WEBVTT - Scott Sloan -- 12/23/25 0:00:00.040 --> 0:00:03.720 Do you want to be an American flunny back on 0:00:03.760 --> 0:00:06.880 seven hundred WLW nine and ten Americans mind and ten 0:00:06.960 --> 0:00:10.920 of us are concerned about memory loss and the decline 0:00:10.960 --> 0:00:13.000 in brain function as we age. 0:00:13.320 --> 0:00:16.280 The older we get, we see things at previous generations 0:00:16.280 --> 0:00:18.880 that didn't live as long, they never had to deal 0:00:18.920 --> 0:00:21.320 with these things we do. And in the two hundred 0:00:21.400 --> 0:00:23.959 years five hundred years from God only knows what malady's 0:00:24.000 --> 0:00:26.840 we're gonna face. But there's a concern over age related 0:00:26.880 --> 0:00:29.560 memory loss because as we get older, certainly are our 0:00:29.600 --> 0:00:32.440 minds change, and then there's disease. So what is normal 0:00:32.600 --> 0:00:34.800 and what is not? What is normal brain agent? What 0:00:34.920 --> 0:00:38.720 is some sort of neurodegenerative disease? And that's what we 0:00:38.760 --> 0:00:40.239 worry about. This is what keeps us up at night. 0:00:40.680 --> 0:00:43.320 Doctor Mada fi Messetti is the vice chair of the 0:00:43.400 --> 0:00:46.000 McKnight Brain Research Foundation studies these things. 0:00:46.040 --> 0:00:46.320 Doctor. 0:00:46.320 --> 0:00:48.920 Good morning, Good morning, Scott, it's great to be on 0:00:48.960 --> 0:00:49.240 the show. 0:00:49.280 --> 0:00:50.000 Thank you so much. 0:00:51.400 --> 0:00:53.720 I think, first of all, the idea our brains are 0:00:53.760 --> 0:00:58.440 just limitless pots of things that take in a limitless sponges. 0:00:58.440 --> 0:01:00.959 I guess we get just absorb all as information all 0:01:01.000 --> 0:01:03.480 the time coming at us. And we got all this junk. 0:01:03.600 --> 0:01:05.840 Like I think, like, for example, you know some sort 0:01:05.880 --> 0:01:08.560 of temporary password that's that that that's in our head 0:01:08.600 --> 0:01:11.000 short term, or try to remember a phone number when 0:01:11.000 --> 0:01:12.560 it's all on our phone to begin with, and you 0:01:12.560 --> 0:01:15.480 can go, I can't remember that. It's because we're not 0:01:15.680 --> 0:01:18.480 really designed to carry that much information, right, I mean, 0:01:18.480 --> 0:01:20.800 that's my understanding the human mind is it's kind of 0:01:20.840 --> 0:01:23.480 like a temporary thing on the stuff we use the most, 0:01:24.400 --> 0:01:26.520 that gets pushed to the forefront, but generally we get 0:01:26.520 --> 0:01:28.119 all this information that's disposable. 0:01:29.600 --> 0:01:32.080 I think, I think you're partly right. I think it's 0:01:32.120 --> 0:01:35.440 important to understand here that the brain, like any other 0:01:35.480 --> 0:01:38.240 part of the body, is also aging. You know, from 0:01:38.240 --> 0:01:41.120 the time that we are born and what you've described 0:01:41.400 --> 0:01:46.440 some of the typical symptoms of an aging brain, And 0:01:46.600 --> 0:01:49.960 just like any other part of the body, we age differently, 0:01:50.400 --> 0:01:53.360 we age in distinct ways, but we all understand that 0:01:53.440 --> 0:01:56.160 as we grow older there are certain changes in our 0:01:56.200 --> 0:01:57.400 mental abilities in. 0:01:58.120 --> 0:01:59.600 Certain cognitive. 0:02:00.920 --> 0:02:05.320 Certain skills, and certain abilities improve as we grow older, 0:02:05.360 --> 0:02:10.959 such as wisdom and vocabulary and judgment. Certain other faculties decline. 0:02:11.040 --> 0:02:14.320 Some of the examples that you've mentioned are exactly that. 0:02:14.840 --> 0:02:18.280 We find it more difficult to learn and remember new information, 0:02:18.440 --> 0:02:21.200 We find it more difficult to pay attention to multiple tasks. 0:02:21.200 --> 0:02:24.440 At the same time, there might be more problems in 0:02:24.880 --> 0:02:28.560 the speed at which we make decisions. So the important 0:02:28.560 --> 0:02:31.160 thing to understand here is that these changes are to 0:02:31.160 --> 0:02:33.359 be expected as a part of what we call normal 0:02:33.400 --> 0:02:36.520 cognitive aging. They are not to be feared. They're not 0:02:36.639 --> 0:02:39.720 in and of themselves signs of a disease. And so 0:02:39.760 --> 0:02:42.720 what the MECH Brain Research Foundation is focused on is 0:02:42.760 --> 0:02:46.400 to try and help people understand what changes to expect 0:02:47.080 --> 0:02:50.000 as they grow older, as well as to provide them 0:02:50.000 --> 0:02:53.600 with all the resources they need to try and put 0:02:53.639 --> 0:02:58.400 in place lifestyle changes, put in place behaviors that can 0:02:58.639 --> 0:03:00.560 ensure that they protect their brains in health as they 0:03:00.600 --> 0:03:01.240 grow older. 0:03:02.240 --> 0:03:05.000 Yeah, and unfortunately, as we go older, we see diseases 0:03:05.040 --> 0:03:07.840 that we never saw before, or maybe they did, and 0:03:07.880 --> 0:03:10.120 they just it's more widespread. 0:03:10.160 --> 0:03:11.200 It's not like an epidemic. 0:03:11.240 --> 0:03:13.680 It's just when you live till you're eighty ninety plus, 0:03:14.040 --> 0:03:17.720 you're going to see things, especially age related that appear physically. 0:03:17.720 --> 0:03:21.000 But also between those years of yours, you know, I 0:03:21.040 --> 0:03:22.880 think of our good friend or dear friend Jim Scott 0:03:22.880 --> 0:03:25.080 who has als, and I think of people who are 0:03:25.120 --> 0:03:28.280 older and dementia and all of these horrible illnesses that 0:03:28.320 --> 0:03:31.639 they have that we were let and see a couple generations. 0:03:31.160 --> 0:03:31.720 Go as much. 0:03:33.520 --> 0:03:34.120 That's true. 0:03:34.720 --> 0:03:40.360 Neurodegenerative diseases are a completely different topic altogether, because those 0:03:40.480 --> 0:03:45.760 are diseases. Those are conditions that arise predominantly from a degenerative, 0:03:46.240 --> 0:03:49.000 usually progressive condition of the brain. Alis is one of 0:03:49.040 --> 0:03:52.560 the classic examples of a neurodegenerative disease. But I think 0:03:52.600 --> 0:03:56.960 what is important here to understand is that those neurodigenitive 0:03:57.000 --> 0:04:00.000 diseases have captured a lot of our attention. They get 0:04:00.160 --> 0:04:04.800 most of the research funding. This is what patients are 0:04:04.840 --> 0:04:08.400 concerned about when they visit their physicians. But what has 0:04:08.520 --> 0:04:12.440 remained a little less, what has received a little less attention, 0:04:12.640 --> 0:04:15.840 is what changes to expect your normal aging. You know, 0:04:15.880 --> 0:04:18.920 that is something that all of us would experience, unlike 0:04:19.040 --> 0:04:22.200 you know, the minority of us who may experience a 0:04:22.240 --> 0:04:26.800 neurodegenerative disease. So I think we haven't focused enough attention 0:04:26.920 --> 0:04:30.440 yet on a full understanding of what normal cognitive aging is. 0:04:30.960 --> 0:04:32.880 And so I think this is a great opportunity through 0:04:32.880 --> 0:04:35.440 the Magnet Brain re Search Foundation to bring that awareness 0:04:35.440 --> 0:04:36.640 to large numbers of people. 0:04:36.880 --> 0:04:38.720 Makes sense, And I'm going to get into some of 0:04:38.760 --> 0:04:40.640 these points you're making right now, Doctor, I'm out of 0:04:40.680 --> 0:04:43.719 Tambasetti is if I share the McKnight Brain Research Foundation. 0:04:43.760 --> 0:04:47.360 I'm talking about the difference between normal brain aging and 0:04:47.520 --> 0:04:50.800 what is a neurodegenerat disease. Because you know, if you forget, 0:04:51.400 --> 0:04:53.320 I don't know what exit you're getting off. Go crap, 0:04:53.320 --> 0:04:55.159 I was supposed to get off there. It doesn't mean 0:04:55.160 --> 0:04:57.719 that you have Alzheimer's. It just you may be getting 0:04:57.720 --> 0:05:00.400 older and your brain is so packed with other information 0:05:00.520 --> 0:05:02.599 something has to go. This shoe box is only so 0:05:02.720 --> 0:05:05.600 full that that is your brain. I could also talk 0:05:05.640 --> 0:05:08.160 about politics here too, where we have people who have 0:05:08.520 --> 0:05:10.760 are making big, big decisions to the highest levels of 0:05:10.800 --> 0:05:14.640 our government who are so older, incompetent. I'll just leave 0:05:14.640 --> 0:05:15.760 that as an open ended question. 0:05:16.360 --> 0:05:18.800 So I think you know, the larger point that is 0:05:18.800 --> 0:05:21.640 to be made here in this context is that it's 0:05:22.120 --> 0:05:24.920 both I think a little unprofessional as well as you know, 0:05:25.040 --> 0:05:27.560 unethical to try and make diagnoses on people that the 0:05:27.640 --> 0:05:32.360 position hasn't personally seen interviewed or examined. But I think 0:05:32.400 --> 0:05:35.479 what this gives us a great opportunity to talk about 0:05:35.560 --> 0:05:37.640 is what changes to expect as people grow older in 0:05:37.800 --> 0:05:41.080 terms of their abilities. Whether it's candidate is running for presidents, 0:05:41.120 --> 0:05:44.040 whether it's a radio radio host, whether it is a 0:05:44.080 --> 0:05:46.840 position like myself, We're all going to experience changes as 0:05:46.880 --> 0:05:48.680 we grow older. So I think this is a fantastic 0:05:48.720 --> 0:05:54.679 opportunity for us while this topic is in the public domain, 0:05:54.720 --> 0:05:57.320 while people are talking about these candidates, where people are 0:05:57.320 --> 0:06:00.920 talking about what it means to lose some abilities as 0:06:00.960 --> 0:06:03.080 you grow older, I think it's a great opportunity for 0:06:03.160 --> 0:06:06.360 us to step back and try and see how much 0:06:06.440 --> 0:06:10.040 we know about normal age related memory changes and what 0:06:10.080 --> 0:06:12.080 we can do to day to try and preserve brain 0:06:12.160 --> 0:06:13.279 health as we all age. 0:06:13.560 --> 0:06:15.720 Yes, And I think that's an important facet here too. 0:06:15.760 --> 0:06:18.320 You're really saying that, you know, when you're in your eighties, 0:06:19.480 --> 0:06:22.000 in your here, maybe in your thirties, forties or fifties, 0:06:22.000 --> 0:06:23.400 you look at it, Wow, is that what I have 0:06:23.440 --> 0:06:24.080 to look forward to? 0:06:24.200 --> 0:06:25.280 Or is that an outlier? 0:06:25.360 --> 0:06:28.560 With both of those gentlemen, you know, and I think 0:06:28.600 --> 0:06:32.080 like when as much speaking as they do, also sometimes 0:06:32.080 --> 0:06:34.000 you can only remember the first letter of something. You 0:06:34.040 --> 0:06:36.359 can flight you confuse names. You know, I'm trying to 0:06:36.360 --> 0:06:38.800 think of Frank and I keep saying Fred or whatever 0:06:38.839 --> 0:06:39.320 it might be. 0:06:40.480 --> 0:06:41.360 Is that pretty. 0:06:41.040 --> 0:06:43.440 Common as you get older and you you just have 0:06:43.520 --> 0:06:45.520 that whole and you know, the whole tip of the 0:06:45.560 --> 0:06:48.880 tongue phenomenon for example, where you you know the information 0:06:49.000 --> 0:06:50.240 is there, you just can't pull it out. 0:06:51.200 --> 0:06:53.279 That's a great point. I think what you've described is 0:06:53.320 --> 0:06:57.360 what we would call, you know, benign age related cognitive changes. 0:06:57.360 --> 0:07:00.600 Occasionally forgetting a name, struggling to find the right word 0:07:00.640 --> 0:07:04.599 at times, maybe even occasionally forgetting a bill payment. I 0:07:04.600 --> 0:07:08.440 think all of these changes would come under the term 0:07:08.520 --> 0:07:12.600 of normal age related memory decline. It's when these changes 0:07:12.640 --> 0:07:16.960 become much more severe, they become much more frequent, and 0:07:17.000 --> 0:07:21.640 they clearly started affecting an individual's independence and individual's ability 0:07:21.680 --> 0:07:24.440 to carry out the normal activities of daily living. That's 0:07:24.480 --> 0:07:27.360 when these changes might signal something a little bit more 0:07:27.440 --> 0:07:32.520 concerning and something that might require more detailed medical evaluation 0:07:32.960 --> 0:07:36.720 to make a diagnosis. But those more severe changes are 0:07:36.720 --> 0:07:38.960 not what we're focused on today. We're trying to understand 0:07:39.240 --> 0:07:42.400 the relatively benign changes that may also be a concern 0:07:42.440 --> 0:07:45.160 to people and to try and empower them with all 0:07:45.200 --> 0:07:48.280 the inflammation they need to try and put in place 0:07:48.680 --> 0:07:51.800 behaviors today that might enable them to grow older with 0:07:52.080 --> 0:07:53.320 preserved cognitive function. 0:07:53.440 --> 0:07:56.000 Yeah, okay, so what are the dos and don'ts of this? 0:07:56.440 --> 0:07:59.320 Obviously, diet, exercise, sleep has got to be a big 0:07:59.360 --> 0:07:59.920 factor here. 0:08:00.080 --> 0:08:00.880 That's going to be important. 0:08:00.880 --> 0:08:03.160 A memory, which is why if you take a little nap, 0:08:03.800 --> 0:08:06.280 you know, you feel a lot better. That brain fog 0:08:06.360 --> 0:08:07.440 kind of goes away for a little bit. 0:08:08.560 --> 0:08:11.160 I think you've raised you know, very very good points. 0:08:11.480 --> 0:08:15.480 The biggest factors today that we can put our finger 0:08:15.560 --> 0:08:18.800 on in terms of preserving brain health is understanding that 0:08:18.840 --> 0:08:21.560 a healthy heart goes together with a healthy brain. And 0:08:21.600 --> 0:08:23.760 so one of the most important factors that we know 0:08:24.680 --> 0:08:28.600 preserves brain health or may slow down memory loss as 0:08:28.600 --> 0:08:31.800 we grow older is to try and make sure that 0:08:31.800 --> 0:08:32.800 your blood pressure. 0:08:32.559 --> 0:08:33.400 Is under good control. 0:08:34.240 --> 0:08:37.000 Get screened for blood pressure, Understand what your blood presure 0:08:37.040 --> 0:08:41.319 numbers mean, make sure that your position is able to 0:08:41.360 --> 0:08:44.000 speak to you, assess your blood pressure, and if your 0:08:44.120 --> 0:08:46.880 blood pressure needs to be brought down the medication or 0:08:46.880 --> 0:08:51.679 by behaviors such as eating a healthier diet, exercising more regularly. 0:08:52.000 --> 0:08:54.400 That's something that you can proactively do today to try 0:08:54.440 --> 0:08:56.880 and preserve brain health as we grow older. And then 0:08:56.920 --> 0:08:59.560 many of the other behaviors that you mentioned are exactly 0:08:59.559 --> 0:09:01.319 what you know now I get a chance to talk 0:09:01.360 --> 0:09:06.040 about as a position with my own patients. Regular exercise, 0:09:06.080 --> 0:09:11.360 being physically active, saying socially engaged, eating a heart healthy diet. 0:09:12.200 --> 0:09:16.000 All of these we know preserve brain health. Limiting alcohol 0:09:16.040 --> 0:09:19.600 intake as well. If you're a smoker, it's never too 0:09:19.679 --> 0:09:24.080 late to stop smoking and preserve brain health through preserved 0:09:24.240 --> 0:09:27.080 heart health. So these are all examples of behaviors that 0:09:27.080 --> 0:09:29.120 we can put in place today to try and ensure 0:09:29.160 --> 0:09:33.520 that we preserve brain functions to the maximum capacity as 0:09:33.520 --> 0:09:34.240 we grow older. 0:09:35.640 --> 0:09:39.360 Doctor, how does stress interfere with all this stuff? I 0:09:39.360 --> 0:09:42.720 guess in my mind, there's a lot of complex effects 0:09:42.720 --> 0:09:44.640 that it has. Right, if you have a lot of stress, 0:09:46.040 --> 0:09:48.080 it's interesting how your brain works. It has have a 0:09:48.120 --> 0:09:51.080 long term effect on your memory in this kind of 0:09:51.160 --> 0:09:52.640 cognitive decline we're talking about. 0:09:53.520 --> 0:09:57.560 So there's experimental evidence that chronic stress, the stress over 0:09:57.600 --> 0:10:01.160 a prolonged period of time, can in use changes in 0:10:01.200 --> 0:10:05.800 the brain that may not be protected that they might 0:10:05.920 --> 0:10:09.800 in and of themselves, cause changes in your memory function, 0:10:09.960 --> 0:10:13.560 changes in your ability to do certain cognitive tasks. We 0:10:13.600 --> 0:10:16.280 don't fully understand exactly how this might work, but we 0:10:16.320 --> 0:10:20.800 think there's some evidence that certain neurotransmitters can get released 0:10:20.840 --> 0:10:23.760 in the brain as a result of chronic stress, and 0:10:23.800 --> 0:10:27.720 that this imbalance in certain neurotransmitter levels in the brain 0:10:28.080 --> 0:10:31.720 can trigger these long term harmful effects in the brain. 0:10:31.960 --> 0:10:35.360 It's also important in this context to understand the effect 0:10:35.400 --> 0:10:39.720 that factors like loneliness play. And we've just come off 0:10:39.800 --> 0:10:42.680 of a long pandemic that has taken a toll on 0:10:42.720 --> 0:10:46.480 our ability to socialize, to stay engaged with friends and family, 0:10:47.280 --> 0:10:50.880 and we are beginning to recognize that these changes, including 0:10:51.080 --> 0:10:57.360 loneliness and stress, might have a disproportionate impact on older individuals. 0:10:57.400 --> 0:11:00.160 So that's another factor to bear in mind when we 0:11:00.240 --> 0:11:06.480 try and factor in stress, loneliness, depression, and low mood 0:11:06.559 --> 0:11:10.840 as risk factors for poor cognitive in poor cognitive performance 0:11:10.840 --> 0:11:11.720 as we grow older. 0:11:11.800 --> 0:11:13.320 Yeah, and that makes sense too. 0:11:13.800 --> 0:11:16.600 And I think that stress certainly is toxic to your body, 0:11:16.600 --> 0:11:19.280 but especially your brain. But I think also the society 0:11:19.280 --> 0:11:22.320 and the times in which we live We're interrupted at 0:11:22.320 --> 0:11:24.720 all times, and that's just a reality of modern life. 0:11:24.760 --> 0:11:26.800 I mean, your phones are going off, people are talking 0:11:26.840 --> 0:11:29.840 to you, kids crying, somebody's having a conversation with you. 0:11:29.840 --> 0:11:34.120 You start daydreaming, is interrupting yourself basically, and then when 0:11:34.120 --> 0:11:36.000 we forget stuff, we think, oh my god, I'm in 0:11:36.040 --> 0:11:39.160 cognitive decline, I have some sort of neurodegenerative disease, when 0:11:39.200 --> 0:11:42.599 in fact, it's just modern society messing with our brains. 0:11:43.440 --> 0:11:45.600 That's a good point, and I think that's all the 0:11:45.600 --> 0:11:47.560 more reason why, you know, we need to make time 0:11:47.600 --> 0:11:52.720 for ourselves, have opportunities for rest and relaxation, to try 0:11:52.720 --> 0:11:55.200 and get an adequate night's sleep. I think all of 0:11:55.240 --> 0:11:59.480 these factors play into controlling stress and doing as much 0:11:59.520 --> 0:12:01.640 as you can to make a positive impact on your 0:12:01.640 --> 0:12:02.880 brain health as you age. 0:12:03.360 --> 0:12:07.040 Yeah, and yeah, talking about what is normal and abnormal 0:12:07.040 --> 0:12:09.199 when it comes to aging and your brain, because we 0:12:09.240 --> 0:12:11.640 all think we have some sort of incurable disease and 0:12:11.960 --> 0:12:14.080 it's our biggest fear, and so you're kind of looking 0:12:14.160 --> 0:12:16.280 for it. You think it's out there lurking, when in 0:12:16.320 --> 0:12:18.960 fact it's it's not as common as you would think. 0:12:19.720 --> 0:12:22.400 And also we're living longer too, when I hear all 0:12:22.440 --> 0:12:24.160 these things and go, all right, well, what's what's right? 0:12:24.200 --> 0:12:26.320 What's normal? What about brain fog? Does that mean I 0:12:26.360 --> 0:12:27.160 have you? Mentally? 0:12:27.360 --> 0:12:29.800 I got I have brain fog today. I've got some 0:12:29.840 --> 0:12:32.360 brain fog going right now, largely because I eat ham 0:12:32.440 --> 0:12:34.559 yesterday and it's full of salt, and my body hates 0:12:34.559 --> 0:12:37.720 me right now, and uh, I hate food. I normally 0:12:37.800 --> 0:12:40.319 don't eat, so I'm miserable. And well, that's what's causing 0:12:40.320 --> 0:12:42.640 the brain fog. So if you have chronic brain fog, 0:12:42.880 --> 0:12:44.600 you have it a lot. What can be done about that? 0:12:44.760 --> 0:12:46.200 Or is it just you just accept it? 0:12:46.960 --> 0:12:49.280 So I think the term brain fog means different things 0:12:49.280 --> 0:12:53.839 to different people, And so in general, what I would 0:12:53.840 --> 0:12:56.480 recommend is that if you're concerned about your memory, if 0:12:56.520 --> 0:13:00.160 you think you've had significant changes in your memory, if 0:13:00.160 --> 0:13:03.000 there are skills that you could previously do without effort 0:13:03.080 --> 0:13:06.240 before that you now need extra help. If you're making 0:13:06.280 --> 0:13:11.079 mistakes with tasks that you could routinely accomplish without help before, 0:13:11.400 --> 0:13:14.120 those are all indicators that you might want to speak 0:13:14.120 --> 0:13:17.400 to your healthcare provider and get a complete evaluation. There 0:13:17.440 --> 0:13:20.920 are certain factors that can be easily treated or reversible. 0:13:21.000 --> 0:13:25.480 I've had patients who've had first sleep at night, who've 0:13:25.480 --> 0:13:30.120 had a diagnosis of dementia or mild cognitive impairment, and 0:13:30.200 --> 0:13:33.479 once there's three problems to fix, their memory improves substantially. 0:13:33.800 --> 0:13:38.199 So there are certain reversible factors that might be responsible 0:13:38.200 --> 0:13:41.240 for these memory changes. And again it highlights the need 0:13:41.280 --> 0:13:44.480 for you to be proactive in terms of seeking attention, 0:13:44.559 --> 0:13:47.920 in talking to a healthcare provider, in trying to empower 0:13:47.960 --> 0:13:50.760 yourself with all the resources in terms of information that 0:13:50.840 --> 0:13:53.480 you need to try and understand some of these changes. 0:13:54.080 --> 0:13:57.480 Be concerned when concern is warranted, but otherwise try and 0:13:57.480 --> 0:14:00.320 put in place healthy behaviors that can ensure brain health. 0:14:00.920 --> 0:14:04.679 Finally, doctor, you know, we seel like with EKGs and 0:14:04.760 --> 0:14:08.360 echocardiograms and we get a baseline for your health at 0:14:08.400 --> 0:14:10.760 a younger age. We're getting a baseline. We need a baseline. 0:14:11.440 --> 0:14:13.240 Why don't we do that when it comes to your 0:14:13.280 --> 0:14:14.120 mental acumen? 0:14:15.000 --> 0:14:18.080 Well, I think we should. I think that's the fantastic points. 0:14:18.120 --> 0:14:21.640 I don't think there is ever a good time, there 0:14:21.680 --> 0:14:24.120 is ever a right time. I think every opportunity that 0:14:24.200 --> 0:14:27.480 we get to try and get information, to try and 0:14:27.520 --> 0:14:31.520 speak to a healthcare providers about what changes we expect 0:14:31.600 --> 0:14:33.600 in memory as we grow older. I think all of 0:14:33.600 --> 0:14:37.280 those opportunities are precious opportunities. And I think what you've 0:14:37.360 --> 0:14:40.880 just highlighted is the importance of being proactive, the importance 0:14:40.880 --> 0:14:44.120 of being attentive to these changes in memory as we 0:14:44.200 --> 0:14:48.040 grow older, and to pay attention to behaviors that we 0:14:48.120 --> 0:14:50.320 can implement the day to try and preserve rain health 0:14:50.320 --> 0:14:50.880 as we age. 0:14:50.960 --> 0:14:52.760 Yeah, and also if your spouse or loved one of 0:14:52.800 --> 0:14:54.600 some is to pay attention to their health and if 0:14:54.600 --> 0:14:57.280 something seems off and they're more irritable or something's going on, 0:14:58.280 --> 0:15:00.760 that's that's a red flag for sure. Doctor Amadav the 0:15:00.880 --> 0:15:04.400 Massetti is the vice chair of the McKnight Brain Research 0:15:04.440 --> 0:15:08.080 Foundation nine and ten of is concerned about aging, memory 0:15:08.120 --> 0:15:11.160 loss versus decline and function and what's normal and what's not. 0:15:11.280 --> 0:15:13.720 And hopefully maybe got some useful information there before you 0:15:13.760 --> 0:15:16.400 freak out. Doc, all the best, thanks for joining the show, appreciate. 0:15:16.000 --> 0:15:17.360 It many thanks God News. 0:15:17.480 --> 0:15:19.280 The picture is we wind it down for another year 0:15:19.280 --> 0:15:22.360 on the Scotsland Show seven hundred WLW. 0:15:23.600 --> 0:15:25.640 Willy gives me hope and these days we can all 0:15:25.720 --> 0:15:28.640 use some hope. Willy is here for you, no matter 0:15:28.640 --> 0:15:29.840 how lousy my day is. 0:15:29.960 --> 0:15:31.920 I know I can count on Willie to turn things 0:15:31.960 --> 0:15:34.440 around here to soothe your fears. I wish I could 0:15:34.480 --> 0:15:36.440 find a man just like Willie, like the great. 0:15:36.240 --> 0:15:39.240 American that I am. He uses lots of big words. 0:15:39.240 --> 0:15:41.080 I use lots of big words too. It's almost like 0:15:41.120 --> 0:15:41.640 we're twins. 0:15:41.680 --> 0:15:43.640 All you have to do is listen to me, the 0:15:43.680 --> 0:15:45.240 Great America, Dear Cunningham. 0:15:45.320 --> 0:15:49.720 Today at twelve noon on seven hundred w l W. 0:15:50.400 --> 0:15:52.960 Zerrs Carpet and Edderk Cleaning is bringing the gift of 0:15:53.000 --> 0:15:56.320 clean this season with their holiday sales schedule today and 0:15:56.400 --> 0:16:00.200 get forty bucks per room carpet clean. Seven hundred wlwar 0:16:00.280 --> 0:16:04.240 can spend ready for this one over fourteen thousand dollars 0:16:04.240 --> 0:16:06.920 for every man, woman in child in our fair country 0:16:06.920 --> 0:16:09.640 here on what on healthcare? 0:16:09.680 --> 0:16:10.120 Annually? 0:16:10.480 --> 0:16:12.760 We spend the most in the free world, but don't 0:16:12.800 --> 0:16:15.760 have nearly the best outcomes. Lots of concern when it 0:16:15.760 --> 0:16:18.160 comes to our healthcare. There is a different route here, though. 0:16:18.200 --> 0:16:20.440 What if you just paid for everything yourself? I've often said, 0:16:20.640 --> 0:16:22.960 you know, if you cut out the middleman here and 0:16:23.000 --> 0:16:25.880 got rid of bureaucracy and that would be insurance and 0:16:26.000 --> 0:16:29.360 or government bureaucracy. Your costs had drop down dramatically, and 0:16:29.400 --> 0:16:32.080 I think practitioners would be the doctors and nurses. Nurse 0:16:32.120 --> 0:16:34.720 practitioners like would have a better quality of life and 0:16:34.720 --> 0:16:37.400 everyone's happy. It's called it's the already, it's called direct 0:16:37.440 --> 0:16:39.320 primary care. I just kind of googled it and we've 0:16:39.320 --> 0:16:42.680 got about a dozen providers here in the tri States, 0:16:42.800 --> 0:16:44.920 and that number has grown over the last few years. 0:16:45.320 --> 0:16:48.360 He's the CEO of Healthcare to You, which pushes direct 0:16:48.360 --> 0:16:50.520 primary care, and his name is Andy Bonner. Andy, welcome 0:16:50.520 --> 0:16:50.840 to the show. 0:16:50.840 --> 0:16:52.080 How are you well? 0:16:52.160 --> 0:16:53.160 Thank you, I appreciate it. 0:16:53.240 --> 0:16:54.920 Yeah, yeah, I'm. 0:16:54.680 --> 0:16:56.320 Kind of familiar with this a little bit here too, 0:16:56.440 --> 0:16:59.040 So explain if I didn't do a decent job of 0:16:59.080 --> 0:17:01.480 that already. How does direct primary care work? Is its 0:17:01.520 --> 0:17:04.560 simply just paying you directly as a physician. You treat me, 0:17:04.760 --> 0:17:06.639 And it's kind of like the old days where I 0:17:06.680 --> 0:17:08.520 remember when when I was a little little my mom 0:17:08.520 --> 0:17:10.359 would take me to the you know, doctor who practiced 0:17:10.359 --> 0:17:13.159 out of his living room, basically, and I think she 0:17:13.200 --> 0:17:15.439 would pay cash. I think anyway, I'm not sure how 0:17:15.440 --> 0:17:17.320 it worked. I was a little kid but I remember 0:17:17.359 --> 0:17:19.080 that I don't know the quality of care, but I'm 0:17:19.119 --> 0:17:21.360 alive today, so he must have done something right. 0:17:22.680 --> 0:17:25.720 Well that that's exactly right. So it's really going back 0:17:25.720 --> 0:17:28.560 in time and trying to establish a relationship with the 0:17:28.600 --> 0:17:32.480 primary care for this and that oversees your health over 0:17:33.440 --> 0:17:35.320 you know, the entirety of your life, if you can 0:17:35.359 --> 0:17:38.520 possibly get that. But you know, the issue it with 0:17:39.480 --> 0:17:44.080 the care that we receive today. It's really reactive type care. 0:17:44.240 --> 0:17:48.840 It's really not looking at your whole being and being 0:17:48.880 --> 0:17:52.600 able to monitor your blood results and so forth over 0:17:52.640 --> 0:17:55.480 a period of time and seeing those little changes as 0:17:55.520 --> 0:17:58.080 you age. And and really what direct primary care is 0:17:58.160 --> 0:18:02.280 establishing that relationship with a doctor who can oversee your 0:18:02.400 --> 0:18:05.359 health for a long period of time and see those 0:18:05.400 --> 0:18:09.480 differences and be able to work with you before those 0:18:09.520 --> 0:18:11.440 conditions turned to a bad state. 0:18:12.280 --> 0:18:15.640 Okay, Yeah, And it sounds rather simple, and I think 0:18:15.880 --> 0:18:17.119 as we get into this, I think it's going to 0:18:17.119 --> 0:18:19.640 illustrate just how obsurd our system is and how much 0:18:19.680 --> 0:18:21.880 money is being wasted in going to middlemen and people 0:18:21.880 --> 0:18:24.080 who have absolute no concern over our care and the 0:18:24.160 --> 0:18:26.400 quality of our care that just get in the way 0:18:26.400 --> 0:18:29.719 and suck those dollars away from our desperately needed healthcare system. 0:18:30.119 --> 0:18:32.359 And so it's been around for a while. Here, it's 0:18:32.359 --> 0:18:34.280 starting to gain traction, as I mentioned, and I said 0:18:34.320 --> 0:18:36.840 here in the tri State. In Cincinnati anyway, I've noticed 0:18:36.840 --> 0:18:38.560 there's been a slight uptick of the number. About a 0:18:38.600 --> 0:18:40.600 dozen or so now granted in the city this size, 0:18:40.600 --> 0:18:42.680 it's not many, but at least the needle is moving 0:18:42.680 --> 0:18:45.520 in the right direction. Let's look at them, the provider 0:18:45.520 --> 0:18:47.000 And why would a physician want to do this in. 0:18:46.920 --> 0:18:50.840 The first place, Well, I mean for a provider today 0:18:50.880 --> 0:18:53.840 in the theef for service world, a couple of things 0:18:53.880 --> 0:18:56.720 have occurred, well, actually several things have occurred over the years. 0:18:56.800 --> 0:18:59.679 One is the administrative burden that a doctor has in 0:18:59.760 --> 0:19:01.920 order to be able to be paid in the fee 0:19:02.000 --> 0:19:04.879 for service insurance world. Not only do they have to 0:19:04.920 --> 0:19:07.760 provide E and M codes, but they have to provide 0:19:07.920 --> 0:19:11.240 they have to know how to distinguish between sixty four 0:19:11.400 --> 0:19:16.600 thousand ICD votes to be able to provide a claim, 0:19:17.359 --> 0:19:20.040 submit a claim to an insurance carrier who then will 0:19:21.000 --> 0:19:24.480 reimverse them or find ways not to reimverse them over time. 0:19:25.080 --> 0:19:27.560 And so what's happened in the primary care setting is 0:19:27.600 --> 0:19:31.280 a lot of physicians either carry a large amount of 0:19:31.320 --> 0:19:35.320 bad debt because the coding is not correctly, the insurance 0:19:35.320 --> 0:19:38.240