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Speaker 1: Good morning everyone. I hope you're enjoying yourself and having

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Speaker 1: a great weekend with friends, family, loved ones, or I

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Speaker 1: don't know, even people you might dislike a little bit.

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Speaker 1: How dementia works. This is a pretty brutal episode, everybody.

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Speaker 1: This is from November fourth, twenty fifteen, but there's some

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Speaker 1: really good information in it. If you are suffering from dementia,

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Speaker 1: or someone in your family is suffering from dementia, you

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Speaker 1: have our deepest empathy because it is tough stuff, and

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Speaker 1: we hope this episode can bring you a little bit

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Speaker 1: of comfort because knowledge is power and understanding things is

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Speaker 1: what we're all about, and that can really help sometimes

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Speaker 1: when you're dealing with something as devastating as dementia.

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Speaker 2: So how dementia works, right here.

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Speaker 3: Right now, Welcome to Stuff You Should Know, a production

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Speaker 3: of iHeartRadio.

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Speaker 4: Hey, and welcome to the podcast. I'm Josh Clark with

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Speaker 4: Charles w Chuck Bryant and Noel. The Stint of Noel continues.

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Speaker 4: Everybody's like, stuff you should Noel. No, No, that's not

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Speaker 4: what we're calling it. It's the Stint of Noel. All right,

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Speaker 4: Stuff you should Knowel. That's too clever.

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Speaker 2: Yeah, it's a little cutesy. Yeah, that's all all right.

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Speaker 4: It's my only aversion to it. All right, all right?

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Speaker 4: What do you are you with? Stuff you should know?

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Speaker 2: Changing the name of our show after eight years?

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Speaker 4: No, just the Noel's stint the name of it. Remember

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Speaker 4: the Summer of Sam?

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Speaker 2: Oh? Yeah? Yeah, sure, why not?

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Speaker 4: I don't like it?

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Speaker 2: All right?

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Speaker 4: Should we come up with the third idea?

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Speaker 2: Yeah?

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Speaker 1: The stint of nol sounds too much like something's wrong

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Speaker 1: with Noel.

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Speaker 4: That's why I like it. It's hilarious. There's nothing wrong

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Speaker 4: with Noel, my god. And if you think there is,

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Speaker 4: you need to answer to me.

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Speaker 2: There's something you should know.

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Speaker 4: I see, that's what I'm saying. It sounds like something Strickland.

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Speaker 4: Would it come up with?

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Speaker 2: Oh? You know? And we haven't been in a flame

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Speaker 2: war with Strickland in a while.

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Speaker 4: It has been a while. It's been too long. I've

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Speaker 4: gotten soft. You just launched one across the bow, so.

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Speaker 2: Chuck.

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Speaker 4: Yes, are you familiar with dementia?

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Speaker 2: Yeah?

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Speaker 4: Sure, are you running? Your family doesn't.

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Speaker 1: Run in the family, But my grandmother, who lived to

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Speaker 1: be one hundred, had dementia at some point, which you know,

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Speaker 1: when you love to be one hundred. That's I don't

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Speaker 1: know about likely, but it's not surprising.

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Speaker 4: It's probably pretty likely. It's not from what I understand,

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Speaker 4: it's not a just a natural consequence of age, right,

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Speaker 4: but it's pretty prevalent.

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Speaker 2: Sure.

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Speaker 4: And dementia's actually super misunderstood. It gets confused with Alzheimer's

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Speaker 4: a lot, or there's a lot of different kinds of dementia,

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Speaker 4: But dementia is actually it's not a disease. It's a

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Speaker 4: set of symptoms that's brought on by disease.

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Speaker 2: Yeah.

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Speaker 1: I think that is widely misunderstood. Yeah, but you are

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Speaker 1: totally correct.

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Speaker 2: A set of symptoms, and.

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Speaker 1: It is not just your garden variety forgetfulness that comes

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Speaker 1: as you age.

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Speaker 4: No, because that is age related and that is normal.

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Speaker 1: The totally age related things called age associated memory impairment,

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Speaker 1: and that is uh. I think, I mean that happens

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Speaker 1: to everyone, right, It's just.

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Speaker 4: Like you forget your keys more often, that kind of stuff. Sure,

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Speaker 4: But when you do forget your keys more often, you

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Speaker 4: snap your finger and go, ah, I forgot my keys again,

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Speaker 4: what is wrong with me? Yeah, that's normal.

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Speaker 1: One of the big tells of true dementia is when

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Speaker 1: you don't realize that you're forgetting right.

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Speaker 2: So that's when it gets scary.

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Speaker 4: Right, And we said that it's not a natural consequence

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Speaker 4: of age. And one of the things that I turned

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Speaker 4: up in researching this is we're not exactly sure what

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Speaker 4: causes dementia. We don't even know if some of the

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Speaker 4: telltale signs of dementia are the cause of dementia in

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Speaker 4: some cases or the result of dementiae. Not entirely certain,

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Speaker 4: but it is very widespread among the aged population. In

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Speaker 4: the United States. I think five point three million Americans

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Speaker 4: have dementia right now.

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Speaker 2: Wow.

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Speaker 4: And as our population ages, because the baby boomers are

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Speaker 4: starting to get older, I think they're expecting something like

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Speaker 4: sixteen million Americans are going to have it by twenty fifty.

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Speaker 4: Sixteen million is I think how many? About how many

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Speaker 4: people have it around the world right now? And in

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Speaker 4: America alone, we're going to have that number in twenty fifty. Yeah,

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Speaker 4: and it's very expensive, Actually, how much money a lot?

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Speaker 4: You ready for this?

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Speaker 2: Yeah?

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Speaker 4: In twenty fifteen, we have spent two hundred and twenty

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Speaker 4: six billion dollars on healthcare for dementia a while, and

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Speaker 4: they're expecting by I believe twenty fifty, when we are

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Speaker 4: caring for sixteen million in twenty fifteen dollars, not futuristic,

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Speaker 4: much more inflated fifty do right in twenty fifteen dollars,

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Speaker 4: We'll be spending about one point two trillion dollars on

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Speaker 4: dementia if somebody doesn't do something.

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Speaker 2: Man.

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Speaker 4: Yeah, it's very expensive. It's also extraordinarily sad as far

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Speaker 4: as diseases or symptoms of diseases. Yeah, yeah.

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Speaker 1: And I also want to recommend our May twenty eleven episode,

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Speaker 1: A podcast to remember. Our memory episode ties heavily into this,

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Speaker 1: So if you haven't listened to that one yet, go

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Speaker 1: listen to that one, either before or after.

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Speaker 4: Or if you listen to it and forgot, go back

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Speaker 4: and listen to it.

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Speaker 2: That's right.

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Speaker 1: So dementia itself is not diagnosed. It's not simply memory loss.

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Speaker 1: It's memory loss along with one of the following at

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Speaker 1: least one of the following one or more. Aphasia, which

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Speaker 1: is if you can't understand or produce language any longer,

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Speaker 1: a praxia, and all these are super sad if you've

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Speaker 1: ever seen.

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Speaker 2: Them up close.

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Speaker 1: A praxia if you cannot make certain movements even though

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Speaker 1: your body physically is healthy, right, agnosia, which is you

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Speaker 1: don't recognize objects like the remote control or your grandkids,

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Speaker 1: stuff like that. And then executive dysfunction when you have

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Speaker 1: a lot of troubles planning and organizing and reasoning. So

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Speaker 1: that along with the memory loss or at least one

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Speaker 1: of these, you could be diagnosed with dementia, right.

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Speaker 4: And so, like we said, dementia is a set of symptoms, right, Yes,

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Speaker 4: it's actually brought on by disease. And the most common

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Speaker 4: cause of dementia I think something like sixty or seventy

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Speaker 4: percent or something like that of dementia cases is brought

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Speaker 4: on by Alzheimer's disease.

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Speaker 1: I could have sworn we did one on Alzheimer's, but

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Speaker 1: we have not. Yeah, I don't think we have.

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Speaker 2: I don't know. We've talked about it enough.

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Speaker 4: I think, yeah, it's popped up plenty of times, but

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Speaker 4: we've never just done a straight up Alzheimer's. Alzheimer's brings

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Speaker 4: on dementia through something called neurofibrillary fibrillary tangles also known

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Speaker 4: as beta I'm sorry, tau protein tangles. Yeah, and beta

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Speaker 4: amyloid plaques, right.

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Speaker 1: Yeah, and the plaquesa's like a just a protein build up,

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Speaker 1: a sticky protein build.

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Speaker 4: Up, Yeah, which is so when you when your neurons

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Speaker 4: fire and you have a thought, it's an electrochemical process,

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Speaker 4: and there's residual that is left behind, and these residuals

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Speaker 4: can build up in your synapses and cause your synapses

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Speaker 4: to not fire as well. And when your synapses don't

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Speaker 4: fire as well, they start to die off, and the

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Speaker 4: neurons that are there that lead from these synapses or

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Speaker 4: lead to these synapses, die themselves and you have neural loss.

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Speaker 4: Like literally the brain cells in your brain are dying

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Speaker 4: off at a rapid rate. Yeah, and when it's caused

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Speaker 4: by beta proteins and TAO or beta amyloid plaques and

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Speaker 4: tau proteins in the cells, then what you have is Alzheimer's.

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Speaker 1: Yeah, And they aren't sure the cause of Alzheimer's still,

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Speaker 1: Genetics is they think has a lot to do with it.

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Speaker 2: And you can live with Alzheimer's for while.

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Speaker 1: Up to a decade, although they said in this article

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Speaker 1: many says three to five years is more common.

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Speaker 2: So, yeah, it definitely shortened your lifespan.

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Speaker 4: And like you said, genes are definitely part of the

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Speaker 4: risk factors. A polypo protein, a polopo protein. E okay,

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Speaker 4: I think, which is weird. If you have a mutation

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Speaker 4: on this gene, you have a higher risk of Alzheimer's,

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Speaker 4: even though the gene just codes for a protein that

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Speaker 4: carries cholesterol through your bloodstream. Yeah, doesn't have anything to

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Speaker 4: do with the TAU protein tangles or anything like that

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Speaker 4: as far as I know. That's weird. Also, if you

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Speaker 4: have a family history of dementia, you're you have of Alzheimer's,

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Speaker 4: you have a higher likelihood. And then if you have

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Speaker 4: down syndrome, you are at a higher risk of developing

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Speaker 4: Alzheimer's in middle age.

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Speaker 1: Oh really yeah, interesting, So that's and we will do

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Speaker 1: one on Alzheimer's. But that's how Alzheimer's can call dementia.

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Speaker 1: There's also vascular dementia, which is that was the case

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Speaker 1: with my grandfather who he had a stroke, and it

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Speaker 1: accounts for about twenty percent of dementia cases.

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Speaker 2: And you know, stroke is when.

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Speaker 1: You have a loss of blood supply to the brain

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Speaker 1: or a hemorrhage or a blood clot and it can

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Speaker 1: be either one big stroke event which causes a lot

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Speaker 1: of damage. And that's a single INFARCD dementia, or it

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Speaker 1: can be a lot of the accumulation of symptoms because

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Speaker 1: of a lot of little mini strokes you have over

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Speaker 1: the years.

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Speaker 4: Right, and then the damage just builds up and you

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Speaker 4: finally once that last one that does the straw that

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Speaker 4: breaks the camel's back. Yeah, and you have dementia that

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Speaker 4: happens pretty rapidly after that last that last one, that

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Speaker 4: last stroke you have.

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Speaker 1: Yeah, and that's a multi infarc when it's a bunch

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Speaker 1: of them, and little many strokes are common a lot.

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Speaker 1: Sometimes you have them and don't even realize you've had them.

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Speaker 1: Right with my grandfather, he had the big one and

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Speaker 1: oh really, Yeah, we talked about this before and I

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Speaker 1: think something about speech, but yeah, he lost his ability

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Speaker 1: to speak, you know, English.

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Speaker 4: So that would be a phasia.

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Speaker 1: Yes, he couldn't produce language, well, he produced, Yes, he

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Speaker 1: cannot produce language. He said things, but it you know,

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Speaker 1: it didn't make any sense, gotcha. But he had an understanding.

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Speaker 1: You could see the frustration. Yeah, you know, I know

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Speaker 1: how to how I'm supposed to. My grandmother is driving us,

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Speaker 1: let's say, and she doesn't know how to get there.

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Speaker 1: He does, and he can't tell her, but he's telling her. Yeah,

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Speaker 1: it's just coming out all mixed up.

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Speaker 4: And that's that's a hallmark of dementias. There's emotional changes

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Speaker 4: in the person because they they're not communicating like they

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Speaker 4: want to say, people aren't responding like they want the

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Speaker 4: people to and they'll get snippy and then ultimately say withdrawal.

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Speaker 4: They'll just give up on communicating at all because it's

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Speaker 4: too frustrating or just too sad, you know, yeah, which

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Speaker 4: is it's one of the common results of dementia. It's

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Speaker 4: a comorbidity. No, it's a complication.

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Speaker 2: Yeah.

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Speaker 1: And then and with the single stroke event or actually

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Speaker 1: or with the multi strokes, it's.

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Speaker 2: Different for everyone.

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Speaker 1: There isn't any single like, well, this is going to

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Speaker 1: happen because this person had a stroke, right, It could

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Speaker 1: be a variety of different things from you know, paralysis

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Speaker 1: on one side of the face or body bowel and

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Speaker 1: bladder control problems. He didn't have any of those. He

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Speaker 1: looked totally the same physically, He walked and talked the same,

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Speaker 1: except for the fact that they weren't real words.

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Speaker 4: Right.

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Speaker 2: That was like the most noticeable thing.

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Speaker 4: I remember you telling me about your grandfather before I

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Speaker 4: don't remember what it was.

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Speaker 2: It was a long time.

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Speaker 4: We were talking about speech, like where Nicky's area or

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Speaker 4: broke his area? Yeah, yeah, something like that. So with Alzheimer's,

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Speaker 4: it first attacks the hippocampus, which means that it's going

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Speaker 4: to take away your episodic memory, which is your memory

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Speaker 4: of recent events, right, Yeah, and then it starts to

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Speaker 4: move its way into other areas of the brain where

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Speaker 4: your judgment is affected, your speech patterns are going to

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Speaker 4: be affected. Your personality is very much affected and changes

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Speaker 4: with Alzheimer's. With Alzheimer's, but not as much with the stroke. Yeah.

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Speaker 4: With vascular dementia, you know, there might be some other

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Speaker 4: things where like part of the faces sagging, or the

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Speaker 4: patient can't move their arm or something like that, but yeah,

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Speaker 4: the personality will remain intact because those regions of the

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Speaker 4: brain aren't affected like they are in Alzheimer's.

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Speaker 2: Yes.

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Speaker 1: And then in about five to fifteen percent of dementia

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Speaker 1: cases it stems from something called Louis body dementia.

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Speaker 2: Which we were just talking about. They think Robin Williams

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Speaker 2: might have suffered from.

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Speaker 4: He definitely did.

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Speaker 2: He definitely did.

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Speaker 4: Yeah. They found in his autops that he had I

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Speaker 4: think he was diagnosed with it before he died. No, okay,

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Speaker 4: that was one of the reasons why he took his life.

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Speaker 1: Yeah, because that can cause severe intense hallucinations.

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Speaker 4: Yeah big time. Did you look up?

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Speaker 2: Oh yeah, man, very scary stuff.

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Speaker 4: You like, very apparently A typical one is very brightly

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Speaker 4: colored animal or person. Yeah, that you see in great

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Speaker 4: detail for many minutes on daily a daily basis, like

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Speaker 4: just intense hallucinations.

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Speaker 2: I'm sure you think you're you know, losing it, right.

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Speaker 4: And that's one of the first symptoms of Louis body dementia.

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Speaker 1: And it was discovered by Frederick Louis and nineteen twelve.

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Speaker 1: And it has has nothing to do with your body.

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Speaker 1: A Louis body is there are deposits again protein deposits

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Speaker 1: of the alpha.

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Speaker 2: Sinucleon that appear on the brain.

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Speaker 1: So don't think of body in the terms of like

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Speaker 1: your physical body, right. And this is also president Louis

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Speaker 1: Body's and Parkinson's. So as a result, not only are

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Speaker 1: you going to have symptoms similar to Alzheimer's with Louis

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Speaker 1: body dementia, but also some of the tremors and balance

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Speaker 1: issues of Parkinson's right, which is super sad as well.

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Speaker 4: Is that what Michael J. Fox has Parkinson's?

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Speaker 2: Yeah?

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Speaker 4: Yeah, and that's that's what the movie Awakenings was about.

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Speaker 4: When they wasn't it like a group of Parkinson's patients

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Speaker 4: that like L.

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Speaker 2: Dobo worked on, was that Parkinson's I can't remember.

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Speaker 4: I think they didn't. They didn't realize what they thought

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Speaker 4: they were locked in or something in there. I realized

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Speaker 4: their Parkinson's strummers were so acute that they were like

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Speaker 4: they were not even shaking, they were just fretly. Yeah. Interesting,

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Speaker 4: They're just their muscles were totally contracted rather than contracting

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Speaker 4: and relaxing again and again.

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Speaker 2: And Robert Williams, Yeah, how about that?

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Speaker 1: Yeah, then we have something that used to be well

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Speaker 1: it's called now fronto temporal dementia. It used to be

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Speaker 1: called Pick's disease, but now Pick's disease is a specific.

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Speaker 4: Version which I couldn't really suss out what the difference is,

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Speaker 4: could you know?

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Speaker 2: I couldn't either, as.

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Speaker 4: Long as it wasn't just me, I feel better.

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Speaker 1: But ft D is really an umbrella term. It's about

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Speaker 1: five percent of dementia cases, and it's going to affect personality,

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Speaker 1: behavior and language, like big time, big time, and it's

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Speaker 1: where your frontal and temporal lobes are actually atrophying and shrinking.

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Speaker 4: Right. And the reason why is you remember with Alzheimer's

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Speaker 4: you have beta amyloid plaques and tau protein tangles.

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Speaker 2: Yeah.

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Speaker 4: Well, with the fronto temporal dementia, you don't have the

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Speaker 4: beta amyloid plaqs. You just have the tau protein tangles.

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Speaker 4: But it's enough to cause massive neuronal loss.

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Speaker 2: Yeah.

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Speaker 1: And this is like I think a lot of people

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Speaker 1: at first think they might have tourette Yeah, because you

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Speaker 1: can yell things out inappropriate behaviors.

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Speaker 4: Yeah, Like if your grandfather suddenly becomes hyper interested in

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Speaker 4: sex and likes to talk about it in public, or yeah,

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Speaker 4: exposes himself to people in public, there's a pretty good

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Speaker 4: chance that he has developed fronto temporal dementia.

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Speaker 1: Or if I did, because it's unusual in that it

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Speaker 1: attacks younger people. It's gonna onset between forty and seventy

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Speaker 1: five years old, which distinguishes it from their types of dementia.

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Speaker 4: Yeah. And if your grandfather used to do that stuff already,

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Speaker 4: then that's not the case. The key here is that,

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Speaker 4: like this has come out of the blue, somebody is

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Speaker 4: really just completely changed in their personality. They might get

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Speaker 4: into really risky behavior like gambling all of a sudden.

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Speaker 1: Yeah, shoplifting Yeah, and like risky investments are like pulling

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Speaker 1: all their money out of the bank.

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Speaker 4: Yeah. And with picks disease too. Apparently apathy is a

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Speaker 4: big indicator of this. There's a big personality change and

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Speaker 4: the person is no longer they have no empathy, they

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Speaker 4: have blunted emotions. Yeah, and then they may also be

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Speaker 4: engaging in risky behavior. So basically your grandpa or your

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Speaker 4: grandma has just turned into like the transporter you know,

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Speaker 4: or me or you well, yeah, you're five. You lack empathy.

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Speaker 2: No no, no, I'm just saying, oh, I see, because.

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Speaker 4: It affects you sing like they turned into you. Oh no, no, no,

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Speaker 4: you have blunted emotions and amble.

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Speaker 2: There's also Huntington's disease.

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Speaker 1: This is it seems like much more physical in nature,

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Speaker 1: uncontrollable movements, although there are changes in personality, but real fidgety, herky, jerky.

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Speaker 1: Your brain loses the ability to control coordination essentially, right,

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Speaker 1: which is I think fifty percent chance of inheriting the gene.

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Speaker 1: But you can live with it for up to twenty years. Yeah,

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Speaker 1: which seems like, as far as dementia go, is one

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Speaker 1: of the longer life expectancies.

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Speaker 4: But again, I mean, like I would guess this has

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Speaker 4: kind of become clear. The hallmark of dementia is memory

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Speaker 4: loss paired with some other problem like not being able

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Speaker 4: to create speech any longer recognize speech, or not being

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Speaker 4: able to move that kind of thing, or not being

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Speaker 4: able to plan. And like we said, well we should

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Speaker 4: probably take a break. Huh.

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Speaker 1: Yeah, we got a couple of more types that we'll

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Speaker 1: talk about and then some other good stuff. Okay, right

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Speaker 1: after this, the last two, actually the last three we're

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Speaker 1: going to talk about, because there are many many other

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Speaker 1: kinds of dementia, Like, we could spend hours and hours

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Speaker 1: talking about all the different kinds hours, But we have

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Speaker 1: talked about kreutz felt yakup disease and I.

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Speaker 2: Can't remember which one, and we say that all the time.

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Speaker 4: Is there a disease that kills by preventing sleep?

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Speaker 2: Oh?

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Speaker 4: Is that the one which we should have rightly called

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Speaker 4: how prion diseases work?

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Speaker 1: Yeah, because is a prion infection. It's very rare, about

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Speaker 1: one out of a million people will be affected in

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Speaker 1: any given.

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Speaker 4: Year, like mad cow disease or KU Yeah, exactly. It's

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00:19:02,080 --> 00:19:06,400
Speaker 4: a sponge of form disease. Yeah, so crazy, it is.

364
00:19:06,640 --> 00:19:11,280
Speaker 4: It's very interesting. It could be genetic. But and I

365
00:19:11,280 --> 00:19:13,399
Speaker 4: thought we also talked about it in an organ transplant.

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Speaker 1: I think so, because it can occur because of infected

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Speaker 1: tissue that you are implanted with or from an organ.

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Speaker 4: Yeah. And this is neuronal loss due to the like

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00:19:24,800 --> 00:19:31,960
Speaker 4: holes literally being eaten into your brain by this disease. Yeah.

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Speaker 4: And then you can also get dementia from when you

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Speaker 4: have HIV. If you are a boxer or say a

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Speaker 4: football player in the NFL, you may have dementia from

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Speaker 4: a traumatic brain injury like a concussion of repeated concussions.

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Speaker 4: And there are plenty of diseases. There's also reversible dementia too.

375
00:19:54,440 --> 00:20:01,480
Speaker 4: If you have a vitamin deficiency, if you take certain medications,

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Speaker 4: you can develop dementia, but this is reversible for the

377
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Speaker 4: most part. Though, age associated dementia is not reversible. And

378
00:20:11,040 --> 00:20:14,040
Speaker 4: like we said, it's kind of tricky to diagnose this

379
00:20:14,119 --> 00:20:18,680
Speaker 4: stuff because it is normal for people to become more

380
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Speaker 4: forgetful as you age, and then to make it even

381
00:20:22,680 --> 00:20:28,480
Speaker 4: more confounding if you're a diagnostician. Not only do people

382
00:20:28,480 --> 00:20:32,560
Speaker 4: get more forgetful, there's an intermediate stage between dementia, a

383
00:20:32,640 --> 00:20:37,160
Speaker 4: dementia diagnosis, and just normal age related forgetfulness, and that

384
00:20:37,440 --> 00:20:42,399
Speaker 4: is called mild cognitive impairment. So if you can catch

385
00:20:42,400 --> 00:20:45,360
Speaker 4: this from what I understand, and we'll talk about treatments

386
00:20:45,359 --> 00:20:47,840
Speaker 4: and everything later, but if you can catch things like

387
00:20:47,880 --> 00:20:53,240
Speaker 4: Alzheimer's and other diseases that lead to dementia early, although

388
00:20:53,280 --> 00:20:56,879
Speaker 4: there's no cure for any of them, you can manage

389
00:20:56,920 --> 00:21:01,199
Speaker 4: them a lot better and delay to death like the

390
00:21:01,280 --> 00:21:05,000
Speaker 4: real devastation associated with it. Yeah, by a significant amount

391
00:21:05,040 --> 00:21:09,320
Speaker 4: of time. Catching is the tricky part, and especially if

392
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Speaker 4: you have dementia, you don't really realize that there's any

393
00:21:12,600 --> 00:21:16,640
Speaker 4: kind of problem. So you're probably not going to take

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00:21:16,640 --> 00:21:17,679
Speaker 4: yourself to the doctor.

395
00:21:18,720 --> 00:21:20,919
Speaker 1: No, but you what you should do is listen to

396
00:21:21,000 --> 00:21:23,360
Speaker 1: your loved ones because they are going to be looking

397
00:21:23,400 --> 00:21:26,400
Speaker 1: at you a little more closely then you can.

398
00:21:26,760 --> 00:21:30,640
Speaker 2: You know that they have more perspective. Yeah, exactly, that's

399
00:21:30,640 --> 00:21:31,360
Speaker 2: what you're looking for.

400
00:21:33,119 --> 00:21:35,359
Speaker 1: So don't get you know, don't get offended if a

401
00:21:35,400 --> 00:21:38,160
Speaker 1: loved one says, let's go get you checked out, because

402
00:21:38,200 --> 00:21:39,719
Speaker 1: you can do something if you catch it early on.

403
00:21:39,920 --> 00:21:43,360
Speaker 4: Right, unless you're very wealthy and it's your no good

404
00:21:43,440 --> 00:21:47,080
Speaker 4: nephew that you've never trusted anyway, you know, very true,

405
00:21:47,119 --> 00:21:49,440
Speaker 4: then maybe bring a lawyer in on it's right, see

406
00:21:49,440 --> 00:21:49,840
Speaker 4: what's up.

407
00:21:51,119 --> 00:21:53,000
Speaker 2: So if you do go get checked out.

408
00:21:53,480 --> 00:21:55,800
Speaker 1: From the second you walk in the door, your doctor

409
00:21:55,840 --> 00:21:58,440
Speaker 1: is going to be eyeballing you and looking for any

410
00:21:58,520 --> 00:22:04,040
Speaker 1: signs just from their their trained eye, like you know,

411
00:22:04,040 --> 00:22:06,440
Speaker 1: from how you walk to the way you answer questions

412
00:22:07,200 --> 00:22:08,400
Speaker 1: to how they interact with you.

413
00:22:09,440 --> 00:22:10,320
Speaker 2: They want to know you.

414
00:22:10,480 --> 00:22:13,280
Speaker 1: They're gonna have to know your history because they need

415
00:22:13,320 --> 00:22:16,840
Speaker 1: to have some context to compare it to right.

416
00:22:16,720 --> 00:22:19,280
Speaker 4: Like were you always a compulsive gambler? Is just like

417
00:22:19,520 --> 00:22:20,280
Speaker 4: new behavior?

418
00:22:20,480 --> 00:22:23,760
Speaker 1: Yeah, and it helps to bring you know if if

419
00:22:23,760 --> 00:22:26,600
Speaker 1: you're older, maybe bring your grown son or daughter with you.

420
00:22:27,000 --> 00:22:28,919
Speaker 2: Or whoever has a lot of fountact.

421
00:22:29,000 --> 00:22:33,679
Speaker 1: Sure, although your spouse you never know what, I don't know,

422
00:22:33,720 --> 00:22:34,879
Speaker 1: maybe trying to get read of you.

423
00:22:35,200 --> 00:22:37,720
Speaker 4: Oh yeah, like that no good nephew, Yeah.

424
00:22:37,520 --> 00:22:41,920
Speaker 1: Exactly, I'm just kidding, of course, although I'm sure that happens.

425
00:22:42,480 --> 00:22:44,119
Speaker 1: Then there are a couple of tests that they usually

426
00:22:44,160 --> 00:22:48,680
Speaker 1: do in conjunction with one another. The many mental state

427
00:22:48,840 --> 00:22:55,120
Speaker 1: examination the MMS just a lot of basic questions there

428
00:22:55,160 --> 00:22:56,800
Speaker 1: for mental tasks.

429
00:22:56,560 --> 00:22:57,320
Speaker 4: But they're coded.

430
00:22:57,359 --> 00:23:00,000
Speaker 2: The tasks are yeah, and they're scored individually.

431
00:23:00,280 --> 00:23:06,920
Speaker 4: Yeah, and when you say question three, this person got

432
00:23:06,920 --> 00:23:10,280
Speaker 4: an eight on you can go over and be like, yeh, dementia.

433
00:23:10,600 --> 00:23:13,880
Speaker 4: And it's actually pretty effective, actually it is. And there's

434
00:23:13,960 --> 00:23:18,840
Speaker 4: another test that ties into the MMSEC that they both

435
00:23:18,880 --> 00:23:22,439
Speaker 4: indicate one another, which apparently they're both really good at

436
00:23:22,440 --> 00:23:25,800
Speaker 4: indicating dementia because this other test called the clock drawing test.

437
00:23:25,840 --> 00:23:27,000
Speaker 4: Did you look this thing up? Yeah?

438
00:23:27,040 --> 00:23:29,600
Speaker 1: I thought this was pretty fascinating, It really is. It

439
00:23:29,640 --> 00:23:33,520
Speaker 1: seems really like why would someone tell someone to draw

440
00:23:33,560 --> 00:23:35,800
Speaker 1: a clock at a certain time.

441
00:23:35,640 --> 00:23:36,040
Speaker 2: Of the day.

442
00:23:36,160 --> 00:23:39,800
Speaker 4: Yeah, Usually they say draw a clock showing that it's

443
00:23:39,920 --> 00:23:44,320
Speaker 4: ten after eleven. Yeah, And it makes a lot of

444
00:23:44,359 --> 00:23:46,000
Speaker 4: sense in a lot of ways because it draws on

445
00:23:46,040 --> 00:23:48,680
Speaker 4: all these different kinds or different regions of the brain,

446
00:23:48,800 --> 00:23:53,199
Speaker 4: different skills. Right, So, like, first of all, you have

447
00:23:53,280 --> 00:23:56,639
Speaker 4: to remember what a clock is and what it signifies.

448
00:23:56,760 --> 00:23:59,200
Speaker 4: That's a big one. What it looks like, Yeah, is

449
00:23:59,400 --> 00:24:02,360
Speaker 4: a clock isn't made of like squiggly lines or anything

450
00:24:02,440 --> 00:24:05,159
Speaker 4: like that. You have to remember how a clock is

451
00:24:05,200 --> 00:24:07,800
Speaker 4: laid out the order that the numbers go in that

452
00:24:07,880 --> 00:24:10,960
Speaker 4: it doesn't keep going after twelve to thirteen, fourteen, fifteen.

453
00:24:11,720 --> 00:24:14,280
Speaker 4: And then once you got all this, you have to

454
00:24:14,320 --> 00:24:18,639
Speaker 4: show the hands showing that it's ten after eleven, So

455
00:24:18,680 --> 00:24:21,199
Speaker 4: the hands won't be pointing at ten and eleven. It

456
00:24:21,280 --> 00:24:24,520
Speaker 4: should be the longer hand should be pointing at the two,

457
00:24:24,560 --> 00:24:26,920
Speaker 4: and the shorter hand should be just past the eleven. Right,

458
00:24:27,000 --> 00:24:30,639
Speaker 4: that's right. This requires a tremendous amount of brain power,

459
00:24:30,840 --> 00:24:32,679
Speaker 4: even though it's very simple and straightforward, and you can

460
00:24:32,680 --> 00:24:36,360
Speaker 4: tell a lot about a person's mental faculties just by

461
00:24:36,400 --> 00:24:37,240
Speaker 4: having them draw this.

462
00:24:37,600 --> 00:24:41,520
Speaker 1: Yeah, the four specific things that requires are verbal understanding, memory,

463
00:24:41,920 --> 00:24:45,560
Speaker 1: spatially coded knowledge, and constructive skills. And if any of

464
00:24:45,560 --> 00:24:48,800
Speaker 1: those are off in conjunction with the MMSC, then they're

465
00:24:48,800 --> 00:24:50,560
Speaker 1: going to have a pretty good idea where you fall

466
00:24:50,560 --> 00:24:51,840
Speaker 1: on the dimention scale.

467
00:24:51,880 --> 00:24:54,560
Speaker 4: If you don't have the constructive skills to pay the bills,

468
00:24:55,000 --> 00:24:56,000
Speaker 4: you may have dementia.

469
00:24:56,320 --> 00:24:59,280
Speaker 1: That's right, and they actually I looked at one study

470
00:24:59,359 --> 00:25:02,439
Speaker 1: about the clock drawing test. Basically I think it was

471
00:25:02,520 --> 00:25:04,679
Speaker 1: just a more recent like, hey, let's go in and

472
00:25:04,720 --> 00:25:07,160
Speaker 1: really look at this thing again, and it checks out.

473
00:25:07,320 --> 00:25:09,760
Speaker 2: Yeah, they stood behind it and said, yeah, it's actually

474
00:25:09,800 --> 00:25:10,680
Speaker 2: a really good indicator.

475
00:25:10,760 --> 00:25:13,680
Speaker 4: Yeah, like it really holds up. And I think they

476
00:25:13,720 --> 00:25:15,720
Speaker 4: developed it in the sixties, but it didn't take off

477
00:25:15,760 --> 00:25:17,000
Speaker 4: until the eighties, and then they.

478
00:25:17,160 --> 00:25:18,320
Speaker 2: Like it as sixties thing.

479
00:25:18,440 --> 00:25:20,960
Speaker 4: It does, you know, but it's something you can do anywhere.

480
00:25:21,040 --> 00:25:24,840
Speaker 4: And now they're starting to gather these different clocks that

481
00:25:24,880 --> 00:25:28,440
Speaker 4: people with different types of dementia are drawing and basically

482
00:25:28,440 --> 00:25:30,199
Speaker 4: compiling them into a data base so you know what

483
00:25:30,280 --> 00:25:33,000
Speaker 4: to look for. Even more like, oh, somebody draws a

484
00:25:33,080 --> 00:25:36,119
Speaker 4: clock that has like a thirteen, fourteen, fifteen on it, right,

485
00:25:36,240 --> 00:25:38,040
Speaker 4: they may have this type of dimension.

486
00:25:37,800 --> 00:25:40,560
Speaker 1: Right, and this one looks like Sabad or Dahli drew it, right.

487
00:25:41,320 --> 00:25:43,439
Speaker 1: Then they might have this kind of dementia, yeah, or

488
00:25:43,480 --> 00:25:46,160
Speaker 1: they might just be super talented creative.

489
00:25:46,359 --> 00:25:51,280
Speaker 2: Yeah, you never know. All right, let's should we take

490
00:25:51,280 --> 00:25:51,840
Speaker 2: another break?

491
00:25:51,880 --> 00:25:53,520
Speaker 4: Why not? Is it time? Sure?

492
00:25:53,680 --> 00:25:55,480
Speaker 1: All right, we'll be back after this to talk about

493
00:25:55,880 --> 00:26:14,680
Speaker 1: treatment and some of the other pitfalls of dementia.

494
00:26:18,920 --> 00:26:22,520
Speaker 4: So, Chuck, we've kind of I think it's almost goes

495
00:26:22,520 --> 00:26:26,240
Speaker 4: without saying, like the problems associated with dementia, like you

496
00:26:26,320 --> 00:26:30,320
Speaker 4: lose your ability to reason in a lot of cases,

497
00:26:30,600 --> 00:26:34,159
Speaker 4: you lose your ability to move and take care of yourself,

498
00:26:34,200 --> 00:26:36,920
Speaker 4: You lose your memories, you have trouble forming new memories,

499
00:26:36,960 --> 00:26:42,600
Speaker 4: you have trouble recognizing people. So living life is extremely difficult.

500
00:26:43,920 --> 00:26:46,280
Speaker 4: But there's also like other complications that you may or

501
00:26:46,320 --> 00:26:48,719
Speaker 4: may not think of. Right, So, let's say you're an

502
00:26:48,800 --> 00:26:52,919
Speaker 4: elderly person and you have a battery of medications that

503
00:26:53,000 --> 00:26:57,080
Speaker 4: you need to take for unrelated heart disease. Do you

504
00:26:57,080 --> 00:27:00,639
Speaker 4: think you're going to remember to take those medications? Probably not.

505
00:27:01,040 --> 00:27:03,479
Speaker 4: Even if you have like a time or set or

506
00:27:03,480 --> 00:27:06,000
Speaker 4: some sort of calendar or something like that, you may

507
00:27:06,160 --> 00:27:09,040
Speaker 4: have trouble even remembering that you have a calendar that

508
00:27:09,080 --> 00:27:11,920
Speaker 4: you need to go check out to see what's on there,

509
00:27:12,160 --> 00:27:15,040
Speaker 4: let alone to take the medication that's indicated that's on

510
00:27:15,080 --> 00:27:15,760
Speaker 4: that calendar.

511
00:27:16,040 --> 00:27:19,800
Speaker 1: Yeah, that's a big problem. Nutrition itself is a big problem.

512
00:27:20,200 --> 00:27:24,360
Speaker 2: Either you forget to eat altogether, or you think you've

513
00:27:24,400 --> 00:27:26,200
Speaker 2: already eaten, or you.

514
00:27:26,760 --> 00:27:30,000
Speaker 1: Physically have deteriorated so that you can't control the muscles

515
00:27:30,480 --> 00:27:32,080
Speaker 1: to chew and swallow.

516
00:27:32,080 --> 00:27:34,639
Speaker 2: Any good joke, right, it's real danger.

517
00:27:34,680 --> 00:27:37,480
Speaker 4: So when people die from Alzheimer's, it sounds kind of strange.

518
00:27:37,480 --> 00:27:39,040
Speaker 4: If you think about it, it's like, well, no, they

519
00:27:39,119 --> 00:27:41,639
Speaker 4: forgot they lost their memory or whatever, right, No, the

520
00:27:41,680 --> 00:27:46,760
Speaker 4: brain is actually being slowly destroyed, yeah, periodically, and eventually

521
00:27:46,760 --> 00:27:48,720
Speaker 4: it's going to reach the parts of the brain where

522
00:27:48,920 --> 00:27:51,880
Speaker 4: you can't swallow any longer. Then you die from that

523
00:27:51,960 --> 00:27:55,479
Speaker 4: kind of thing. You also can lose your sense of hunger,

524
00:27:56,320 --> 00:27:58,679
Speaker 4: like you just aren't hungry anymore. Yeah, it's kind of

525
00:27:58,720 --> 00:28:01,760
Speaker 4: tough to eat, especially when you're not thinking or remembering

526
00:28:01,800 --> 00:28:04,520
Speaker 4: that you should eat, when you're just not hungry.

527
00:28:04,560 --> 00:28:09,119
Speaker 1: Ever, Yeah, it's a tough one. Hygiene Reduced hygiene is

528
00:28:09,160 --> 00:28:12,240
Speaker 1: a big one. A lot of times in severe dementia cases,

529
00:28:13,200 --> 00:28:16,840
Speaker 1: you either are unable to bathe and dress yourself and

530
00:28:16,880 --> 00:28:20,800
Speaker 1: brush your teeth, or you forget to it just falls

531
00:28:20,800 --> 00:28:22,800
Speaker 1: by the wayside. I know that was the case with

532
00:28:22,840 --> 00:28:25,840
Speaker 1: my grandmother. She needed, you know, she needed to be

533
00:28:25,920 --> 00:28:27,760
Speaker 1: bathed by my dad.

534
00:28:27,760 --> 00:28:29,960
Speaker 4: Because she lost interest in it or because she just

535
00:28:30,000 --> 00:28:30,920
Speaker 4: couldn't do it anymore.

536
00:28:31,080 --> 00:28:33,040
Speaker 2: Uh, I think both.

537
00:28:33,200 --> 00:28:37,439
Speaker 4: Yeah. Yeah, that's another indicator. You said that when you

538
00:28:37,440 --> 00:28:39,480
Speaker 4: go in for a diagnosis, the doctor is going to

539
00:28:39,560 --> 00:28:41,760
Speaker 4: be watching you and just kind of sizing you up.

540
00:28:42,000 --> 00:28:43,440
Speaker 4: One of the things I look for is whether you

541
00:28:43,480 --> 00:28:46,880
Speaker 4: look disheveled. Yeah, that's a big one. And especially if

542
00:28:46,920 --> 00:28:49,560
Speaker 4: your son or daughter is saying like, this is really

543
00:28:49,600 --> 00:28:53,640
Speaker 4: bizarre behavior because mom always like dressed to the nines.

544
00:28:53,920 --> 00:28:55,440
Speaker 2: Yeah, when now she left the house.

545
00:28:55,240 --> 00:28:57,480
Speaker 4: She just wears this dirty old bathrobe all the time

546
00:28:57,480 --> 00:28:59,600
Speaker 4: and doesn't ever want to take a shower. Yeah, that's

547
00:29:00,120 --> 00:29:01,600
Speaker 4: usually an indicator of dementia.

548
00:29:02,120 --> 00:29:04,800
Speaker 1: Yeah, it's not like she just gave up and doesn't

549
00:29:04,800 --> 00:29:07,400
Speaker 1: care anymore, right, it's part of the symptoms.

550
00:29:07,680 --> 00:29:08,520
Speaker 2: Yeah, taking hold.

551
00:29:08,640 --> 00:29:13,000
Speaker 4: Although another problem with dementia and one of the confounding factors,

552
00:29:13,280 --> 00:29:17,600
Speaker 4: is that depression can be a byproduct or co morbidity

553
00:29:17,760 --> 00:29:22,680
Speaker 4: of dementia. Because you recognize that your life is changing

554
00:29:22,680 --> 00:29:25,280
Speaker 4: in ways that you're not happy about. You can't communicate anymore,

555
00:29:25,360 --> 00:29:28,040
Speaker 4: you forget stuff all the time, you can become depressed.

556
00:29:29,000 --> 00:29:31,480
Speaker 4: So then that could lead to you giving up on

557
00:29:32,040 --> 00:29:33,640
Speaker 4: taking showers and dressing as well.

558
00:29:33,680 --> 00:29:38,320
Speaker 1: Yeah, and not only depressed, but agitated and aggressive riddle

559
00:29:38,320 --> 00:29:41,520
Speaker 1: with anxiety. A lot of your emotional well being and

560
00:29:41,560 --> 00:29:44,920
Speaker 1: emotional health will be slipping away from you.

561
00:29:45,040 --> 00:29:48,160
Speaker 4: Yeah. And again this can be a direct result of

562
00:29:48,880 --> 00:29:53,320
Speaker 4: chemical changes in your brain due to dementia, or it

563
00:29:53,360 --> 00:29:56,840
Speaker 4: can be like this is the result of you recognizing

564
00:29:56,880 --> 00:29:59,400
Speaker 4: these changes and just becoming upset about them.

565
00:30:00,080 --> 00:30:04,400
Speaker 1: We talked about communication and the hallucinations. You're going to

566
00:30:04,440 --> 00:30:07,640
Speaker 1: have trouble sleeping as well in a lot of cases. Yeah,

567
00:30:07,680 --> 00:30:11,400
Speaker 1: and then personal safety. A lot of people die every

568
00:30:11,480 --> 00:30:15,800
Speaker 1: day because of accidents that happen as a result of dementia.

569
00:30:15,880 --> 00:30:18,200
Speaker 4: Right, People who shouldn't be driving to get into cars.

570
00:30:19,120 --> 00:30:22,080
Speaker 4: And there's this there's a push that's going on now,

571
00:30:22,120 --> 00:30:25,120
Speaker 4: I think in the last year or so as part

572
00:30:25,160 --> 00:30:27,840
Speaker 4: of the Council line Aging, like the United States Council

573
00:30:27,840 --> 00:30:31,120
Speaker 4: line Aging, there's a new initiative called the Dementia Friendly

574
00:30:31,160 --> 00:30:32,400
Speaker 4: America Initiative.

575
00:30:32,560 --> 00:30:33,320
Speaker 2: Really neat.

576
00:30:33,720 --> 00:30:37,080
Speaker 4: Yeah. It's basically saying, look, we've got about one in

577
00:30:37,120 --> 00:30:39,880
Speaker 4: eight people over sixty five in the US have dementia.

578
00:30:40,160 --> 00:30:42,240
Speaker 4: We're about to have way more than that in the

579
00:30:42,280 --> 00:30:45,040
Speaker 4: next couple decades. We need to be prepared for this

580
00:30:45,200 --> 00:30:48,920
Speaker 4: kind of thing. So let's start training America how to

581
00:30:49,080 --> 00:30:52,560
Speaker 4: recognize the signs of dementia and then how to react

582
00:30:52,600 --> 00:30:55,280
Speaker 4: to it in a friendly and helpful manner so that

583
00:30:55,480 --> 00:30:59,720
Speaker 4: people who are wandering around with dementia don't withdraw eighty

584
00:30:59,720 --> 00:31:03,400
Speaker 4: thousand dollars from their bank account and walk around with

585
00:31:03,440 --> 00:31:05,120
Speaker 4: it in their pockets outside.

586
00:31:05,520 --> 00:31:06,640
Speaker 2: Yeah, and how do you do that.

587
00:31:06,840 --> 00:31:10,800
Speaker 1: You get some money from the government as a grant

588
00:31:11,280 --> 00:31:15,000
Speaker 1: to go out and hire people to literally go to

589
00:31:15,080 --> 00:31:17,760
Speaker 1: businesses and go to restaurants and talk to waiters and

590
00:31:18,160 --> 00:31:23,120
Speaker 1: waitresses or should I just say waitrons, go to banks

591
00:31:23,120 --> 00:31:26,520
Speaker 1: and talk to tellers, go to anywhere where there's interaction

592
00:31:26,680 --> 00:31:30,920
Speaker 1: with another human, grocery store check out people, and literally

593
00:31:30,960 --> 00:31:34,040
Speaker 1: train them on, like you said, how to recognize it

594
00:31:34,080 --> 00:31:36,840
Speaker 1: and how to kindly deal with these people.

595
00:31:36,640 --> 00:31:40,560
Speaker 4: Right exactly. Apparently one of the things you teach people

596
00:31:40,720 --> 00:31:43,800
Speaker 4: in service industries is not take it personally. Right that

597
00:31:43,880 --> 00:31:47,360
Speaker 4: if somebody's behaving irratically or they're using incorrect words, and

598
00:31:47,400 --> 00:31:49,720
Speaker 4: they're of a certain age, the chances are they probably

599
00:31:49,720 --> 00:31:53,600
Speaker 4: have dementia, and there's ways of dealing with it. Apparently,

600
00:31:54,360 --> 00:31:59,600
Speaker 4: responding to it in a soft, friendly manner tends to

601
00:31:59,600 --> 00:32:05,480
Speaker 4: get results from the dementia patient, especially if you are

602
00:32:06,000 --> 00:32:09,720
Speaker 4: not being an aggressive jerky, right exactly, Just being nice

603
00:32:09,800 --> 00:32:14,880
Speaker 4: will yeah, frequently get good results. And yeah, it is

604
00:32:14,920 --> 00:32:16,760
Speaker 4: a pretty neat initiative.

605
00:32:16,680 --> 00:32:21,760
Speaker 2: Absolutely and necessary. Yeah, you know, but.

606
00:32:21,680 --> 00:32:25,600
Speaker 4: It's it's I'm stricken by the idea that people are

607
00:32:25,840 --> 00:32:29,400
Speaker 4: planning out this far ahead. Yeah, for this kind of thing.

608
00:32:29,440 --> 00:32:35,600
Speaker 1: It's exceptional, it is, and it's scary but awesome. So

609
00:32:35,720 --> 00:32:37,480
Speaker 1: if you do have a family member, one thing that's

610
00:32:37,720 --> 00:32:41,760
Speaker 1: important to remember. There's something called the caregiver burden that

611
00:32:41,840 --> 00:32:44,200
Speaker 1: my dad and his wife definitely experienced. It is really

612
00:32:44,480 --> 00:32:48,959
Speaker 1: really tough on you, on your family, and it can

613
00:32:49,000 --> 00:32:52,600
Speaker 1: actually take a physical toll. They have some stats here

614
00:32:52,640 --> 00:32:56,560
Speaker 1: if you your risk of death as a woman if

615
00:32:56,600 --> 00:33:01,320
Speaker 1: your husband has dementia increases twenty eight percent eight percent

616
00:33:01,400 --> 00:33:04,320
Speaker 1: in the first year after they're diagnosed. Yeah, and only

617
00:33:04,800 --> 00:33:08,240
Speaker 1: twenty two percent for a husband whose wife is diagnosed,

618
00:33:09,480 --> 00:33:09,920
Speaker 1: and then.

619
00:33:10,040 --> 00:33:13,920
Speaker 4: Still pretty significant incag sure, just from the dementia diagnosis.

620
00:33:15,080 --> 00:33:17,840
Speaker 1: And what they recommend in this article is to take

621
00:33:17,840 --> 00:33:22,360
Speaker 1: care of yourself first, because they found that if you

622
00:33:22,840 --> 00:33:25,959
Speaker 1: are not going into this with the right attitude and

623
00:33:26,120 --> 00:33:29,640
Speaker 1: you are upset or have anxiety, you're just gonna do

624
00:33:29,720 --> 00:33:30,800
Speaker 1: more harm anyway.

625
00:33:31,600 --> 00:33:34,200
Speaker 2: So get yourself right, take care of yourself.

626
00:33:34,200 --> 00:33:35,640
Speaker 1: And go into it in the right frame of mind,

627
00:33:35,680 --> 00:33:37,400
Speaker 1: and you'll actually be able to help better.

628
00:33:37,560 --> 00:33:40,960
Speaker 4: Yeah, And this caregiver burden or caregiver burnout is a

629
00:33:41,080 --> 00:33:44,680
Speaker 4: very real thing physically too, Like you have low energy,

630
00:33:45,160 --> 00:33:50,200
Speaker 4: you're you have low productivity, you become snippy, resentful, angry,

631
00:33:50,600 --> 00:33:53,720
Speaker 4: and you can end up basically mistreating your own parent

632
00:33:54,000 --> 00:33:58,720
Speaker 4: or spouse. Yeah, because you're so upset with this horrific disease.

633
00:33:59,280 --> 00:34:04,080
Speaker 4: One of the all of dementia is that there's no

634
00:34:04,520 --> 00:34:07,840
Speaker 4: two days that are alike. And when you're dealing with

635
00:34:08,280 --> 00:34:11,840
Speaker 4: the dementia patient, what worked yesterday isn't going to necessarily

636
00:34:11,920 --> 00:34:14,560
Speaker 4: work today. Well, if you can no longer predict what

637
00:34:14,600 --> 00:34:16,160
Speaker 4: your life is going to be like from day to

638
00:34:16,239 --> 00:34:19,239
Speaker 4: day and you're spending I think I saw this one

639
00:34:19,239 --> 00:34:21,680
Speaker 4: study that found an average of twenty two hours a

640
00:34:21,680 --> 00:34:27,120
Speaker 4: week of unpaid care by spouse's wives, daughters, that kind

641
00:34:27,160 --> 00:34:31,400
Speaker 4: of thing, you can very easily get stressed out. The

642
00:34:31,560 --> 00:34:34,080
Speaker 4: main thing you have to do is ask for respite care.

643
00:34:34,280 --> 00:34:36,880
Speaker 4: Like you can't do it by yourself. You have to

644
00:34:36,920 --> 00:34:41,120
Speaker 4: have other family members, members of your church, your community

645
00:34:41,400 --> 00:34:43,560
Speaker 4: come and give you a break so you can go

646
00:34:43,640 --> 00:34:46,920
Speaker 4: do other stuff for a while. Absolutely, and I mean

647
00:34:47,120 --> 00:34:49,400
Speaker 4: you could totally see how you could just very easily

648
00:34:50,600 --> 00:34:54,719
Speaker 4: evolve a really unhealthy dynamic if you're just trying to

649
00:34:54,719 --> 00:34:57,640
Speaker 4: do it yourself. Because you lose perspective. This becomes your norm,

650
00:34:57,680 --> 00:34:59,279
Speaker 4: even though it's totally abnormal.

651
00:35:00,080 --> 00:35:02,480
Speaker 1: Yeah, and boy, you talk about a really sad way

652
00:35:02,560 --> 00:35:06,719
Speaker 1: to damage what previously was a good relationship with a

653
00:35:06,800 --> 00:35:10,120
Speaker 1: parent or something is devastating, you know.

654
00:35:12,080 --> 00:35:16,360
Speaker 2: So there are drugs that they use to help stave off.

655
00:35:16,719 --> 00:35:25,160
Speaker 1: Dementia, mainly right now. They are colon esturays inhibitors, and

656
00:35:25,200 --> 00:35:28,800
Speaker 1: they suppress colon esterrays, which is an enzyme that breaks

657
00:35:28,880 --> 00:35:36,759
Speaker 1: down acetylathena colin, which we've talked about before. That's what

658
00:35:36,920 --> 00:35:40,000
Speaker 1: helps transmit messages between neurons.

659
00:35:40,920 --> 00:35:45,720
Speaker 4: So that will help, Yeah, because if you're not communicating

660
00:35:45,800 --> 00:35:49,759
Speaker 4: as much as you were before, at least the communication

661
00:35:49,880 --> 00:35:53,160
Speaker 4: that is going on can stick around longer, exactly. You know.

662
00:35:53,680 --> 00:35:56,799
Speaker 4: It seems primitive as far as like brain drugs go,

663
00:35:56,960 --> 00:35:59,000
Speaker 4: but it makes sense, you know. Yeah.

664
00:35:59,040 --> 00:36:01,239
Speaker 1: And then there's another one, and are they still using

665
00:36:01,280 --> 00:36:08,200
Speaker 1: this belief mamantine and it inhibitates inhibits glutamate, which we

666
00:36:08,280 --> 00:36:12,240
Speaker 1: talked about before, which causes neuron death when overstimulated.

667
00:36:12,360 --> 00:36:12,600
Speaker 4: Yeah.

668
00:36:12,640 --> 00:36:14,319
Speaker 2: I can't remember where we talked about that one either.

669
00:36:14,920 --> 00:36:17,880
Speaker 4: I just remember glutamate from the Umami episode.

670
00:36:18,040 --> 00:36:20,520
Speaker 2: Yeah, it was definitely that one.

671
00:36:20,680 --> 00:36:23,840
Speaker 4: And then there's also stuff you can so these drugs

672
00:36:23,920 --> 00:36:25,120
Speaker 4: will help some.

673
00:36:25,360 --> 00:36:26,960
Speaker 2: That's for non vascular dementia.

674
00:36:27,239 --> 00:36:30,480
Speaker 4: Right. With vascular dementia, you're gonna want to take blood

675
00:36:30,480 --> 00:36:34,799
Speaker 4: thinners that's superagulates, yeah, to keep more strokes from coming

676
00:36:34,800 --> 00:36:37,600
Speaker 4: along and making the whole thing worse. And then with

677
00:36:37,680 --> 00:36:40,000
Speaker 4: like Louis Body disease, to deal with things like the

678
00:36:40,480 --> 00:36:43,680
Speaker 4: hallucinations and stuff, you will probably also be given anti

679
00:36:43,680 --> 00:36:47,160
Speaker 4: psychotics as well. And one thing that they're starting to

680
00:36:47,200 --> 00:36:50,720
Speaker 4: realize more and more is very difficult to really figure

681
00:36:50,719 --> 00:36:55,600
Speaker 4: out what kind of dementia people have just from what's

682
00:36:55,640 --> 00:37:01,359
Speaker 4: the scan MRI scan, and you can really go back

683
00:37:01,400 --> 00:37:06,919
Speaker 4: and accurately identify types of dementia from autopsies right right,

684
00:37:07,760 --> 00:37:10,520
Speaker 4: And so for more and more autopsies, they're finding that

685
00:37:10,520 --> 00:37:13,359
Speaker 4: there's a lot of what's called mixed dementia where you

686
00:37:13,400 --> 00:37:17,640
Speaker 4: have Alzheimer's and vascular dementia, or where you have Alzheimer's

687
00:37:17,640 --> 00:37:22,439
Speaker 4: and Louis Body's disease. And so it can be really

688
00:37:22,520 --> 00:37:25,040
Speaker 4: tough to suss out all the different kinds of dementia

689
00:37:25,040 --> 00:37:27,640
Speaker 4: a person might have. But if you can do that,

690
00:37:27,719 --> 00:37:29,359
Speaker 4: then you can you can put them on a drug

691
00:37:29,360 --> 00:37:32,400
Speaker 4: regimen that could really kind of help more than just

692
00:37:32,520 --> 00:37:36,279
Speaker 4: treating the Alzheimer's, letting the Louis body go unrecognized and

693
00:37:36,400 --> 00:37:40,960
Speaker 4: rampant they're unchecked. There's also preventative stuff you can do too.

694
00:37:42,320 --> 00:37:45,759
Speaker 4: Oh yeah, yeah, like what crossword puzzles?

695
00:37:46,120 --> 00:37:51,640
Speaker 1: Yeah, I told you. Emily's grandmother, Mary is ninety five. Yeah,

696
00:37:51,680 --> 00:37:54,560
Speaker 1: and very sharp. Yeah, and she does.

697
00:37:54,680 --> 00:37:58,680
Speaker 2: Word puzzles all the livelong day and is soku.

698
00:37:59,120 --> 00:38:02,040
Speaker 1: Yeah she does. She does all kinds of word puzzles. Yeah,

699
00:38:02,360 --> 00:38:03,719
Speaker 1: things that I have never even heard of.

700
00:38:03,880 --> 00:38:08,440
Speaker 4: Supposedly that helps stave it off. Yeah, apparently this one's great.

701
00:38:08,560 --> 00:38:12,600
Speaker 4: Alcohol moderate alcohol consumption, which is two a day or

702
00:38:12,680 --> 00:38:15,600
Speaker 4: for men or one a day for women. Okay, it

703
00:38:15,800 --> 00:38:20,200
Speaker 4: has a protective effect. It staves off, stays off dementia.

704
00:38:20,400 --> 00:38:23,239
Speaker 4: They're not sure why, they're not sure what kind of

705
00:38:23,280 --> 00:38:27,320
Speaker 4: alcohol is the best. They just know that for some reason,

706
00:38:27,400 --> 00:38:29,560
Speaker 4: alcohol has a protective.

707
00:38:29,120 --> 00:38:32,319
Speaker 1: Effect, probably up to that two drinks, and then it's

708
00:38:32,360 --> 00:38:33,319
Speaker 1: probably bad after that.

709
00:38:33,480 --> 00:38:35,880
Speaker 4: Yes, then it becomes very bad after that. Yeah. So

710
00:38:35,920 --> 00:38:37,680
Speaker 4: you want to just moderate them.

711
00:38:37,520 --> 00:38:43,759
Speaker 1: Ount right, in all things, people, moderation, moderation, And then

712
00:38:45,080 --> 00:38:46,560
Speaker 1: there are some things that you can do.

713
00:38:48,400 --> 00:38:49,080
Speaker 2: Here's the thing.

714
00:38:49,200 --> 00:38:53,800
Speaker 1: There's a debate on whether or not you are tricking

715
00:38:53,960 --> 00:39:00,600
Speaker 1: your loved one by doing things like giving them an

716
00:39:00,640 --> 00:39:03,800
Speaker 1: appliance that doesn't work, so they can pretend that they're

717
00:39:04,360 --> 00:39:07,520
Speaker 1: ironing or something because they used to love to take

718
00:39:07,560 --> 00:39:10,600
Speaker 1: care of their laundry themselves. So here, let me remove

719
00:39:10,600 --> 00:39:14,480
Speaker 1: the cord from this iron and and is.

720
00:39:14,400 --> 00:39:15,280
Speaker 2: That tricking someone?

721
00:39:15,520 --> 00:39:15,880
Speaker 4: Is it not?

722
00:39:16,920 --> 00:39:18,840
Speaker 1: And a lot of people think, no, that's what you

723
00:39:18,880 --> 00:39:21,840
Speaker 1: should do because it makes them feel like they're being useful.

724
00:39:22,320 --> 00:39:24,839
Speaker 1: They're not gonna get hurt or hot iron, so it's

725
00:39:24,880 --> 00:39:29,160
Speaker 1: all good. Other people say no, that means that they're

726
00:39:29,160 --> 00:39:31,399
Speaker 1: not hanging on to that last bit of reality they

727
00:39:31,400 --> 00:39:31,799
Speaker 1: may have.

728
00:39:33,560 --> 00:39:34,280
Speaker 2: I think it's fine.

729
00:39:34,400 --> 00:39:37,320
Speaker 4: I think it's fine too. And there's actually there's a

730
00:39:37,320 --> 00:39:41,880
Speaker 4: an entire village set up in I think like just

731
00:39:41,920 --> 00:39:42,920
Speaker 4: outside of Amsterdam.

732
00:39:43,040 --> 00:39:45,120
Speaker 2: Yeah, this is awesome, called Hojuwei.

733
00:39:45,160 --> 00:39:47,600
Speaker 4: Right, Yeah, how would you say that?

734
00:39:47,920 --> 00:39:50,960
Speaker 1: I have no idea, because Dutch is the weirdest, the

735
00:39:51,000 --> 00:39:51,720
Speaker 1: weirdest language.

736
00:39:52,800 --> 00:39:56,239
Speaker 4: We'll say that, okay, okay, And it's a it is

737
00:39:56,280 --> 00:39:59,959
Speaker 4: a it's an what's called the dementia village basically, yeah,

738
00:40:00,120 --> 00:40:03,239
Speaker 4: where everyone who lives in this village. I think one

739
00:40:03,280 --> 00:40:07,480
Speaker 4: hundred and fifty people all have dementia, and they live

740
00:40:07,520 --> 00:40:08,440
Speaker 4: in group houses.

741
00:40:08,560 --> 00:40:10,680
Speaker 2: They're well, there's caretakers that live there too, but.

742
00:40:10,920 --> 00:40:13,480
Speaker 4: Okay, yes, you're right. Yeah, and they live in the

743
00:40:13,520 --> 00:40:15,360
Speaker 4: group houses with them. Yes, And a lot of the

744
00:40:15,400 --> 00:40:19,719
Speaker 4: people realize that this is their nurse or just think

745
00:40:19,760 --> 00:40:22,600
Speaker 4: it's a good friend of theirs. Yeah, they don't really

746
00:40:22,600 --> 00:40:26,400
Speaker 4: remember where when they became friends, yeah, exactly. Yeah. And

747
00:40:26,440 --> 00:40:29,279
Speaker 4: the houses they live in have different themes according to

748
00:40:29,320 --> 00:40:32,520
Speaker 4: how the people lived, depending on whether they're blue collar,

749
00:40:33,040 --> 00:40:35,960
Speaker 4: whether they their memories go back to the seventies. This

750
00:40:36,080 --> 00:40:39,120
Speaker 4: whole place is basically set up so that it's a

751
00:40:39,280 --> 00:40:43,120
Speaker 4: very non threatening safe place for these people just kind

752
00:40:43,120 --> 00:40:48,720
Speaker 4: of live and move about within sure safely, yeah, safely.

753
00:40:49,640 --> 00:40:52,120
Speaker 4: And so they can go to the grocery store, they

754
00:40:52,120 --> 00:40:55,640
Speaker 4: can go to the movies, they can go ride a bike.

755
00:40:55,600 --> 00:40:58,920
Speaker 1: And everyone, the people at the movie theater know that

756
00:40:59,000 --> 00:41:02,279
Speaker 1: the people there have dementia, right like every they're real

757
00:41:02,520 --> 00:41:05,760
Speaker 1: movie theater workers and real waiters in the restaurant, especially

758
00:41:05,800 --> 00:41:09,719
Speaker 1: trained exactly. So it's a less clinical setting than say

759
00:41:09,719 --> 00:41:12,719
Speaker 1: a nursing home. And a lot of people say this

760
00:41:12,880 --> 00:41:16,200
Speaker 1: is awesome because it's as close to real normal life

761
00:41:16,239 --> 00:41:18,320
Speaker 1: that they were used to as they're going to get Yeah, exactly.

762
00:41:19,000 --> 00:41:21,320
Speaker 1: Then of course there's other people that poopoo and say no,

763
00:41:21,320 --> 00:41:22,320
Speaker 1: you're tricking these people.

764
00:41:22,640 --> 00:41:26,840
Speaker 4: But you can say, hey, okay, here's the big difference

765
00:41:26,880 --> 00:41:30,760
Speaker 4: with this place. If this, If this dementia patient gets

766
00:41:30,840 --> 00:41:34,600
Speaker 4: lost in Manhattan and they run across a city worker

767
00:41:34,640 --> 00:41:39,000
Speaker 4: who's collecting garbage, that city worker may do absolutely nothing

768
00:41:39,040 --> 00:41:39,560
Speaker 4: to help them.

769
00:41:39,800 --> 00:41:40,040
Speaker 2: Yeah.

770
00:41:40,239 --> 00:41:45,520
Speaker 4: In HOJV village, Yeah, that city worker especially trained to

771
00:41:45,640 --> 00:41:48,879
Speaker 4: get that person back to their house or alert their

772
00:41:48,920 --> 00:41:52,120
Speaker 4: caretaker that this person is having a crisis or something

773
00:41:52,239 --> 00:41:52,520
Speaker 4: like that.

774
00:41:52,520 --> 00:41:54,120
Speaker 1: It's what we're trying to train people to do in

775
00:41:54,160 --> 00:41:56,760
Speaker 1: the future. Yes, they've just isolated it to a community.

776
00:41:56,840 --> 00:41:59,960
Speaker 4: Yeah, so there's I mean, when you break it down

777
00:42:00,160 --> 00:42:02,520
Speaker 4: to that distinction, I don't really see anything wrong with it,

778
00:42:02,640 --> 00:42:08,920
Speaker 4: especially when you are protecting the patients themselves. It's not

779
00:42:08,960 --> 00:42:11,360
Speaker 4: like you're doing it to experiment on them, no, no,

780
00:42:11,760 --> 00:42:15,279
Speaker 4: you know, or because they'll produce gold in their urine

781
00:42:15,400 --> 00:42:18,080
Speaker 4: or something like that. You know, like this is strictly

782
00:42:18,200 --> 00:42:22,279
Speaker 4: for their protection, yeah, but also allowing them to live

783
00:42:22,320 --> 00:42:26,120
Speaker 4: a free life outside of a clinical setting, right, I

784
00:42:26,120 --> 00:42:28,239
Speaker 4: don't see much wrong with that, I do get what

785
00:42:28,280 --> 00:42:31,280
Speaker 4: the bioethicists are saying, like, yeah, sure, you're robbing someone

786
00:42:31,280 --> 00:42:33,520
Speaker 4: of their dignity by lying to them, by diluting them,

787
00:42:33,600 --> 00:42:37,319
Speaker 4: or playing into their fantasies. Strictly speaking, Yes, in the

788
00:42:37,360 --> 00:42:39,480
Speaker 4: real practical world, I think this is great.

789
00:42:39,719 --> 00:42:42,120
Speaker 1: If I'm at that point, then and play into my

790
00:42:42,160 --> 00:42:43,879
Speaker 1: fantasy exactly, please.

791
00:42:44,680 --> 00:42:47,120
Speaker 4: It is nineteen eighty four all the time.

792
00:42:49,360 --> 00:42:51,200
Speaker 1: In fact, one of the people that work there say

793
00:42:51,239 --> 00:42:53,359
Speaker 1: that people that do criticize it at a very good point.

794
00:42:53,440 --> 00:42:55,839
Speaker 1: He's like, they don't understand what we're doing here. These

795
00:42:55,840 --> 00:42:59,759
Speaker 1: aren't actors. They're like real employees of these places. They're

796
00:42:59,800 --> 00:43:02,000
Speaker 1: just helping out right, you know.

797
00:43:02,280 --> 00:43:05,640
Speaker 4: And so Hojvei village. I hope I'm saying that right

798
00:43:05,640 --> 00:43:07,359
Speaker 4: because I'm really putting myself out there.

799
00:43:07,440 --> 00:43:08,319
Speaker 2: Oh, I'm sure you're not.

800
00:43:09,760 --> 00:43:13,560
Speaker 4: It's become this kind of ideal standard of care. But

801
00:43:13,600 --> 00:43:14,960
Speaker 4: it's also really expensive.

802
00:43:15,120 --> 00:43:15,800
Speaker 2: Yeah, I'm sure.

803
00:43:15,840 --> 00:43:18,520
Speaker 4: So in a country where there's a lot of socialized medicine,

804
00:43:18,640 --> 00:43:21,360
Speaker 4: it could do pretty well, like in the Netherlands or

805
00:43:21,400 --> 00:43:21,960
Speaker 4: in Canada.

806
00:43:22,040 --> 00:43:23,719
Speaker 1: Yeah, when they take care of people even though they

807
00:43:23,719 --> 00:43:25,320
Speaker 1: don't have money, right, Exactly.

808
00:43:25,600 --> 00:43:36,080
Speaker 4: There's one called in Canada. It's called Pentanguishani Pentanguishini, Ontario.

809
00:43:36,400 --> 00:43:38,399
Speaker 4: They have one, it's a little smaller than the one

810
00:43:38,400 --> 00:43:42,760
Speaker 4: in Amsterdam. They're also building one in Miami as well.

811
00:43:43,080 --> 00:43:45,840
Speaker 4: So it is starting to take hold. People do believe

812
00:43:45,880 --> 00:43:49,480
Speaker 4: in it, and apparently the patient's families are very happy

813
00:43:49,520 --> 00:43:50,960
Speaker 4: with this kind of thing too well.

814
00:43:51,000 --> 00:43:54,120
Speaker 2: And hopefully with the initiative of what's it called All.

815
00:43:54,280 --> 00:44:01,400
Speaker 1: Dementia America DFA, yeah or yeah, hopefully with those efforts,

816
00:44:02,239 --> 00:44:04,280
Speaker 1: more and more people will because it's coming.

817
00:44:04,840 --> 00:44:05,720
Speaker 4: Oh yeah, it's coming.

818
00:44:05,760 --> 00:44:07,080
Speaker 2: A lot more folks are going to be out there

819
00:44:07,080 --> 00:44:08,040
Speaker 2: that we need to take care of.

820
00:44:08,239 --> 00:44:12,360
Speaker 4: Yeah, we don't know how to cure dementia. We just

821
00:44:12,440 --> 00:44:13,080
Speaker 4: know it's coming.

822
00:44:13,520 --> 00:44:16,120
Speaker 1: I'm going to be one of them, you think, so

823
00:44:17,440 --> 00:44:19,680
Speaker 1: sure at some point if I make it that long.

824
00:44:20,400 --> 00:44:22,799
Speaker 4: But you know, not everybody gets dementia no matter how

825
00:44:22,800 --> 00:44:23,359
Speaker 4: long you live.

826
00:44:24,400 --> 00:44:24,759
Speaker 2: I don't know.

827
00:44:24,840 --> 00:44:28,440
Speaker 1: I got a feeling really, yeah, it does run in

828
00:44:28,440 --> 00:44:31,440
Speaker 1: my family a little bit. Yeah, and I have my

829
00:44:31,560 --> 00:44:35,719
Speaker 1: father's family jeans more than my mother's. I feel like,

830
00:44:37,760 --> 00:44:41,799
Speaker 1: so if if I had my mother's jeans, they all

831
00:44:41,840 --> 00:44:44,800
Speaker 1: died from heart attacks and strokes and heart disease.

832
00:44:45,239 --> 00:44:48,080
Speaker 2: Young, not a lot of cancer. Yeah pretty young.

833
00:44:48,200 --> 00:44:52,760
Speaker 4: Yeah, so if you make it past sixty five, yeah,

834
00:44:53,000 --> 00:44:54,799
Speaker 4: you beat the heart stuff.

835
00:44:54,520 --> 00:44:55,480
Speaker 2: Than the Bryant jeans.

836
00:44:57,040 --> 00:44:59,759
Speaker 4: Yeah. Well we're all going down one way and they love.

837
00:44:59,719 --> 00:45:00,360
Speaker 2: To be a hundred.

838
00:45:00,560 --> 00:45:06,400
Speaker 4: Yeah you know, yeah, man, I thought it was something.

839
00:45:06,440 --> 00:45:10,279
Speaker 4: Oh yeah, I wonder, Chuck, if like our specific like us,

840
00:45:10,360 --> 00:45:13,959
Speaker 4: you and me specifically, creaming all this information in every

841
00:45:14,000 --> 00:45:18,160
Speaker 4: week is actually beneficial, or if we're just setting ourselves

842
00:45:18,239 --> 00:45:21,360
Speaker 4: up for massive cases of dementia because we're just pushing

843
00:45:21,360 --> 00:45:23,480
Speaker 4: stuff in and getting it out, pushing in new stuff

844
00:45:23,480 --> 00:45:26,720
Speaker 4: and getting it out, Like are we abusing our brains

845
00:45:26,800 --> 00:45:29,400
Speaker 4: or are we exercising it? I question that sometimes.

846
00:45:29,480 --> 00:45:31,520
Speaker 1: I bet someone out there, I bet there's a neurologist

847
00:45:31,520 --> 00:45:34,239
Speaker 1: who has a good gut instinct answer to that.

848
00:45:34,520 --> 00:45:39,000
Speaker 4: Let us know. I want to know good news are bad? Okay, neurologists.

849
00:45:39,360 --> 00:45:43,680
Speaker 1: There's going to be a subject a line that just says, neurologists, guys,

850
00:45:43,719 --> 00:45:44,280
Speaker 1: you're screwed.

851
00:45:44,400 --> 00:45:47,000
Speaker 4: Yeah, I have bad news. If you want to know

852
00:45:47,040 --> 00:45:49,239
Speaker 4: more about dementia, you can type that word into your

853
00:45:49,239 --> 00:45:52,040
Speaker 4: favorite search engine and it will bring up tons of

854
00:45:52,040 --> 00:45:55,400
Speaker 4: information and great resources. You can also type it into

855
00:45:55,880 --> 00:45:57,719
Speaker 4: the search bar house to works and it'll bring up

856
00:45:57,719 --> 00:46:00,319
Speaker 4: a great article. Since I said search bar, its time.

857
00:46:00,280 --> 00:46:04,319
Speaker 1: For listener mil I'm gonna call this when Hecky Krasnaw

858
00:46:04,480 --> 00:46:12,160
Speaker 1: lives okay, although I don't think he is with us. Hey, guys,

859
00:46:12,239 --> 00:46:14,560
Speaker 1: only just started recently listening to the show. It's been

860
00:46:14,600 --> 00:46:17,840
Speaker 1: a fantastic way to pass time and learned something interesting.

861
00:46:18,280 --> 00:46:20,200
Speaker 2: I'm a home taught high schooler.

862
00:46:19,840 --> 00:46:22,200
Speaker 1: So every time I listen to an episode of your show,

863
00:46:22,280 --> 00:46:23,960
Speaker 1: I get a history or science credit.

864
00:46:24,560 --> 00:46:25,240
Speaker 2: How about that.

865
00:46:25,239 --> 00:46:26,240
Speaker 4: That's pretty great.

866
00:46:26,680 --> 00:46:28,920
Speaker 1: But as great as that is, it's not why I'm emailing.

867
00:46:28,960 --> 00:46:31,359
Speaker 1: I actually have a fun fact for you guys from

868
00:46:31,400 --> 00:46:35,000
Speaker 1: your playto episode in which you mentioned Captain Kangaroo. Well,

869
00:46:35,480 --> 00:46:38,680
Speaker 1: my great grandfather worked on that show. He produced the

870
00:46:38,719 --> 00:46:42,920
Speaker 1: songs for it, as well as several Christmas carols, including

871
00:46:43,239 --> 00:46:46,480
Speaker 1: Frosty the Snowman and his biggest claim to fame.

872
00:46:46,600 --> 00:46:47,880
Speaker 2: Rudolph the Red Nose Reindeer.

873
00:46:48,000 --> 00:46:48,800
Speaker 4: That is awesome.

874
00:46:49,160 --> 00:46:50,080
Speaker 2: I've always thought it was.

875
00:46:50,080 --> 00:46:52,480
Speaker 1: Very funny that a Jewish guy was responsible for the

876
00:46:52,480 --> 00:46:54,560
Speaker 1: popularity of Christmas carols.

877
00:46:54,880 --> 00:46:56,560
Speaker 2: My family all still.

878
00:46:56,400 --> 00:47:00,280
Speaker 1: Jewish watches the Claymation Rudolph movie every year. Begare because

879
00:47:00,280 --> 00:47:02,760
Speaker 1: of that our own little taste of that irony.

880
00:47:02,880 --> 00:47:04,880
Speaker 2: Yeah. I don't want to tell.

881
00:47:04,719 --> 00:47:07,000
Speaker 1: You what to do, because I'm sure you have a

882
00:47:07,040 --> 00:47:09,240
Speaker 1: lot of episodes on your plate already, But I'm just saying,

883
00:47:09,719 --> 00:47:14,200
Speaker 1: Hecky Krasnaw was a pretty interesting person. There might just

884
00:47:14,280 --> 00:47:16,920
Speaker 1: be enough material for an episode on him up to you.

885
00:47:17,280 --> 00:47:17,560
Speaker 4: Nice.

886
00:47:17,680 --> 00:47:19,520
Speaker 2: Thanks for helping me with my school work. That is

887
00:47:19,520 --> 00:47:21,080
Speaker 2: from Aiden in Maryland.

888
00:47:22,280 --> 00:47:23,880
Speaker 4: Awesome, Thank you very much. Aiden.

889
00:47:24,960 --> 00:47:27,680
Speaker 2: And when I say Hecky Krasnew lives, I mean lives.

890
00:47:27,360 --> 00:47:32,120
Speaker 4: On sure like Viva La Hecky. Yeah, if you want

891
00:47:32,200 --> 00:47:34,480
Speaker 4: to tell us about someone interesting in your family, we

892
00:47:34,600 --> 00:47:37,160
Speaker 4: love that kind of stuff. Also, if you are caring

893
00:47:37,239 --> 00:47:39,960
Speaker 4: for a dementia patient, we want to hear the highs

894
00:47:39,960 --> 00:47:42,480
Speaker 4: and the lows of that. Just kind of bringing on

895
00:47:42,560 --> 00:47:44,719
Speaker 4: home for us. Will you? You can send us an

896
00:47:44,760 --> 00:47:47,600
Speaker 4: email to stuff podcast at house Stuff works dot com

897
00:47:47,840 --> 00:47:49,800
Speaker 4: and as always, joined us at our home on the web,

898
00:47:50,000 --> 00:47:54,320
Speaker 4: Stuff Youshould Know dot com.

899
00:47:54,440 --> 00:47:57,319
Speaker 3: Stuff You Should Know is a production of iHeartRadio. For

900
00:47:57,400 --> 00:48:01,600
Speaker 3: more podcasts my Heart Radio, visit the iHeartRadio up, Apple Podcasts,

901
00:48:01,719 --> 00:48:03,520
Speaker 3: or wherever you listen to your favorite shows.

902
00:48:09,719 --> 00:48:10,160
Speaker 4: Mm hmm