossword puzzles he said tit not only made no difference in what happened by doing this stuff but when tested these folk s were more impaired anyway than they thought they were.

GUess I have one more thing to go read aboutI see this all the time my patients get frailer and older-er and while they look good they chat and dress well and knit and drive they demonstrate increasingly misunderstandings of what we said to do or why they take the med they have been on forever and will stay on forever or how to get labs done etc They become very fragile though remain independent.I think of this as just age But These folks are not living in extended families tot ake care of them and there is eventually the choice and decisions about when is too frail too frail And I find that my patient visits are endless and exhausting.becasue of all this

SO much needs to be gone over.The whole country is aging ther e will be more of this but much is just age ,isntit years of htn and burgers and dm and atherosclerosis and beer and at 83 and 94 and 87 I amnot sure unless you are JAck LAlane what you could have prevented..

I certainly thought any brain stuff (crosswords, Suduko, work, volunteering, writing) works, so why not meditation?Sharon ,_._,___

-- MD ph fax impcenter.org

February 25, 2011

I cannot say I know the literature like some have mentioned gosh I am still on the gi bleed discussion ( whew I use SENSA )My first thought was my own docs advice to me " Stop complaining and don.t get any older "

We had about 5 yrs ago a speaker come here who had done alot of work on mild cognitive impairmetn He talked about some work done in a relatively controlled place- it was a community of retired military folks .All reasonably educated fit active walking playing bridge going to chorus and all sorts of community actviites and attending to the use it or lose it theory ANd as I recall he said ti was all bunk that you cannot stave off dementia by crossword puzzles he said tit not only made no difference in what happened by doing this stuff but when tested these folk s were more impaired anyway than they thought they were.

I don't know how up to date your speaker was, but neuroplasticity suggests that " use it or lose it " is valid.Crosswords may not be enough though ... Norman Doidge suggests that people have to do as much as learn a new language each year ....

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

February 25, 2011

I cannot say I know the literature like some have mentioned gosh I am still on the gi bleed discussion ( whew I use SENSA )My first thought was my own docs advice to me " Stop complaining and don.t get any older "

We had about 5 yrs ago a speaker come here who had done alot of work on mild cognitive impairmetn He talked about some work done in a relatively controlled place- it was a community of retired military folks .All reasonably educated fit active walking playing bridge going to chorus and all sorts of community actviites and attending to the use it or lose it theory ANd as I recall he said ti was all bunk that you cannot stave off dementia by crossword puzzles he said tit not only made no difference in what happened by doing this stuff but when tested these folk s were more impaired anyway than they thought they were.

I don't know how up to date your speaker was, but neuroplasticity suggests that " use it or lose it " is valid.Crosswords may not be enough though ... Norman Doidge suggests that people have to do as much as learn a new language each year ....

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

February 25, 2011

I cannot say I know the literature like some have mentioned gosh I am still on the gi bleed discussion ( whew I use SENSA )My first thought was my own docs advice to me " Stop complaining and don.t get any older "

We had about 5 yrs ago a speaker come here who had done alot of work on mild cognitive impairmetn He talked about some work done in a relatively controlled place- it was a community of retired military folks .All reasonably educated fit active walking playing bridge going to chorus and all sorts of community actviites and attending to the use it or lose it theory ANd as I recall he said ti was all bunk that you cannot stave off dementia by crossword puzzles he said tit not only made no difference in what happened by doing this stuff but when tested these folk s were more impaired anyway than they thought they were.

I don't know how up to date your speaker was, but neuroplasticity suggests that " use it or lose it " is valid.Crosswords may not be enough though ... Norman Doidge suggests that people have to do as much as learn a new language each year ....

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

February 25, 2011

Gracias.

I cannot say I know the literature like some have mentioned gosh I am still on the gi bleed discussion ( whew I use SENSA )My first thought was my own docs advice to me " Stop complaining and don.t get any older "

We had about 5 yrs ago a speaker come here who had done alot of work on mild cognitive impairmetn He talked about some work done in a relatively controlled place- it was a community of retired military folks .All reasonably educated fit active walking playing bridge going to chorus and all sorts of community actviites and attending to the use it or lose it theory ANd as I recall he said ti was all bunk that you cannot stave off dementia by crossword puzzles he said tit not only made no difference in what happened by doing this stuff but when tested these folk s were more impaired anyway than they thought they were.

I don't know how up to date your speaker was, but neuroplasticity suggests that " use it or lose it " is valid.Crosswords may not be enough though ... Norman Doidge suggests that people have to do as much as learn a new language each year ....

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

-- MD ph fax impcenter.org

March 5, 2011

Regarding the earlier question about dementia, â€œThe U.S. Department of Agriculture 2010 Dietary Guidelines for Americans,â€ Â Chapter Three - " Foods and Food Components to Reduceâ€ deals with alcohol. The Guidelines include: " Alcohol consumption may have beneficial effects when consumed in moderation (up to two drinks daily). Strong evidence from observational studies has shown that moderate alcohol consumption is associated with a lower risk of cardiovascular disease. Moderate alcohol consumption also is associated with reduced risk of all-cause mortality among middle-aged and older adults and may help to keep cognitive function intact with age. " A short article in Wall Street Journal titled A Toast to Your Health - Warning: Alcohol may increase your life expectancy and reduce dementia, Â February 11, 2011 offers thoughts about the data. Neighbors, MDHuntsville, Alabama From: [mailto: ] On Behalf Of Rakesh PatelSent: Thursday, February 24, 2011 6:48 PMTo: Subject: Re: Dementia Prevention question Recent study suggests having metabolic syndrome leafs to cognitive decline: http://www.theheart.org/article/1181423.do RockySent from my iPhone4 Prevent hardening of the arteries. A recent educational piece I listened to mentioned that the degree of dementia more closely correlated with the degree of hardening of the arteries on autopsy then the number of neurofibrillatory tangles. So prevent confounding factors. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing From: [mailto: ] On Behalf Of Sent: Thursday, February 24, 2011 6:44 PMTo: Subject: Dementia Prevention question Hello all -I am preparing a lecture on Primary Prevention of Dementia.What do you all tell your middle-age or senior patients with benign memory loss when they ask you " Doc, is there anything I can do so I don't get Alzheimer's? " .Would be interested in your thoughts.IMP since 2005 - cash-only, opted out of Medicare, out of network to all insurancePALM DESERT, CALIFORNIACyberDefender has scanned this email for potential threats.Version 2.0 / Build 4.03.29.01Get free PC security at http://www.cyberdefender.com

March 6, 2011

One caveat regarding alcohol intake:If you are Apo E genotype 3/4 or 4/4, these genotypes have an increased risk for Alzheimer's dementia. Alcohol tends to have opposite the desired effect on lipids (makes HDL do down and LDL go up) in this patient population. Low HDL cholesterol has been linked to increased memory loss/dementia.http://www.medscape.com/viewarticle/722075http://www.ajcn.org/content/73/4/736.full.pdfrockyRakesh C. Patel, M.D.Arizona Sun Family Medicine, P.C. and Nexlev Health and FitnessSpecializing in Diabetes, Heart Attack and Stroke Prevention633 E. Ray Road #101Gilbert, AZ 85296www.azsunfm.com and www.nexlev.com --- Subject: RE: Dementia Prevention questionTo: Date: Saturday, March 5, 2011, 12:18 PM

Regarding the earlier question about dementia, â€œThe U.S. Department of Agriculture 2010 Dietary Guidelines for Americans,â€ Chapter Three - "Foods and Food Components to Reduceâ€ deals with alcohol. The Guidelines include: "Alcohol consumption may have beneficial effects when consumed in moderation (up to two drinks daily). Strong evidence from observational studies has shown that moderate alcohol consumption is associated with a lower risk of cardiovascular disease. Moderate alcohol consumption also is associated with reduced risk of all-cause mortality among middle-aged and older adults and may help to keep cognitive function

intact with age." A short article in Wall Street Journal titled A Toast to Your Health - Warning: Alcohol may increase your life expectancy and reduce dementia, February 11, 2011 offers thoughts about the data. Neighbors, MDHuntsville, Alabama From: [mailto: ] On Behalf Of Rakesh PatelSent: Thursday, February 24, 2011 6:48 PMTo: Subject: Re: Dementia Prevention question Recent study suggests

having metabolic syndrome leafs to cognitive decline: http://www.theheart.org/article/1181423.do RockySent from my iPhone4 Prevent hardening of the arteries. A recent educational piece I

listened to mentioned that the degree of dementia more closely correlated with the degree of hardening of the arteries on autopsy then the number of neurofibrillatory tangles. So prevent confounding factors. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since

9/90Practice Partner 5/03Low staffing From: [mailto: ] On Behalf Of

Sent: Thursday, February 24, 2011 6:44 PMTo: Subject: Dementia Prevention question Hello all -I am preparing a lecture on Primary Prevention of Dementia.What do you all tell your middle-age or senior patients with benign memory loss when they ask you "Doc, is there anything I can do so I don't get Alzheimer's?".Would be interested in your thoughts.IMP since 2005 - cash-only, opted out of Medicare, out of network to all insurancePALM DESERT,

CALIFORNIACyberDefender has scanned this email for potential threats.Version 2.0 / Build 4.03.29.01Get free PC security at http://www.cyberdefender.com

March 6, 2011