1 00:00:01,920 --> 00:00:05,080 Speaker 1: Welcome to Stuff you Should Know from the house stuff 2 00:00:05,120 --> 00:00:12,680 Speaker 1: Works dot Com. Hey, and welcome to the podcast. I'm 3 00:00:12,760 --> 00:00:17,040 Speaker 1: Josh Clark with Charles W Chuck Bryant and Noel. The 4 00:00:17,120 --> 00:00:22,800 Speaker 1: Stint of Noel continues. Everybody's like, stuff you should know. No, no, 5 00:00:22,920 --> 00:00:25,360 Speaker 1: that's not what we're calling it. It's the stint of Noel, 6 00:00:25,800 --> 00:00:31,520 Speaker 1: all right, stuff you should know? Well, that's too clever. Yeah, 7 00:00:31,760 --> 00:00:36,120 Speaker 1: it's a little cutie. Yeah that's all. That's my only 8 00:00:36,159 --> 00:00:39,560 Speaker 1: aversion to it. What do you are you with stuff 9 00:00:39,560 --> 00:00:42,880 Speaker 1: you should know? Changing the name of our show after 10 00:00:43,120 --> 00:00:46,159 Speaker 1: eight years? No, just the Noel stint the name of it. 11 00:00:46,159 --> 00:00:49,519 Speaker 1: Remember the Summer of Sam? Oh? Yeah, yeah, sure, why not? 12 00:00:50,520 --> 00:00:53,760 Speaker 1: I don't like it? All right? Should we come up 13 00:00:53,800 --> 00:00:58,240 Speaker 1: with the third idea? Yeah? The Stint of Noel sounds 14 00:00:58,440 --> 00:01:02,200 Speaker 1: too much like so something's wrong with nol. That's why 15 00:01:02,240 --> 00:01:05,800 Speaker 1: I like it. It's hilarious. There's nothing wrong with Noel, 16 00:01:06,000 --> 00:01:07,840 Speaker 1: by God, And if you think there is, you need 17 00:01:07,840 --> 00:01:11,920 Speaker 1: to answer to me. There's something you should know. M 18 00:01:12,760 --> 00:01:14,720 Speaker 1: And I see that's what I'm saying. It sounds like 19 00:01:14,760 --> 00:01:18,039 Speaker 1: something Strickland would have come up with. Oh, you know, 20 00:01:18,680 --> 00:01:20,480 Speaker 1: and we haven't been in a flame war with Strickland 21 00:01:20,480 --> 00:01:23,679 Speaker 1: in a while. It's been too long, gotten soft, you 22 00:01:23,760 --> 00:01:28,560 Speaker 1: just launched one across the bowl. So um, chuck, Yes, 23 00:01:29,240 --> 00:01:33,280 Speaker 1: are you familiar with dementia? Uh? Yeah, sure, are you 24 00:01:33,400 --> 00:01:35,880 Speaker 1: running your family? And doesn't run in the family. But 25 00:01:35,959 --> 00:01:40,600 Speaker 1: my grandmother who lived to be a hundred, I had 26 00:01:40,600 --> 00:01:42,240 Speaker 1: to mention at some point, which you know, when you 27 00:01:42,280 --> 00:01:45,560 Speaker 1: live to be a hundred, that's I don't know about likely, 28 00:01:45,680 --> 00:01:49,400 Speaker 1: but it's not surprising. It's probably pretty likely. It's Um, 29 00:01:49,440 --> 00:01:54,160 Speaker 1: it's not from what I understand, it's not a uh 30 00:01:54,280 --> 00:02:01,000 Speaker 1: just a natural consequence of age, but it's pretty prevalent um. 31 00:02:01,040 --> 00:02:04,680 Speaker 1: And dementia is actually super misunderstood. Gets confused with Alzheimer's 32 00:02:04,680 --> 00:02:07,200 Speaker 1: a lot or there's a lot of different kinds of dementia, 33 00:02:07,240 --> 00:02:10,320 Speaker 1: but dementia is actually it's not a disease. It's a 34 00:02:10,360 --> 00:02:14,200 Speaker 1: set of symptoms that's broad on. But disease. Yeah, I 35 00:02:14,240 --> 00:02:18,880 Speaker 1: think that is widely misunderstood. But you are totally correct, 36 00:02:18,960 --> 00:02:23,320 Speaker 1: a set of symptoms and um, it is not just 37 00:02:23,400 --> 00:02:27,880 Speaker 1: your garden variety um forgetfulness that comes as you age, No, 38 00:02:28,000 --> 00:02:31,040 Speaker 1: because that is age related and that is a totally 39 00:02:31,080 --> 00:02:34,960 Speaker 1: age related things called age associated memory. Impairment, and that 40 00:02:35,120 --> 00:02:38,280 Speaker 1: is uh, I think, I mean that happens to everyone, right, 41 00:02:38,480 --> 00:02:40,360 Speaker 1: It's just like you forget your keys more often, that 42 00:02:40,440 --> 00:02:43,119 Speaker 1: kind of stuff. But when you do forget your keys 43 00:02:43,160 --> 00:02:45,680 Speaker 1: more often, you can snap your finger and go, I 44 00:02:45,760 --> 00:02:49,400 Speaker 1: forgot my keys again, what is wrong with me? Yeah, 45 00:02:49,560 --> 00:02:52,280 Speaker 1: that's normal. One of the big tales of true dementia 46 00:02:52,320 --> 00:02:55,400 Speaker 1: is when you don't realize that you're forgetting right. So 47 00:02:55,480 --> 00:02:58,760 Speaker 1: that's that's when it gets scary. And um we said 48 00:02:58,800 --> 00:03:01,720 Speaker 1: that it's not a natural, real consequence of age. And 49 00:03:02,400 --> 00:03:04,400 Speaker 1: one of the things that I turned up in researching 50 00:03:04,440 --> 00:03:08,280 Speaker 1: this is we're not exactly sure what causes dementia. We 51 00:03:08,320 --> 00:03:10,840 Speaker 1: don't even know if some of the tell tale signs 52 00:03:10,840 --> 00:03:13,840 Speaker 1: of dementia are the cause of dementia in some cases 53 00:03:14,200 --> 00:03:18,560 Speaker 1: or the result of dementia. Not entirely certain, but um, 54 00:03:18,600 --> 00:03:22,120 Speaker 1: it is very widespread among the aged population in the 55 00:03:22,240 --> 00:03:25,960 Speaker 1: United States. I think five point three million Americans have 56 00:03:26,080 --> 00:03:29,960 Speaker 1: dementia right now. And as our population ages, because the 57 00:03:29,960 --> 00:03:33,520 Speaker 1: baby boomers are starting to get older, um, I think 58 00:03:33,520 --> 00:03:37,120 Speaker 1: they're expecting something like sixteen million Americans are going to 59 00:03:37,160 --> 00:03:40,080 Speaker 1: have it. By sixteen million, is I think how many? 60 00:03:40,120 --> 00:03:42,880 Speaker 1: About how many people have it around the world right now, 61 00:03:43,160 --> 00:03:45,560 Speaker 1: and in America alone, we're gonna have that number in 62 00:03:45,600 --> 00:03:51,280 Speaker 1: twenty fifty. And it's very expensive. Actually, Uh, how much 63 00:03:51,320 --> 00:03:55,360 Speaker 1: money a lot? You're ready for this? In two thousand fifteen, 64 00:03:55,680 --> 00:03:59,119 Speaker 1: we have spent two hundred and twenty six billion dollars 65 00:03:59,200 --> 00:04:03,240 Speaker 1: on health care for dementia, while um, and they're expecting, 66 00:04:03,360 --> 00:04:07,800 Speaker 1: by I believe, when we are caring for sixteen million 67 00:04:08,520 --> 00:04:13,080 Speaker 1: in two thousand fifteen dollars not futuristic, much more inflated. 68 00:04:15,560 --> 00:04:18,279 Speaker 1: In two thousand fifteen dollars will be spending about one 69 00:04:18,320 --> 00:04:24,719 Speaker 1: point two trillion dollars on dementia. If somebody doesn't do something. Man, Yeah, 70 00:04:24,960 --> 00:04:29,200 Speaker 1: it's it's very expensive. It's also extraordinarily sad as far 71 00:04:29,279 --> 00:04:33,760 Speaker 1: as UM diseases or symptoms of diseases. Yeah, yeah, and uh. 72 00:04:33,960 --> 00:04:37,560 Speaker 1: I also want to recommend our May eleven episode a 73 00:04:37,640 --> 00:04:41,360 Speaker 1: podcast to remember our memory episode ties sevenly into this. 74 00:04:41,400 --> 00:04:43,240 Speaker 1: So if you haven't listened to that one yet, go 75 00:04:43,360 --> 00:04:45,240 Speaker 1: listen to that one, either before or after, or if 76 00:04:45,240 --> 00:04:47,520 Speaker 1: you listen to it and forgot, go back and listen 77 00:04:47,520 --> 00:04:52,919 Speaker 1: to it. That's right. So dementia itself is not UM diagnosed. Uh, 78 00:04:53,000 --> 00:04:56,840 Speaker 1: it's not simply memory loss. It's memory loss UM along 79 00:04:56,880 --> 00:04:59,320 Speaker 1: with one of the following at least one of the 80 00:04:59,360 --> 00:05:02,840 Speaker 1: following one or more. Um aphasia, which is UH if 81 00:05:02,880 --> 00:05:07,120 Speaker 1: you can't understand or produce language any longer. A praxia 82 00:05:07,440 --> 00:05:09,680 Speaker 1: and all these are super sad if you've ever seen 83 00:05:09,760 --> 00:05:13,080 Speaker 1: him up close. A praxia if you cannot make certain 84 00:05:13,120 --> 00:05:17,440 Speaker 1: movements even though your body physically is healthy. UM agnosia, 85 00:05:17,520 --> 00:05:21,599 Speaker 1: which is UH you don't recognize UM objects like the 86 00:05:21,640 --> 00:05:25,080 Speaker 1: remote control or your grandkids stuff like that. UH. And 87 00:05:25,120 --> 00:05:27,960 Speaker 1: then executive dysfunction UM when you have a lot of 88 00:05:28,000 --> 00:05:31,160 Speaker 1: troubles planning and organizing and reasoning. So that, along with 89 00:05:31,200 --> 00:05:33,719 Speaker 1: the memory loss, at least one of these you could 90 00:05:33,720 --> 00:05:37,839 Speaker 1: be diagnosed with dementia. And so, like we said, dementia 91 00:05:37,880 --> 00:05:40,880 Speaker 1: is a set of symptoms, right, yes, it's it's actually 92 00:05:40,880 --> 00:05:45,000 Speaker 1: brought on by disease. And the most common cause of dementia. 93 00:05:45,120 --> 00:05:48,600 Speaker 1: I think something like UM sixty or seventy or something 94 00:05:48,680 --> 00:05:51,920 Speaker 1: like that of dementia UM cases is brought on by 95 00:05:51,920 --> 00:05:55,200 Speaker 1: Alzheimer's disease. I could have sworn we did one in Alzheimer's, 96 00:05:55,240 --> 00:05:57,440 Speaker 1: but we have not. Yeah, I don't think we have. 97 00:05:57,960 --> 00:06:00,440 Speaker 1: I don't know. We've talked about it enough. I think, yeah, 98 00:06:00,440 --> 00:06:02,960 Speaker 1: it's popped up plenty of times, but we've never just 99 00:06:03,000 --> 00:06:07,159 Speaker 1: done a straight up Alzheimer's one. Alzheimer's brings on dementia 100 00:06:07,760 --> 00:06:13,560 Speaker 1: through um something called neuro february fibrullary tangles also known 101 00:06:13,600 --> 00:06:18,760 Speaker 1: as beta I'm sorry, TOW protein tangles and um beta 102 00:06:18,839 --> 00:06:24,360 Speaker 1: amyloid plaques, right, yeah, and just a protein build up, 103 00:06:24,360 --> 00:06:27,040 Speaker 1: a sticky protein build up, yeah, which is so when 104 00:06:27,040 --> 00:06:29,320 Speaker 1: you when your neurons fire and you have a thought, 105 00:06:29,480 --> 00:06:33,440 Speaker 1: it's an electrochemical process, and there's residual that is left behind, 106 00:06:33,920 --> 00:06:37,039 Speaker 1: and these residuals can build up in your synapses and 107 00:06:37,120 --> 00:06:39,880 Speaker 1: cause your synapses to not fire as well. And when 108 00:06:39,920 --> 00:06:42,400 Speaker 1: your synapses don't fire as well, they start to die 109 00:06:42,440 --> 00:06:45,640 Speaker 1: off in the neurons that are there that lead from 110 00:06:45,680 --> 00:06:49,280 Speaker 1: these synapses or lead to these synapses die themselves, and 111 00:06:49,360 --> 00:06:52,719 Speaker 1: you have neural loss. Like literally, the brain cells in 112 00:06:52,720 --> 00:06:55,440 Speaker 1: your brain are dying off at a rapid rate. And 113 00:06:55,440 --> 00:06:59,239 Speaker 1: when it's caused by beta proteins and TOW or beta 114 00:06:59,279 --> 00:07:03,080 Speaker 1: amaloid plaques and TOW proteins in the cells, than what 115 00:07:03,160 --> 00:07:06,560 Speaker 1: you have is Alzheimer's. Yeah, and they aren't sure the 116 00:07:06,600 --> 00:07:10,760 Speaker 1: cause of Alzheimer's still UM. Genetics is uh. They think 117 00:07:10,760 --> 00:07:13,720 Speaker 1: has a lot to do with it. UM. And you 118 00:07:13,720 --> 00:07:15,840 Speaker 1: can live with Alzheimer's for a while up to a 119 00:07:15,880 --> 00:07:19,120 Speaker 1: decade all they they sit in this article, Moley says 120 00:07:19,160 --> 00:07:24,400 Speaker 1: three to five years is more common, so it definitely 121 00:07:24,440 --> 00:07:27,040 Speaker 1: shortened your lifespan. And like you said, UM, genes are 122 00:07:27,120 --> 00:07:33,400 Speaker 1: definitely part of the risk factors. UM. A polypo protein, 123 00:07:34,120 --> 00:07:38,120 Speaker 1: a pop protein eka, I think, UM, which is weird. 124 00:07:38,160 --> 00:07:40,800 Speaker 1: If you have a mutation on this gene, you have 125 00:07:40,800 --> 00:07:43,320 Speaker 1: a higher risk of Alzheimer's, even though the gene just 126 00:07:43,480 --> 00:07:47,880 Speaker 1: codes for a protein that carries cholesterol through your bloodstream. Yeah, 127 00:07:47,920 --> 00:07:49,960 Speaker 1: it doesn't have anything to do with the tow protein 128 00:07:50,400 --> 00:07:52,320 Speaker 1: tangles or anything like that as far as I know. 129 00:07:52,680 --> 00:07:56,239 Speaker 1: That's weird. Um. Also, if you have a family history 130 00:07:56,240 --> 00:07:59,280 Speaker 1: of dementia you're you have of Alzheimer's, you have a 131 00:07:59,360 --> 00:08:03,200 Speaker 1: higher likelihood UM. And then if you have down syndrome, 132 00:08:04,120 --> 00:08:07,160 Speaker 1: you are at a higher risk of developing Alzheimer's in 133 00:08:07,200 --> 00:08:12,440 Speaker 1: middle age. Interesting. So UM, that's and we will do 134 00:08:12,480 --> 00:08:16,160 Speaker 1: one in Alzheimer's. But that's how Alzheimer's can cause dementia. Uh, 135 00:08:16,200 --> 00:08:21,000 Speaker 1: there's also vascular dementia, which is that was the case 136 00:08:21,040 --> 00:08:24,280 Speaker 1: with my grandfather who he had a stroke, and it 137 00:08:24,320 --> 00:08:29,400 Speaker 1: accounts for about twenty of dementia cases. And uh, you know, 138 00:08:29,520 --> 00:08:32,440 Speaker 1: stroke is when you have a loss of blood supply 139 00:08:32,520 --> 00:08:34,719 Speaker 1: to the to the brain or a hemorrhage and or 140 00:08:34,800 --> 00:08:38,760 Speaker 1: blood clot and it can be either um, one big 141 00:08:39,080 --> 00:08:42,240 Speaker 1: stroke event which causes a lot of damage and that's 142 00:08:42,240 --> 00:08:45,040 Speaker 1: a single in farct dementia, or it can be a 143 00:08:45,040 --> 00:08:48,959 Speaker 1: lot of the accumulation of symptoms because of a lot 144 00:08:48,960 --> 00:08:52,360 Speaker 1: of little many strokes you have over the years, and 145 00:08:52,400 --> 00:08:55,360 Speaker 1: then the damage just builds up and you finally once 146 00:08:55,480 --> 00:08:58,400 Speaker 1: once that last one, that that is the straw that 147 00:08:58,400 --> 00:09:02,800 Speaker 1: breaks the camel's back. Yeah, and you have dementia. Um, 148 00:09:02,880 --> 00:09:06,400 Speaker 1: that happens pretty rapidly after that last that last one, 149 00:09:06,440 --> 00:09:08,400 Speaker 1: that last stroke you had. Yeah, and that's a multi 150 00:09:08,480 --> 00:09:11,280 Speaker 1: infarc when it's a bunch of them. Um, and little 151 00:09:11,320 --> 00:09:13,200 Speaker 1: mini strokes are common a lot. Sometimes you have them 152 00:09:13,200 --> 00:09:17,000 Speaker 1: and don't even realize you've had him. Uh. With my grandfather, 153 00:09:17,080 --> 00:09:20,600 Speaker 1: he he had the big one. And yeah, we talked 154 00:09:20,640 --> 00:09:25,520 Speaker 1: about this before and I think something about speech, but um, yeah, 155 00:09:25,600 --> 00:09:29,240 Speaker 1: he lost his ability to speak you know English. Uh, 156 00:09:29,400 --> 00:09:33,800 Speaker 1: so that would be a phasia. Yes, he couldn't produce language. Well, 157 00:09:33,840 --> 00:09:36,439 Speaker 1: he produced Yes, he cannot produce language. He said things, 158 00:09:36,760 --> 00:09:39,200 Speaker 1: but it you know, it didn't make any sense, but 159 00:09:39,360 --> 00:09:42,600 Speaker 1: he had an understanding. You could see the frustration. Uh, 160 00:09:42,840 --> 00:09:46,120 Speaker 1: you know, I know how to how I'm supposed to. Uh, 161 00:09:46,160 --> 00:09:49,040 Speaker 1: my grandmother is driving us, let's say, and he she 162 00:09:49,080 --> 00:09:51,840 Speaker 1: doesn't know how to get there. He does and he 163 00:09:51,880 --> 00:09:55,160 Speaker 1: can't tell her, but he's telling her. Yeah, it's just 164 00:09:55,200 --> 00:09:57,560 Speaker 1: coming out all mixed up. And that's that's a hallmark 165 00:09:57,600 --> 00:10:01,440 Speaker 1: of dementia, is um. There's emotional changes in the person 166 00:10:01,960 --> 00:10:06,080 Speaker 1: because they they're not communicating like they want to say, 167 00:10:06,280 --> 00:10:09,600 Speaker 1: people aren't responding like they want the people to, and 168 00:10:09,679 --> 00:10:13,640 Speaker 1: they'll get snippy and then ultimately say withdrawal. They'll just 169 00:10:13,679 --> 00:10:16,240 Speaker 1: give up on communicating at all because it's too frustrating 170 00:10:16,360 --> 00:10:19,960 Speaker 1: or just too sad, you know, um, which is it's 171 00:10:20,000 --> 00:10:23,839 Speaker 1: one of the common results of dementia. It's a comorbidity. 172 00:10:23,960 --> 00:10:26,559 Speaker 1: Now it's a complication. Yeah. And then and with the 173 00:10:26,840 --> 00:10:30,280 Speaker 1: single stroke event um or actually or with the multi 174 00:10:30,520 --> 00:10:34,520 Speaker 1: uh strokes, it's different for everyone. There isn't any single 175 00:10:34,600 --> 00:10:37,439 Speaker 1: like well, this is going to happen because this person 176 00:10:37,480 --> 00:10:40,680 Speaker 1: had a stroke. It could be a variety of different 177 00:10:40,679 --> 00:10:43,560 Speaker 1: things from you know, paralysis on one side of the 178 00:10:43,559 --> 00:10:47,520 Speaker 1: face or body bow and bladder control problems. He didn't 179 00:10:47,559 --> 00:10:50,319 Speaker 1: have any of those. He looked totally the same physically, 180 00:10:50,320 --> 00:10:53,000 Speaker 1: He walked and talked this same except for the fact 181 00:10:53,040 --> 00:10:55,720 Speaker 1: that they weren't real words. That was like the most 182 00:10:55,760 --> 00:10:59,360 Speaker 1: noticeable thing. I remember you telling me about your grandfather before. 183 00:10:59,480 --> 00:11:01,240 Speaker 1: I don't remember what it was a long time. We 184 00:11:01,240 --> 00:11:05,480 Speaker 1: were talking about speech, like we're Nikki's area or Broca's area, Yeah, 185 00:11:05,600 --> 00:11:10,439 Speaker 1: something like that. So with Alzheimer's, it first attacks the hippocampus, 186 00:11:10,480 --> 00:11:13,320 Speaker 1: which means that it's going to take away your um 187 00:11:14,120 --> 00:11:19,120 Speaker 1: episodic memory, which is your memory of recent events, right. Uh. 188 00:11:19,160 --> 00:11:21,360 Speaker 1: And then it starts to move its way into other 189 00:11:21,440 --> 00:11:24,760 Speaker 1: areas of the brain where your judgment is affected, your 190 00:11:24,760 --> 00:11:28,360 Speaker 1: speech patterns are going to be affected, your personality is 191 00:11:28,559 --> 00:11:32,280 Speaker 1: very much affected in changes with Alzheimer's. With Alzheimer's, but 192 00:11:32,320 --> 00:11:35,280 Speaker 1: not as much with the stroke. Yeah, with vascular dementia, 193 00:11:35,640 --> 00:11:37,959 Speaker 1: you know, there might be some other things um where 194 00:11:37,960 --> 00:11:40,360 Speaker 1: like part of the faces sagging, or or the patient 195 00:11:40,440 --> 00:11:42,200 Speaker 1: can't move their arm or something like that. But yeah, 196 00:11:42,200 --> 00:11:45,280 Speaker 1: the personality will remain intact because those regions of the 197 00:11:45,320 --> 00:11:48,880 Speaker 1: brain aren't affected like they are in Alzheimer's. And then 198 00:11:48,880 --> 00:11:52,840 Speaker 1: in about five of dementia cases, Uh, it stems from 199 00:11:52,840 --> 00:11:57,720 Speaker 1: something called Louis body dementia UM, which we were just 200 00:11:57,760 --> 00:12:00,720 Speaker 1: talking about. They think Robin Williams might have suffered from 201 00:12:00,760 --> 00:12:03,200 Speaker 1: He definitely did. He definitely did. They found in his 202 00:12:03,240 --> 00:12:05,240 Speaker 1: autopsy he had. I think he was diagnosed with it 203 00:12:05,320 --> 00:12:07,920 Speaker 1: before he died. That was one of the reasons why 204 00:12:07,960 --> 00:12:10,959 Speaker 1: he took his life. Yeah, because that can cause severe 205 00:12:11,640 --> 00:12:15,640 Speaker 1: intense hallucinations. Uh, big time. Did you look those up? Oh? Yeah, 206 00:12:15,679 --> 00:12:19,480 Speaker 1: many scary stuff like very apparently a typical one is 207 00:12:19,600 --> 00:12:22,880 Speaker 1: very brightly colored animal or person. Yeah, that you see 208 00:12:22,920 --> 00:12:27,000 Speaker 1: in great detail for many minutes on daily daily basis, 209 00:12:27,040 --> 00:12:30,320 Speaker 1: Like just intense hallucinations. I'm sure you think you're you know, 210 00:12:30,440 --> 00:12:32,640 Speaker 1: losing it, right. And that's one of the first symptoms 211 00:12:32,640 --> 00:12:35,439 Speaker 1: of a Louis body dementia. And it was discovered by 212 00:12:35,440 --> 00:12:39,160 Speaker 1: Frederick Louis and nineteen twelve and has has nothing to 213 00:12:39,200 --> 00:12:41,880 Speaker 1: do with your body. A Louis body is Uh, there 214 00:12:41,880 --> 00:12:46,760 Speaker 1: are are deposits again, protein deposits of the alpha uh 215 00:12:46,880 --> 00:12:50,320 Speaker 1: sinucleon that appear on the brain. So don't think of 216 00:12:50,360 --> 00:12:53,280 Speaker 1: body in the terms of like your physical body. Uh. 217 00:12:53,320 --> 00:12:57,400 Speaker 1: And this is also president Louis bodies and Parkinson's. So 218 00:12:57,440 --> 00:12:59,240 Speaker 1: as a result, not only are you going to have 219 00:12:59,640 --> 00:13:02,400 Speaker 1: some them similar to Alzheimer's with Louis body dementia, but 220 00:13:02,440 --> 00:13:06,760 Speaker 1: also some of the tremors and balance issues of Parkinson's, 221 00:13:07,760 --> 00:13:10,680 Speaker 1: which is uh, super sad as well. Is that what 222 00:13:10,800 --> 00:13:15,480 Speaker 1: Michael J. Fox, Yes, Parkinson's. Yeah, and that's what the 223 00:13:15,559 --> 00:13:18,120 Speaker 1: movie Awakenings was about. When they wasn't it like a 224 00:13:18,120 --> 00:13:20,920 Speaker 1: group of Parkinson's patients that like L. Dobo worked on, 225 00:13:21,200 --> 00:13:23,520 Speaker 1: is that Parkinson's I can't remember. I think they didn't. 226 00:13:23,559 --> 00:13:25,960 Speaker 1: They didn't realize what they thought they were locked in 227 00:13:26,080 --> 00:13:28,640 Speaker 1: or something, and then realized their Parkinson's trummers were so 228 00:13:28,960 --> 00:13:32,360 Speaker 1: acute that they were like they were not even shaking, 229 00:13:32,360 --> 00:13:36,160 Speaker 1: they were just yeah, interesting, They're just their muscles were 230 00:13:36,200 --> 00:13:39,480 Speaker 1: totally contracted rather than contracting and relaxing again and again. 231 00:13:39,559 --> 00:13:44,680 Speaker 1: And Robert Williams, Yeah, how about that? Yeah. Uh. Then 232 00:13:44,760 --> 00:13:48,160 Speaker 1: we have something that used to be well it's called 233 00:13:48,200 --> 00:13:52,920 Speaker 1: now front o temporal dementia, used to be called picks disease, 234 00:13:52,960 --> 00:13:56,840 Speaker 1: but now Picks disease is a uh specific version which 235 00:13:56,880 --> 00:14:00,240 Speaker 1: I couldn't really sus out what the difference is, could 236 00:14:00,240 --> 00:14:03,680 Speaker 1: you know? I couldn't as long as it wasn't just me, 237 00:14:03,760 --> 00:14:07,560 Speaker 1: I feel better. But f t D is it's really 238 00:14:07,559 --> 00:14:12,120 Speaker 1: an umbrella term. Um. It's about five percent of dementia 239 00:14:12,200 --> 00:14:15,680 Speaker 1: cases and it's going to affect personality and behavior and 240 00:14:15,800 --> 00:14:19,000 Speaker 1: language time, big time. And it's where your frontal and 241 00:14:19,040 --> 00:14:22,760 Speaker 1: temporal lobes are actually atrophying and shrinking, right, And the 242 00:14:22,800 --> 00:14:25,840 Speaker 1: reason why is um. You remember, with Alzheimer's you have 243 00:14:25,960 --> 00:14:29,880 Speaker 1: beta amyloid plaques and tow protein tangles. Well, with the 244 00:14:29,920 --> 00:14:33,640 Speaker 1: frontal temporal dementia, you don't have the beta amaloid plaques. 245 00:14:33,720 --> 00:14:35,600 Speaker 1: You just have the tow protein t angles. But it's 246 00:14:35,680 --> 00:14:40,040 Speaker 1: enough to cause massive neuronal loss. Yeah, and this is 247 00:14:40,080 --> 00:14:42,240 Speaker 1: like I think a lot of people at first think 248 00:14:42,280 --> 00:14:47,800 Speaker 1: they might have UM tourette. Yeah, because you can yell 249 00:14:47,880 --> 00:14:51,720 Speaker 1: things out inappropriate behaviors. Uh. Yeah, Like if your grandfather 250 00:14:52,000 --> 00:14:55,040 Speaker 1: suddenly becomes hyper interested in sex and like likes to 251 00:14:55,080 --> 00:14:58,320 Speaker 1: talk about it in public or exposes himself to people 252 00:14:58,360 --> 00:15:01,160 Speaker 1: in public, there's a pretty good chance that he has 253 00:15:01,200 --> 00:15:04,840 Speaker 1: developed front o temporal um dementia or if I did, 254 00:15:05,120 --> 00:15:10,080 Speaker 1: because um, it's unusual in that it attacks younger people. Um, 255 00:15:10,120 --> 00:15:12,720 Speaker 1: it's gonna on set between forty and seventy years old, 256 00:15:13,120 --> 00:15:16,320 Speaker 1: which distinguishes it from other types of dementia. And if 257 00:15:16,320 --> 00:15:19,520 Speaker 1: your grandfather used to do that stuff already, then that's 258 00:15:19,520 --> 00:15:22,680 Speaker 1: not the case. The key here is that like this 259 00:15:22,720 --> 00:15:25,200 Speaker 1: has come out of the blue, somebody has really just 260 00:15:25,440 --> 00:15:29,000 Speaker 1: completely changed in their personality. They might get into really 261 00:15:29,080 --> 00:15:32,680 Speaker 1: risky behavior like gambling all of a sudden, shop lifting, 262 00:15:34,120 --> 00:15:37,480 Speaker 1: and like risky investments are like pulling all their money 263 00:15:37,520 --> 00:15:41,080 Speaker 1: out of the bank and with picks disease too. Um, 264 00:15:41,320 --> 00:15:45,480 Speaker 1: the apparently apathy is a big indicator of this. There's 265 00:15:45,480 --> 00:15:48,320 Speaker 1: a big personality change and the person is no longer 266 00:15:48,800 --> 00:15:53,280 Speaker 1: they have no empathy, they have blunted emotions, and then 267 00:15:53,320 --> 00:15:56,600 Speaker 1: they may also be engaging in risky behavior. So basically, 268 00:15:57,080 --> 00:15:59,480 Speaker 1: your grandpa or your grandma has just turned into like 269 00:15:59,520 --> 00:16:04,400 Speaker 1: the trans border you know, or me or you, well, yeah, 270 00:16:04,800 --> 00:16:09,239 Speaker 1: you lack empathy. No no, no, I'm just saying it's 271 00:16:09,280 --> 00:16:12,480 Speaker 1: because it affects you. Something turned into you. Oh no, no, no, 272 00:16:12,760 --> 00:16:16,480 Speaker 1: you have blunted emotions and you gamble. Uh, there's also 273 00:16:16,560 --> 00:16:20,600 Speaker 1: Huntington's disease. Uh. This is uh, it seems like much 274 00:16:20,600 --> 00:16:25,480 Speaker 1: more physical in nature, uncontrollable movements, although there are changes 275 00:16:25,520 --> 00:16:30,520 Speaker 1: in in personality. But um real fidgety, herky jerky. Uh. 276 00:16:30,640 --> 00:16:34,160 Speaker 1: Your brain loses the ability to control coordination essentially, right, 277 00:16:34,720 --> 00:16:40,640 Speaker 1: which is I think, uh fifty chance of inheriting the gene. 278 00:16:40,640 --> 00:16:44,680 Speaker 1: But you can live with it for up to twenty years. Yeah, 279 00:16:44,680 --> 00:16:47,520 Speaker 1: which seems like as far as dementiao is one of 280 00:16:47,560 --> 00:16:52,000 Speaker 1: the longer life expectancies. But again, I mean, like I 281 00:16:52,040 --> 00:16:55,440 Speaker 1: would guess this has kind of become clear. The hallmark 282 00:16:55,520 --> 00:17:00,360 Speaker 1: of dementia is memory loss paired with some other problem 283 00:17:00,400 --> 00:17:03,640 Speaker 1: like not being able to create speech any longer recognized speech, 284 00:17:03,680 --> 00:17:05,600 Speaker 1: or not being able to move that kind of thing, 285 00:17:05,880 --> 00:17:09,720 Speaker 1: or not being able to plan um. And like we said, 286 00:17:10,359 --> 00:17:13,240 Speaker 1: well we should probably take a break. Huh. Yeah, we 287 00:17:13,320 --> 00:17:15,080 Speaker 1: got a couple of more types that we'll talk about 288 00:17:15,119 --> 00:17:18,000 Speaker 1: and then some other good stuff. Okay, right after this, 289 00:17:37,920 --> 00:17:40,920 Speaker 1: the last two, actually the last three we're gonna talk 290 00:17:40,960 --> 00:17:43,600 Speaker 1: about because there are many, many other kinds of dementia. 291 00:17:43,960 --> 00:17:46,240 Speaker 1: Like we could spend hours and hours talking about all 292 00:17:46,280 --> 00:17:50,600 Speaker 1: the different kinds hours, but we have talked about kreitz 293 00:17:50,640 --> 00:17:54,520 Speaker 1: Felt yakup disease, and I can't remember which one. And 294 00:17:56,000 --> 00:17:59,440 Speaker 1: is there a disease that kills by preventing sleep? Oh? 295 00:17:59,480 --> 00:18:01,520 Speaker 1: Is that the one which we should have rightly called 296 00:18:01,560 --> 00:18:04,439 Speaker 1: how prion diseases worked? Yeah, because it is is a 297 00:18:04,480 --> 00:18:08,480 Speaker 1: prion infection. It's very rare, about one um out of 298 00:18:08,480 --> 00:18:11,240 Speaker 1: a million people will be affected in any given year, 299 00:18:11,600 --> 00:18:17,560 Speaker 1: like mad cow disease. Yeah, exactly. Um, it's a sponge 300 00:18:17,600 --> 00:18:22,440 Speaker 1: of form disease. So crazy it is. It's very interesting. 301 00:18:23,080 --> 00:18:26,359 Speaker 1: It could be genetic. Um. But and I thought we 302 00:18:26,400 --> 00:18:29,639 Speaker 1: also talked about it an organ transplant. We I think so, 303 00:18:29,800 --> 00:18:33,639 Speaker 1: because it can occur because of infected tissue that you 304 00:18:34,080 --> 00:18:36,680 Speaker 1: are implanted with or from an organ. Yeah. And this 305 00:18:36,760 --> 00:18:40,760 Speaker 1: is neuronal loss due to the like holes literally being 306 00:18:40,800 --> 00:18:46,960 Speaker 1: eaten into your brain by this disease. Yeah. Um. And 307 00:18:47,000 --> 00:18:50,480 Speaker 1: then you can also get dementia UM from from when 308 00:18:50,520 --> 00:18:54,600 Speaker 1: you have HIV. If you are a boxer or say 309 00:18:54,640 --> 00:18:58,440 Speaker 1: a football player in the NFL, you may have dementia 310 00:18:58,480 --> 00:19:03,720 Speaker 1: from a traumatic brain injury, a concussion or repeated concussions. Um. 311 00:19:03,800 --> 00:19:08,280 Speaker 1: And there are plenty of diseases. There's also um reversible 312 00:19:08,280 --> 00:19:11,880 Speaker 1: dementia too. If you have a vitamin deficiency, if you 313 00:19:12,240 --> 00:19:18,880 Speaker 1: um uh take certain medications, um, you can develop dementia. 314 00:19:19,000 --> 00:19:22,240 Speaker 1: But this is reversible for the most part. Though age 315 00:19:22,240 --> 00:19:26,840 Speaker 1: associated dementia is not reversible. And like we said, it's 316 00:19:26,920 --> 00:19:30,720 Speaker 1: kind of tricky to diagnose this stuff because it is 317 00:19:30,800 --> 00:19:35,119 Speaker 1: normal for people to become more forgetful as you age, 318 00:19:36,000 --> 00:19:38,760 Speaker 1: and then to make it even more confounding if you're 319 00:19:39,240 --> 00:19:44,040 Speaker 1: a diagnostician, not only are do people get more forgetful. 320 00:19:44,080 --> 00:19:48,800 Speaker 1: There's an intermediate stage between dementia, a dementia diagnosis, and 321 00:19:48,880 --> 00:19:53,200 Speaker 1: just normal age related forgetfulness, and that is um called 322 00:19:53,240 --> 00:19:57,560 Speaker 1: mild cognitive impairment. So if you can catch this from 323 00:19:57,600 --> 00:20:00,280 Speaker 1: what I understand, and we'll talk about treat and said 324 00:20:00,280 --> 00:20:03,360 Speaker 1: everything later. But if you can catch things like Alzheimer's 325 00:20:03,359 --> 00:20:07,040 Speaker 1: and other um other diseases that lead to dementia early, 326 00:20:07,760 --> 00:20:10,240 Speaker 1: although there's no cure for any of them, you can 327 00:20:11,040 --> 00:20:14,280 Speaker 1: you can manage them a lot better and delay say 328 00:20:14,359 --> 00:20:18,640 Speaker 1: death or like the real devastation associated with it by 329 00:20:18,800 --> 00:20:21,879 Speaker 1: a significant amount of time. But it's catching is the 330 00:20:21,880 --> 00:20:26,080 Speaker 1: tricky part. And especially if you have dementia, you don't 331 00:20:26,119 --> 00:20:29,960 Speaker 1: really realize that there's any kind of problem. Um, So 332 00:20:30,000 --> 00:20:33,560 Speaker 1: you're probably not going to take yourself to the doctor. No, 333 00:20:34,200 --> 00:20:35,960 Speaker 1: but you what you should do is listen to your 334 00:20:36,000 --> 00:20:38,280 Speaker 1: loved ones because they are going to be looking at 335 00:20:38,320 --> 00:20:41,679 Speaker 1: you a little more closely uh than you can. You 336 00:20:41,680 --> 00:20:45,480 Speaker 1: know that that they're more perspective. Yeah, exactly, that's what 337 00:20:45,520 --> 00:20:49,080 Speaker 1: you're looking for. Um, So don't get you know, don't 338 00:20:49,080 --> 00:20:51,520 Speaker 1: get offended if if a loved one says, let's go 339 00:20:51,560 --> 00:20:53,760 Speaker 1: get you checked out, because you can do something if 340 00:20:53,760 --> 00:20:57,119 Speaker 1: you catch it early on. Unless you're very wealthy and 341 00:20:57,359 --> 00:20:59,960 Speaker 1: it's you're no good nephew that you've never trusted anyone, 342 00:21:00,760 --> 00:21:05,800 Speaker 1: you know, then maybe bring a lawyer in on it. Uh. 343 00:21:05,920 --> 00:21:08,440 Speaker 1: So if you do go get checked out. Um, from 344 00:21:08,440 --> 00:21:10,680 Speaker 1: the second you walk in the door, your doctor is 345 00:21:10,720 --> 00:21:13,920 Speaker 1: gonna be eyeball on you and looking for any signs, 346 00:21:14,560 --> 00:21:18,840 Speaker 1: um just from their their trained eye, like you know, 347 00:21:18,880 --> 00:21:21,280 Speaker 1: from how you walk to the way you answer questions, 348 00:21:22,000 --> 00:21:24,679 Speaker 1: to how they interact with you. Uh, they want to 349 00:21:24,680 --> 00:21:27,040 Speaker 1: know you're They're gonna have to know your history, um 350 00:21:27,080 --> 00:21:31,399 Speaker 1: because they need to have some context to compare it to. Right, 351 00:21:31,520 --> 00:21:34,080 Speaker 1: like were you always a compulsive gambler? Is just like 352 00:21:34,320 --> 00:21:36,880 Speaker 1: new behavior yeah, and it helps to bring you know 353 00:21:37,080 --> 00:21:40,280 Speaker 1: if if um, if you're older, maybe bring your grown 354 00:21:40,320 --> 00:21:43,040 Speaker 1: son or daughter with you or whoever has a lot 355 00:21:43,080 --> 00:21:48,159 Speaker 1: of contact, although your spouse you never know what, I 356 00:21:48,160 --> 00:21:50,520 Speaker 1: don't know, maybe trying to get ready you. Oh yeah 357 00:21:50,680 --> 00:21:54,639 Speaker 1: like that, No good, nephew, Yeah exactly. Um, I'm just kidding, 358 00:21:54,640 --> 00:21:57,600 Speaker 1: of course, although I'm sure that happens. Then there are 359 00:21:57,600 --> 00:21:59,840 Speaker 1: a couple of tests that they usually do in conjunction 360 00:21:59,840 --> 00:22:04,959 Speaker 1: with one another, um, the Mini Mental State Examination the 361 00:22:05,080 --> 00:22:08,040 Speaker 1: m m s E UM just a lot of basic 362 00:22:08,119 --> 00:22:12,240 Speaker 1: questions there um for mental tasks, but they're coded. The 363 00:22:12,280 --> 00:22:16,240 Speaker 1: tasks are yeah, and they're scored individually. Yeah. Um. And 364 00:22:16,600 --> 00:22:21,520 Speaker 1: when you when you M say question three, this person 365 00:22:21,560 --> 00:22:25,080 Speaker 1: got an eid on, you can go over and be like, yeah, dementia. 366 00:22:25,480 --> 00:22:29,960 Speaker 1: It's actually pretty effective actually. And there's another test that 367 00:22:30,080 --> 00:22:33,640 Speaker 1: ties into the mm SC that um. There they both 368 00:22:33,680 --> 00:22:37,199 Speaker 1: indicate one another, which apparently they're both really good at 369 00:22:37,240 --> 00:22:40,560 Speaker 1: indicating dementia. But there's other tests called the clock drawing test. 370 00:22:40,640 --> 00:22:42,479 Speaker 1: Did you look this thing up? Yeah? I thought that's 371 00:22:42,480 --> 00:22:46,280 Speaker 1: pretty fascinating. It really is. It seems really like, why 372 00:22:46,320 --> 00:22:49,879 Speaker 1: would someone tell someone to draw a clock at a 373 00:22:49,880 --> 00:22:52,399 Speaker 1: certain time of the day. Yeah. Usually they say draw 374 00:22:52,520 --> 00:22:57,720 Speaker 1: a clock showing that it's ten after eleven. And it 375 00:22:57,760 --> 00:22:59,959 Speaker 1: makes a lot of sense in a lot of way 376 00:23:00,080 --> 00:23:02,679 Speaker 1: because it draws on all these different kinds or different 377 00:23:02,720 --> 00:23:06,800 Speaker 1: regions of the brain, different um skills. Right, So, like, 378 00:23:07,000 --> 00:23:09,480 Speaker 1: first of all, you have to remember what a clock 379 00:23:09,680 --> 00:23:12,439 Speaker 1: is and what it signifies. That's a big one. What 380 00:23:12,480 --> 00:23:15,479 Speaker 1: it looks like. Uh, yeah, as clock isn't made of 381 00:23:15,520 --> 00:23:18,719 Speaker 1: like squiggly lines or anything like that. Um, you have 382 00:23:18,760 --> 00:23:21,000 Speaker 1: to remember how a clock is laid out, the order 383 00:23:21,040 --> 00:23:23,560 Speaker 1: that the numbers go in that it doesn't keep going 384 00:23:23,600 --> 00:23:27,480 Speaker 1: after twelve to thirteen, fourteen, fifteen. And then once you 385 00:23:27,560 --> 00:23:30,400 Speaker 1: got all this, you have to show the hands showing 386 00:23:30,720 --> 00:23:34,240 Speaker 1: that it's ten after eleven. So the hands won't be 387 00:23:34,280 --> 00:23:37,240 Speaker 1: pointing at ten and eleven, it should be uh, the 388 00:23:37,359 --> 00:23:39,560 Speaker 1: longer hand should be pointing at the two, and the 389 00:23:39,560 --> 00:23:42,640 Speaker 1: shorter hand should be just past the eleven. Right. This 390 00:23:42,760 --> 00:23:46,200 Speaker 1: requires a tremendous amount of brain power, even though it's 391 00:23:46,280 --> 00:23:48,160 Speaker 1: very simple and straightforward, and you can tell a lot 392 00:23:48,240 --> 00:23:52,600 Speaker 1: about a person's mental faculties just by having them draw this. Yeah, 393 00:23:52,680 --> 00:23:56,280 Speaker 1: the four specific things that requires their verbal understanding memory 394 00:23:56,720 --> 00:24:00,359 Speaker 1: spatially coded knowledge and constructive skills, and if any of 395 00:24:00,400 --> 00:24:03,560 Speaker 1: those are off in conjunction with the MMS, then they're 396 00:24:03,560 --> 00:24:05,480 Speaker 1: gonna have a pretty good idea where you fall on 397 00:24:05,520 --> 00:24:08,520 Speaker 1: the dementia scale. If you don't have the constructive skills 398 00:24:08,520 --> 00:24:11,560 Speaker 1: to pay the bills, you may have dementia. That's right. 399 00:24:11,800 --> 00:24:14,440 Speaker 1: And they actually, um, I looked at one study about 400 00:24:14,520 --> 00:24:17,359 Speaker 1: the clock drawing tests. Basically I think it was just 401 00:24:17,400 --> 00:24:19,720 Speaker 1: a more recent like, hey, let's go in and really 402 00:24:19,720 --> 00:24:22,320 Speaker 1: look at this thing again and it checks out. Yeah. 403 00:24:22,400 --> 00:24:24,800 Speaker 1: They stood behind and said, yeah, it's actually a really 404 00:24:24,800 --> 00:24:28,080 Speaker 1: good indicator. Yeah, like it really holds up. And they 405 00:24:28,119 --> 00:24:30,160 Speaker 1: think they developed it in the sixties, but it didn't 406 00:24:30,200 --> 00:24:33,960 Speaker 1: take off until the eighties. And then they do you know, 407 00:24:34,240 --> 00:24:36,320 Speaker 1: but it's something you can do anywhere. And now they're 408 00:24:36,320 --> 00:24:40,119 Speaker 1: starting to gather these um different clocks that people with 409 00:24:40,200 --> 00:24:43,959 Speaker 1: different types of dementia drawing and basically compiling them into 410 00:24:44,000 --> 00:24:46,040 Speaker 1: a database so you know what to look for. Even 411 00:24:46,080 --> 00:24:48,840 Speaker 1: more like, oh, somebody draws a clock that has like 412 00:24:48,880 --> 00:24:51,960 Speaker 1: a thirteen fourteen on it, they may have this type 413 00:24:51,960 --> 00:24:54,080 Speaker 1: of dimension, right, and this one looks like Sabod or 414 00:24:54,160 --> 00:24:57,119 Speaker 1: Dali drew it. Uh, then they might have this kind 415 00:24:57,119 --> 00:25:00,920 Speaker 1: of dementia, or they might just be super talented creative. 416 00:25:01,440 --> 00:25:05,960 Speaker 1: You never know. Um, all right, let's uh should we 417 00:25:05,960 --> 00:25:08,760 Speaker 1: take another break? Why not? Is it time? Sure? All right, 418 00:25:08,840 --> 00:25:11,719 Speaker 1: we'll be back after this talk about treatment and some 419 00:25:11,800 --> 00:25:34,760 Speaker 1: of the other pitfalls of dementia. So Chuck, we've kind 420 00:25:34,760 --> 00:25:38,080 Speaker 1: of um, I think it's almost goes without saying, like 421 00:25:38,080 --> 00:25:41,520 Speaker 1: the problems associated with with dementia, like you lose your 422 00:25:41,560 --> 00:25:45,480 Speaker 1: ability to um reason in a lot of cases, you 423 00:25:45,560 --> 00:25:49,000 Speaker 1: lose your ability to to move and take care of yourself. 424 00:25:49,000 --> 00:25:51,760 Speaker 1: You lose your memories, you have trouble forming new memories, 425 00:25:51,760 --> 00:25:56,040 Speaker 1: you have trouble recognizing people. Um. So living life is 426 00:25:56,240 --> 00:26:00,720 Speaker 1: extremely difficult. Um. But there's also like other complications that 427 00:26:00,760 --> 00:26:02,640 Speaker 1: you may or may not think of. Right. So, let's 428 00:26:02,680 --> 00:26:06,880 Speaker 1: say you're an elderly person and you have a battery 429 00:26:06,920 --> 00:26:10,600 Speaker 1: of medications that you need to take for unrelated heart disease. 430 00:26:11,640 --> 00:26:14,080 Speaker 1: Do you think you're going to remember to take those medications? 431 00:26:14,720 --> 00:26:17,639 Speaker 1: Probably not. Even if you have like a time or 432 00:26:17,720 --> 00:26:20,040 Speaker 1: set or some sort of calendar or something like that, 433 00:26:20,400 --> 00:26:22,919 Speaker 1: you may have trouble even remembering that you have a 434 00:26:22,960 --> 00:26:25,920 Speaker 1: calendar that you need to go check out to see 435 00:26:25,960 --> 00:26:28,880 Speaker 1: what's on there. Let alone to take the medication that's 436 00:26:28,880 --> 00:26:32,600 Speaker 1: indicated that's on that calendar. Yeah, that's a big problem. Uh, 437 00:26:32,840 --> 00:26:37,600 Speaker 1: nutrition itself is a big problem. Either you forget to 438 00:26:37,640 --> 00:26:41,040 Speaker 1: eat altogether, or you think you've already eaten, or you 439 00:26:41,560 --> 00:26:44,800 Speaker 1: physically have deteriorated so that you can't control the muscles, 440 00:26:45,280 --> 00:26:47,880 Speaker 1: the true and to chew and swallow. A good joke. 441 00:26:48,680 --> 00:26:51,000 Speaker 1: It's a real danger. So when people die from Alzheimer's 442 00:26:51,000 --> 00:26:52,960 Speaker 1: it sounds kind of strange if you think about it. 443 00:26:52,920 --> 00:26:55,240 Speaker 1: It's like, well, no, they forgot they lost their memory 444 00:26:55,320 --> 00:26:58,959 Speaker 1: or whatever. No, the brain is actually being slowly destroyed 445 00:26:59,600 --> 00:27:02,680 Speaker 1: period aodically, and eventually it's going to reach the parts 446 00:27:02,680 --> 00:27:05,240 Speaker 1: of the brain where like you can't swallow any longer. 447 00:27:05,600 --> 00:27:08,280 Speaker 1: Then you die from that kind of thing. Um, you 448 00:27:08,359 --> 00:27:11,600 Speaker 1: also can lose your sense of hunger, like you just 449 00:27:11,640 --> 00:27:15,120 Speaker 1: aren't hungry anymore. Kind of tough to eat, especially when 450 00:27:15,160 --> 00:27:17,960 Speaker 1: you're not thinking or remembering that you should eat, um, 451 00:27:18,080 --> 00:27:22,480 Speaker 1: when you're just not hungry. Ever. Yeah, this to one. Hygiene. 452 00:27:23,080 --> 00:27:25,439 Speaker 1: Reduced hygiene is a big one. UM. A lot of 453 00:27:25,480 --> 00:27:29,600 Speaker 1: times in severe dementia cases, you either are unable to 454 00:27:30,119 --> 00:27:32,800 Speaker 1: bathe and dress yourself and brush your teeth or you 455 00:27:32,880 --> 00:27:36,680 Speaker 1: forget to. Uh, it just falls by the wayside um. 456 00:27:36,720 --> 00:27:39,119 Speaker 1: I know that was the case with my grandmother. She needed, 457 00:27:39,680 --> 00:27:42,240 Speaker 1: you know, she needed to be bathed by my dad 458 00:27:42,520 --> 00:27:44,800 Speaker 1: because she lost interest in it or because she just 459 00:27:44,800 --> 00:27:49,760 Speaker 1: couldn't do it anymore. Uh, I think both. Yeah, yeah, um, 460 00:27:49,800 --> 00:27:52,600 Speaker 1: that's another indicator. You said that when you go in 461 00:27:52,680 --> 00:27:54,840 Speaker 1: for a diagnosis, the doctor is going to be watching 462 00:27:54,880 --> 00:27:56,960 Speaker 1: you and just kind of sizing you up. One of 463 00:27:57,000 --> 00:27:59,040 Speaker 1: the things you'll look for is whether you look disheveled. 464 00:27:59,720 --> 00:28:02,480 Speaker 1: That's a big one. And especially if your son or 465 00:28:02,560 --> 00:28:05,840 Speaker 1: daughter is saying, like, this is really bizarre behavior because 466 00:28:06,240 --> 00:28:10,679 Speaker 1: mom always like dressed to the nines. She just wears 467 00:28:10,680 --> 00:28:12,840 Speaker 1: this dirty old bathrobe all the time and doesn't ever 468 00:28:12,840 --> 00:28:15,800 Speaker 1: want to take a shower. That's that's usually an indicator 469 00:28:15,800 --> 00:28:19,239 Speaker 1: of dementia. Yeah, it's not like she just gave up 470 00:28:19,240 --> 00:28:23,840 Speaker 1: and doesn't care anymore. It's it's part of the symptoms. Hold. Although, 471 00:28:24,359 --> 00:28:27,800 Speaker 1: another problem with dementia, and one of the confounding factors, 472 00:28:28,080 --> 00:28:32,560 Speaker 1: is that depression can be a byproduct or come morbidity 473 00:28:32,600 --> 00:28:37,479 Speaker 1: of dementia because you recognize that your life is changing 474 00:28:37,480 --> 00:28:40,080 Speaker 1: in ways that you're not happy about you can't communicate anymore, 475 00:28:40,120 --> 00:28:43,680 Speaker 1: you forget stuff all the time. You can become depressed. Um. 476 00:28:43,800 --> 00:28:46,200 Speaker 1: So then that could lead to you giving up on 477 00:28:46,800 --> 00:28:49,600 Speaker 1: taking showers and dressing as well. Yeah. And not only depressed, 478 00:28:49,600 --> 00:28:54,680 Speaker 1: but um agitated and aggressive um riddle with anxiety. A 479 00:28:54,680 --> 00:28:57,200 Speaker 1: lot of your emotional well being and emotional health will 480 00:28:57,240 --> 00:29:00,719 Speaker 1: be uh slipping away from you. Yeah. And again this 481 00:29:00,760 --> 00:29:05,680 Speaker 1: can be a direct result of chemical changes in your 482 00:29:05,680 --> 00:29:09,400 Speaker 1: brain due to dementia, or it can be like your 483 00:29:09,520 --> 00:29:12,520 Speaker 1: this is the result of you recognizing these changes and 484 00:29:12,520 --> 00:29:16,800 Speaker 1: and just be coming upset about them. We talked about communication, UM, 485 00:29:16,840 --> 00:29:20,480 Speaker 1: and the hallucinations. You're gonna have trouble sleeping as well 486 00:29:20,520 --> 00:29:24,680 Speaker 1: in a lot of cases. Uh. And then personal safety UM. 487 00:29:24,720 --> 00:29:28,880 Speaker 1: A lot of people die every day because of accidents 488 00:29:28,960 --> 00:29:31,880 Speaker 1: that happened as a result of dementia, people who shouldn't 489 00:29:31,880 --> 00:29:35,320 Speaker 1: be driving it into cars. Um. And there's this there's 490 00:29:35,000 --> 00:29:37,440 Speaker 1: a push that's going on now, I think in the 491 00:29:37,520 --> 00:29:40,840 Speaker 1: last year or so UM as part of the Council 492 00:29:40,920 --> 00:29:43,280 Speaker 1: on Aging, like the United States Council and Aging, there's 493 00:29:43,320 --> 00:29:47,680 Speaker 1: a new initiative called the Dementia Friendly America Initiative. Really 494 00:29:47,880 --> 00:29:51,720 Speaker 1: neat Yeah, it's basically saying, look, we've got about one 495 00:29:51,720 --> 00:29:54,640 Speaker 1: in eight people over sixty five and the US have dementia. 496 00:29:54,960 --> 00:29:57,040 Speaker 1: We're about to have way more than that in the 497 00:29:57,080 --> 00:29:59,719 Speaker 1: next couple of decades. We need to be prepared for 498 00:29:59,720 --> 00:30:03,560 Speaker 1: this kind of thing. So let's start training America how 499 00:30:03,640 --> 00:30:06,360 Speaker 1: to recognize the signs of dementia and then how to 500 00:30:06,920 --> 00:30:09,920 Speaker 1: react to it in a friendly and helpful manner so 501 00:30:09,960 --> 00:30:14,160 Speaker 1: that people who are wandering around with dementia don't withdraw 502 00:30:14,280 --> 00:30:17,800 Speaker 1: eighty thousand dollars from their bank account and and walk 503 00:30:17,840 --> 00:30:20,880 Speaker 1: around with it in their pockets outside. Yeah, and how 504 00:30:20,880 --> 00:30:24,080 Speaker 1: do you do that? You you get some money uh 505 00:30:24,240 --> 00:30:27,120 Speaker 1: from the government as a grant to go out and 506 00:30:27,520 --> 00:30:31,120 Speaker 1: hire people to literally go to businesses and go to 507 00:30:31,200 --> 00:30:35,080 Speaker 1: restaurants and talk to waiters and waitresses or should I 508 00:30:35,120 --> 00:30:38,800 Speaker 1: just say waitron's uh. Go to banks and talk to tellers, 509 00:30:38,840 --> 00:30:42,480 Speaker 1: go to uh anywhere where there's interaction with another human, 510 00:30:43,280 --> 00:30:47,520 Speaker 1: grocery store checkout people, and literally train them on, like 511 00:30:47,560 --> 00:30:50,440 Speaker 1: you said, how to recognize it and how to kindly 512 00:30:50,480 --> 00:30:53,640 Speaker 1: deal with these people, right exactly. Um. Apparently one of 513 00:30:53,640 --> 00:30:56,880 Speaker 1: the things you teach people in service industries is not 514 00:30:56,960 --> 00:31:00,360 Speaker 1: take it personally. That if somebody's behaving around clear or 515 00:31:00,400 --> 00:31:03,120 Speaker 1: they're using incorrect words, and they're of a certain age, 516 00:31:03,160 --> 00:31:05,920 Speaker 1: the chances are they probably have dementia. And there's ways 517 00:31:05,960 --> 00:31:10,719 Speaker 1: of dealing with it. Um. Apparently, responding to it in 518 00:31:10,760 --> 00:31:15,880 Speaker 1: a soft, friendly manner tends to get results from the 519 00:31:16,600 --> 00:31:21,240 Speaker 1: dementia patient. Um, especially if you are not being an 520 00:31:21,240 --> 00:31:25,080 Speaker 1: aggressive jerking right exactly. It just being nice will will 521 00:31:26,440 --> 00:31:29,760 Speaker 1: frequently get good results. Um. And Yeah, it is a 522 00:31:29,760 --> 00:31:35,959 Speaker 1: pretty neat initiative absolute um and and necessary. Yeah, you know, 523 00:31:36,360 --> 00:31:40,160 Speaker 1: but it's it's I'm stricken by the idea that people 524 00:31:40,200 --> 00:31:44,240 Speaker 1: are planning out this far ahead for this kind of thing. 525 00:31:44,240 --> 00:31:50,720 Speaker 1: It's exceptional, it is and scary. Uh So if you 526 00:31:50,760 --> 00:31:52,960 Speaker 1: do have a family member, one thing that's I'm important 527 00:31:53,000 --> 00:31:56,680 Speaker 1: to remember. There's something called the caregiver burden that my 528 00:31:56,760 --> 00:31:59,600 Speaker 1: dad and his wife definitely experienced. It is really really 529 00:32:00,680 --> 00:32:04,120 Speaker 1: on you, on your family. Uh and it can actually 530 00:32:04,120 --> 00:32:07,320 Speaker 1: take a physical toll. Um. They have some stats here 531 00:32:07,440 --> 00:32:11,360 Speaker 1: if you your risk of death as a woman if 532 00:32:11,440 --> 00:32:17,040 Speaker 1: your husband has dementia increases in the first year after 533 00:32:17,040 --> 00:32:23,000 Speaker 1: they're diagnosed, and only for a husband whose wife is diagnosed. 534 00:32:23,280 --> 00:32:27,480 Speaker 1: Um and then a little pretty significant inco just from 535 00:32:27,520 --> 00:32:31,600 Speaker 1: the dementia diagnosis. Yeah, and um, what they recommend in 536 00:32:31,640 --> 00:32:35,320 Speaker 1: this article is to take care of yourself first, because 537 00:32:35,400 --> 00:32:39,680 Speaker 1: they found that if you are not going into this 538 00:32:39,720 --> 00:32:43,280 Speaker 1: with the right attitude and you are upset or have anxiety, 539 00:32:43,720 --> 00:32:47,560 Speaker 1: you're just gonna do more harm anyway. So get yourself right, 540 00:32:47,680 --> 00:32:49,760 Speaker 1: take care of yourself, and go into it in the 541 00:32:49,800 --> 00:32:51,640 Speaker 1: right frame of mind, and you'll actually be able to 542 00:32:51,680 --> 00:32:54,840 Speaker 1: help better. Yeah, and this, this caregiver burden or caregiver 543 00:32:54,960 --> 00:32:58,040 Speaker 1: burnout is a very real thing physically too. Like you, 544 00:32:58,320 --> 00:33:02,040 Speaker 1: um have low energy, you'r you have low productivity, You 545 00:33:02,120 --> 00:33:06,959 Speaker 1: become snippy, resentful, angry, and you can end up basically 546 00:33:07,000 --> 00:33:11,760 Speaker 1: mistreating your own parents or spouse because you're so upset 547 00:33:11,800 --> 00:33:15,960 Speaker 1: with this horrific disease. One of the hallmarks of dementia 548 00:33:16,360 --> 00:33:20,680 Speaker 1: is that that that there's no two days that are alike, 549 00:33:21,360 --> 00:33:25,040 Speaker 1: and when you're dealing with the dementia patient, what worked 550 00:33:25,120 --> 00:33:28,320 Speaker 1: yesterday isn't gonna necessarily work today. Well, if you can 551 00:33:28,320 --> 00:33:30,320 Speaker 1: no longer predict what your life is going to be 552 00:33:30,360 --> 00:33:33,120 Speaker 1: like from day to day and you're spending I think 553 00:33:33,440 --> 00:33:35,360 Speaker 1: I saw this one study that found an average of 554 00:33:35,400 --> 00:33:41,600 Speaker 1: twenty two hours a week of unpaid care by spouses, wives, daughters, 555 00:33:41,600 --> 00:33:45,120 Speaker 1: that kind of thing. Um, your you can very easily 556 00:33:45,120 --> 00:33:47,440 Speaker 1: get stressed out. The main thing you have to do 557 00:33:47,600 --> 00:33:49,880 Speaker 1: is ask for a respect care. Like. You can't do 558 00:33:49,920 --> 00:33:53,600 Speaker 1: it by yourself. You have to have other family members, 559 00:33:54,160 --> 00:33:57,239 Speaker 1: members of your church, your community come and give you 560 00:33:57,280 --> 00:33:59,680 Speaker 1: a break so you can go do other stuff for 561 00:33:59,720 --> 00:34:02,760 Speaker 1: a while. Absolutely, And I mean you could totally see 562 00:34:02,800 --> 00:34:07,400 Speaker 1: how you could just very easily evolve a really unhealthy 563 00:34:07,480 --> 00:34:10,520 Speaker 1: dynamic if you're just trying to do it yourself. Because 564 00:34:10,560 --> 00:34:13,000 Speaker 1: you lose perspective. This becomes your norm, even though it's 565 00:34:13,000 --> 00:34:16,400 Speaker 1: totally abnormal. Yeah, and boy you talk about it's a 566 00:34:16,440 --> 00:34:20,680 Speaker 1: really sad way to damage what previously was a good 567 00:34:20,719 --> 00:34:26,840 Speaker 1: relationship with a parent or something. It is devastating, you know. Um. 568 00:34:26,880 --> 00:34:30,640 Speaker 1: So there are drugs that they use to help stave 569 00:34:30,640 --> 00:34:38,399 Speaker 1: off dementia. Um, mainly right now. They are colon estras inhibitors, 570 00:34:39,560 --> 00:34:43,120 Speaker 1: uh and they suppress colonestras, which is an enzyme that 571 00:34:43,239 --> 00:34:50,319 Speaker 1: breaks down uh uh cta CEO lathing which we talked 572 00:34:50,320 --> 00:34:55,879 Speaker 1: about before. That's what helps transmit messages between neurons. So 573 00:34:56,680 --> 00:35:00,560 Speaker 1: that will help. Yeah, because if you're not commu indicating 574 00:35:00,600 --> 00:35:04,600 Speaker 1: as much as you were before. At least the communication 575 00:35:04,680 --> 00:35:07,960 Speaker 1: that is going on can stick around longer. You know. 576 00:35:08,480 --> 00:35:11,600 Speaker 1: It's seems primitive as far as like brain drugs go, 577 00:35:11,760 --> 00:35:14,279 Speaker 1: but it makes sense, you know. Yeah. And then there's 578 00:35:14,320 --> 00:35:19,640 Speaker 1: another one. Are they still using this believes momanten uh, 579 00:35:19,640 --> 00:35:23,840 Speaker 1: And it inhibitates inhibits glutamate, which we talked about before, 580 00:35:24,000 --> 00:35:27,680 Speaker 1: which causes neuron death when over stimulated. Yeah. I can't 581 00:35:27,680 --> 00:35:30,040 Speaker 1: remember where we talked about that one either. I just 582 00:35:30,080 --> 00:35:33,560 Speaker 1: remember glutamate from the Umami episode. Yeah, I was definitely 583 00:35:33,640 --> 00:35:37,040 Speaker 1: that one. Um. And then there's also stuff you can 584 00:35:38,000 --> 00:35:42,279 Speaker 1: so these drugs will help some. That's for non vascular dementia, right. 585 00:35:42,719 --> 00:35:48,080 Speaker 1: With with vascular dementia, you're gonna want to take blood thinners, yeah, 586 00:35:48,080 --> 00:35:50,279 Speaker 1: to keep more strokes from coming along and making the 587 00:35:50,320 --> 00:35:53,680 Speaker 1: whole thing worse. Um. And then with like Louis body disease, 588 00:35:53,760 --> 00:35:57,040 Speaker 1: to deal with things like the hallucinations and stuff, you'll 589 00:35:57,040 --> 00:36:00,640 Speaker 1: probably also be given anti psychotics as well. Um. And 590 00:36:00,760 --> 00:36:03,000 Speaker 1: one thing that they're starting to realize more and more, 591 00:36:03,320 --> 00:36:06,279 Speaker 1: it's very difficult to really figure out what kind of 592 00:36:06,280 --> 00:36:12,759 Speaker 1: dementia people have just from um uh, what's the scan. Yeah, 593 00:36:12,960 --> 00:36:16,160 Speaker 1: MRI I scan UM, and you can really go back 594 00:36:16,200 --> 00:36:21,720 Speaker 1: and accurately identify types of UM dementia from autopsies, right, 595 00:36:22,560 --> 00:36:25,319 Speaker 1: And so for more and more autosies, they're finding that 596 00:36:25,360 --> 00:36:28,160 Speaker 1: there's a lot of what's called mixed dementia, where you 597 00:36:28,200 --> 00:36:32,439 Speaker 1: have Alzheimer's and vascular dementia, or where you have Alzheimer's 598 00:36:32,480 --> 00:36:36,920 Speaker 1: and Louis Bodies disease UM. And so it can be 599 00:36:36,960 --> 00:36:39,440 Speaker 1: really tough to suss out all the different kinds of 600 00:36:39,480 --> 00:36:42,400 Speaker 1: dementia person might have. But if you can do that, 601 00:36:42,520 --> 00:36:44,120 Speaker 1: then you can you can put them on a drug 602 00:36:44,160 --> 00:36:47,200 Speaker 1: regimen that could really kind of help more than just 603 00:36:47,320 --> 00:36:51,000 Speaker 1: treating the Alzheimer's and letting the Louis body go unrecognized 604 00:36:51,000 --> 00:36:55,359 Speaker 1: and rampant or unchecked. There's also preventative stuff you can 605 00:36:55,400 --> 00:37:01,680 Speaker 1: do too. Oh yeah, yeah, like what cross or puzzles. Yeah, 606 00:37:01,840 --> 00:37:06,600 Speaker 1: I told you. Emily's grandmother, Mary is ninety five and 607 00:37:06,840 --> 00:37:10,759 Speaker 1: very sharp. Uh, and she does word puzzles all the 608 00:37:10,880 --> 00:37:14,600 Speaker 1: live long day and uh this is sodoku. Yeah, she does. 609 00:37:15,080 --> 00:37:17,520 Speaker 1: She does all kinds of word puzzles. Yeah, things that 610 00:37:17,560 --> 00:37:19,719 Speaker 1: I have never even heard of. It supposedly that helps 611 00:37:19,760 --> 00:37:24,560 Speaker 1: stave it off apparently, Um, this one's great. Alcohol. Moderate 612 00:37:24,600 --> 00:37:27,839 Speaker 1: alcohol consumption, which is two a day or for men 613 00:37:27,960 --> 00:37:31,160 Speaker 1: or one a day for women. Okay, Uh, has a 614 00:37:31,239 --> 00:37:35,399 Speaker 1: protective effect. It staves off all stays off dementia. They're 615 00:37:35,440 --> 00:37:38,560 Speaker 1: not sure why, they're not sure what kind of alcohol 616 00:37:39,000 --> 00:37:42,120 Speaker 1: is the best. They just know that for some reason, 617 00:37:42,200 --> 00:37:46,160 Speaker 1: alcohol has a protective effect. Uh. Probably up to that 618 00:37:46,239 --> 00:37:48,680 Speaker 1: to drinks, and then it's probably bad after that. Then 619 00:37:48,680 --> 00:37:51,200 Speaker 1: it becomes very bad after that. So you want to 620 00:37:51,400 --> 00:37:58,120 Speaker 1: just moderate amount, right in all things, people, moderation, moderation. Uh. 621 00:37:58,160 --> 00:38:01,359 Speaker 1: And then uh, there are some things that you can do. 622 00:38:03,200 --> 00:38:07,320 Speaker 1: Here's the thing. There's a a debate on whether or not, um, 623 00:38:07,880 --> 00:38:13,919 Speaker 1: you're tricking your loved one by doing things like, um, 624 00:38:13,920 --> 00:38:17,440 Speaker 1: giving them an appliance that doesn't work, so they can 625 00:38:17,680 --> 00:38:21,600 Speaker 1: pretend that they're ironing or something because they used to 626 00:38:21,640 --> 00:38:24,759 Speaker 1: love to take care of their laundry themselves. So here, 627 00:38:24,840 --> 00:38:28,480 Speaker 1: let me remove the cord from this iron. And uh. 628 00:38:28,520 --> 00:38:31,799 Speaker 1: And is that tricking someone? Is it not? Uh? And 629 00:38:31,840 --> 00:38:33,960 Speaker 1: a lot of people think, no, that's what you should 630 00:38:33,960 --> 00:38:36,640 Speaker 1: do because it makes them feel like they're being useful. 631 00:38:37,120 --> 00:38:39,440 Speaker 1: They're not gonna get hurt with a hot iron. So 632 00:38:39,480 --> 00:38:43,560 Speaker 1: it's all good. Other people say no, that means that 633 00:38:43,719 --> 00:38:46,200 Speaker 1: they're not hanging onto that last bit of reality they 634 00:38:46,200 --> 00:38:50,080 Speaker 1: may have. I think it's fine. I think it's fine too. 635 00:38:50,120 --> 00:38:53,520 Speaker 1: And there's actually, um, there's a an entire village set 636 00:38:53,600 --> 00:38:58,080 Speaker 1: up in I think like just outside of Amsterdam. Yeah, 637 00:38:58,120 --> 00:39:02,399 Speaker 1: this is awesome, right, Yeah, how would you say that? 638 00:39:02,600 --> 00:39:06,520 Speaker 1: I have because Dutch is the weirdest, the weirdest language, 639 00:39:07,600 --> 00:39:10,880 Speaker 1: we'll say that, okay, Um, And uh, it's a it 640 00:39:11,000 --> 00:39:14,360 Speaker 1: is a it's an what's called the Dementia village. Basically 641 00:39:14,960 --> 00:39:18,000 Speaker 1: where everyone who lives in this village, I think a 642 00:39:18,080 --> 00:39:22,279 Speaker 1: hundred and fifty people all have dementia and they live 643 00:39:22,320 --> 00:39:25,319 Speaker 1: in group houses there. Well there's caretakers that live there too, 644 00:39:25,360 --> 00:39:28,200 Speaker 1: but okay, yes, you're right, um, And they live in 645 00:39:28,239 --> 00:39:30,160 Speaker 1: the group houses with them, and a lot of the 646 00:39:30,239 --> 00:39:34,480 Speaker 1: people realize that this is their nurse or just think 647 00:39:34,560 --> 00:39:37,800 Speaker 1: it's a good friend of theirs. They don't really remember 648 00:39:37,840 --> 00:39:41,319 Speaker 1: where when they became friends. Yeah, exactly. Um. And the 649 00:39:41,360 --> 00:39:44,279 Speaker 1: houses they live in have different themes according to how 650 00:39:44,320 --> 00:39:47,320 Speaker 1: the people lived, depending on whether they are blue collar, 651 00:39:47,840 --> 00:39:50,799 Speaker 1: whether they their memories go back to the seventies. This 652 00:39:50,840 --> 00:39:55,040 Speaker 1: whole place is basically set up so that it's a very, um, 653 00:39:55,200 --> 00:39:58,239 Speaker 1: non threatening safe place because people just kind of live 654 00:39:58,960 --> 00:40:04,560 Speaker 1: and um move about within safely. Yeah, safely. Um. And 655 00:40:04,640 --> 00:40:07,080 Speaker 1: so they can go to the grocery store, they can 656 00:40:07,120 --> 00:40:10,160 Speaker 1: go to the movies, they can go ride a bike, 657 00:40:10,440 --> 00:40:13,080 Speaker 1: and everyone, the people at the movie theater, I know 658 00:40:13,560 --> 00:40:16,759 Speaker 1: that the people there have dementia, right like every They're 659 00:40:16,840 --> 00:40:20,040 Speaker 1: real movie theater workers and reil waiters in the restaurant 660 00:40:20,160 --> 00:40:24,120 Speaker 1: especially trained exactly. So it's a less clinical setting than 661 00:40:24,320 --> 00:40:27,040 Speaker 1: say a nursing home. And a lot of people say 662 00:40:27,440 --> 00:40:30,680 Speaker 1: this is awesome because it's as close to real normal 663 00:40:30,719 --> 00:40:32,440 Speaker 1: life that they were used to as they're gonna get. 664 00:40:32,520 --> 00:40:35,360 Speaker 1: Yeah exactly. Uh. Then of course there's other people that 665 00:40:35,360 --> 00:40:38,080 Speaker 1: poople would say, no, you're tricking these people. But but 666 00:40:38,200 --> 00:40:41,680 Speaker 1: you can say, hey, okay, here's here's the big difference 667 00:40:41,680 --> 00:40:45,600 Speaker 1: with this place. If this if this dementia patient gets 668 00:40:45,640 --> 00:40:49,440 Speaker 1: lost in Manhattan and they run across the city worker 669 00:40:49,480 --> 00:40:53,760 Speaker 1: who's collecting garbage, that city worker may do absolutely nothing 670 00:40:53,840 --> 00:40:59,600 Speaker 1: to help them. In Hovey Village, that city worker especially 671 00:40:59,640 --> 00:41:03,040 Speaker 1: trained to get that person back to their house or 672 00:41:03,160 --> 00:41:06,480 Speaker 1: alert their caretaker that this person is having a crisis. 673 00:41:06,600 --> 00:41:08,319 Speaker 1: Or something like that. That's what we're trying to train 674 00:41:08,360 --> 00:41:10,800 Speaker 1: people to do in the future. Yes, they've just isolated 675 00:41:10,800 --> 00:41:14,160 Speaker 1: it to a community. Yeah, so there's I mean, when 676 00:41:14,239 --> 00:41:16,279 Speaker 1: you break it down to that distinction, I don't really 677 00:41:16,280 --> 00:41:20,239 Speaker 1: see anything wrong with it, especially when you are protecting 678 00:41:21,520 --> 00:41:24,600 Speaker 1: the patients themselves. It's not like you're doing it to 679 00:41:24,760 --> 00:41:28,960 Speaker 1: experiment on them, you know, or because they'll they'll produce 680 00:41:29,080 --> 00:41:31,399 Speaker 1: gold in their urine or something like that. You know, 681 00:41:31,480 --> 00:41:36,080 Speaker 1: like this is strictly for their protection, but also allowing 682 00:41:36,080 --> 00:41:38,719 Speaker 1: them to to live a free life outside of a 683 00:41:38,760 --> 00:41:42,200 Speaker 1: clinical setting. I don't see much wrong with that. I 684 00:41:42,239 --> 00:41:45,399 Speaker 1: do get what the bioethicists are saying, like, yes, you're 685 00:41:45,480 --> 00:41:47,680 Speaker 1: robbing someone of their dignity by lying to them, by 686 00:41:47,719 --> 00:41:51,279 Speaker 1: deluding them, or playing into their fantasies. Strictly speaking, Yes, 687 00:41:51,760 --> 00:41:54,280 Speaker 1: in the real practical world, I think this is great. 688 00:41:54,560 --> 00:41:59,480 Speaker 1: If I'm at that point, then play into my fantasy exactly. Um, 689 00:41:59,480 --> 00:42:04,480 Speaker 1: it is not four all the time. Uh. In fact, 690 00:42:04,560 --> 00:42:06,359 Speaker 1: one of the people that work there say that people 691 00:42:06,400 --> 00:42:08,480 Speaker 1: that do criticize it at a very good point. He's like, 692 00:42:08,520 --> 00:42:11,400 Speaker 1: they don't understand what we're doing here. These aren't actors, 693 00:42:11,800 --> 00:42:15,839 Speaker 1: they're like real employees of these places. They're just helping out, 694 00:42:16,560 --> 00:42:19,960 Speaker 1: you know, And so jog Ve Village. I hope I'm 695 00:42:19,960 --> 00:42:22,399 Speaker 1: staying that right because I'm really putting myself out there. Oh, 696 00:42:22,440 --> 00:42:26,680 Speaker 1: I'm sure you're not. It's become this kind of ideal 697 00:42:26,800 --> 00:42:30,920 Speaker 1: standard of care, but it's also really expensive. So in 698 00:42:30,960 --> 00:42:33,480 Speaker 1: a country where there's a lot of socialized medicine, it 699 00:42:33,560 --> 00:42:37,000 Speaker 1: could do pretty well, like in the Netherlands or in Canada, 700 00:42:37,080 --> 00:42:38,719 Speaker 1: when they take care of people even though they don't 701 00:42:38,760 --> 00:42:42,840 Speaker 1: have money, right exactly. There's there's one called UM in Canada. 702 00:42:43,160 --> 00:42:51,960 Speaker 1: It's called UM Pentanginguish pentanguishin Ontario they have one. It's 703 00:42:51,960 --> 00:42:54,960 Speaker 1: a little smaller than the one in in Amsterdam. They're 704 00:42:54,960 --> 00:42:58,319 Speaker 1: also building one in Miami as well. So it is 705 00:42:58,360 --> 00:43:01,080 Speaker 1: starting to take hold. People do believe in it, and 706 00:43:01,719 --> 00:43:04,839 Speaker 1: apparently the patients families are very happy with this kind 707 00:43:04,840 --> 00:43:07,160 Speaker 1: of thing too well. And hopefully with the initiative of 708 00:43:07,719 --> 00:43:15,400 Speaker 1: what's it called America d f A. Uh yeah, hopefully 709 00:43:15,440 --> 00:43:18,560 Speaker 1: with those efforts, UM, more and more people will because 710 00:43:18,600 --> 00:43:21,240 Speaker 1: it's coming. Oh yeah, it's coming. A lot more folks 711 00:43:21,239 --> 00:43:22,320 Speaker 1: are going to be out there that we need to 712 00:43:22,360 --> 00:43:25,080 Speaker 1: take care of. Yeah, we don't know. How do you 713 00:43:25,120 --> 00:43:28,840 Speaker 1: cure dementia? We just know it's coming. I'm gonna be 714 00:43:28,880 --> 00:43:32,799 Speaker 1: one of them, do you think so? Sure at some 715 00:43:32,840 --> 00:43:35,399 Speaker 1: point if I if I make it that long. But 716 00:43:35,440 --> 00:43:37,799 Speaker 1: you know, not everybody gets dementia no matter how long 717 00:43:37,840 --> 00:43:42,399 Speaker 1: you live. I don't know. I got a feeling really Yeah. 718 00:43:42,680 --> 00:43:44,439 Speaker 1: It does run in my family a little bit. Yeah, 719 00:43:44,840 --> 00:43:48,839 Speaker 1: and I have the my father's family genes more than 720 00:43:48,920 --> 00:43:53,520 Speaker 1: my mother's. I feel like, uh so, if if I 721 00:43:53,600 --> 00:43:57,680 Speaker 1: had my mother's jeans, they all died from heart attacks 722 00:43:57,680 --> 00:44:02,279 Speaker 1: and strokes and heart disease. Young, not a lot of cancer, yeah, 723 00:44:02,400 --> 00:44:07,359 Speaker 1: pretty young. Yeah. Um so if you make it past yeah, 724 00:44:07,800 --> 00:44:10,279 Speaker 1: you you beat the heart stuff. Then the Bryant genes, 725 00:44:11,000 --> 00:44:15,960 Speaker 1: the dimension, well we're all going down one, you know. 726 00:44:18,080 --> 00:44:22,960 Speaker 1: Um Man, I thought it's something. Oh yeah, I wonder, Chuck, 727 00:44:23,040 --> 00:44:26,399 Speaker 1: if like our specific like us, you and me specifically, 728 00:44:26,800 --> 00:44:30,719 Speaker 1: creaming all this information in every week is actually beneficial, 729 00:44:31,239 --> 00:44:34,360 Speaker 1: or if we're just setting ourselves up for massive cases 730 00:44:34,360 --> 00:44:37,040 Speaker 1: of dementia because we're just pushing stuff in and getting 731 00:44:37,040 --> 00:44:38,960 Speaker 1: it out, pushing a new stuff and getting it out, 732 00:44:39,400 --> 00:44:41,799 Speaker 1: Like are we are we abusing our brains? Or are 733 00:44:41,800 --> 00:44:44,839 Speaker 1: we exercising it. I question that. Sometimes I bet someone 734 00:44:44,840 --> 00:44:46,920 Speaker 1: out there. I bet there's a neurologist who has a 735 00:44:46,960 --> 00:44:50,759 Speaker 1: good gut instincts let us know. I want to know 736 00:44:51,000 --> 00:44:55,600 Speaker 1: good news are bad? Okay, neurologists. There's gonna be a 737 00:44:55,640 --> 00:44:59,439 Speaker 1: subject a line that just says neurologists, guys, you're screwed. Yeah, 738 00:44:59,560 --> 00:45:02,640 Speaker 1: I have news. If you want to know more about dementia, 739 00:45:02,680 --> 00:45:05,120 Speaker 1: you can type that word into your favorite search engine 740 00:45:05,120 --> 00:45:08,560 Speaker 1: and it will bring up tons of information and great resources. 741 00:45:08,880 --> 00:45:11,400 Speaker 1: You can also type it into the search part how 742 00:45:11,440 --> 00:45:13,839 Speaker 1: stiff works and it'll bring up a great article. Since 743 00:45:13,880 --> 00:45:17,280 Speaker 1: I said search parts, time for listener mail. I'm gonna 744 00:45:17,280 --> 00:45:22,759 Speaker 1: call this one. Hecky Krasnall lives okay, although I don't 745 00:45:22,800 --> 00:45:27,720 Speaker 1: think he is with us. Hey, guys, only just started 746 00:45:27,880 --> 00:45:30,120 Speaker 1: recently listening to the show. It's been a fantastic way 747 00:45:30,160 --> 00:45:33,680 Speaker 1: to pass time and learn something interesting. I'm a home 748 00:45:33,719 --> 00:45:36,160 Speaker 1: taught high schooler, so every time I listen to an 749 00:45:36,200 --> 00:45:38,800 Speaker 1: episode of your show, I get a history or science credit. 750 00:45:39,360 --> 00:45:42,160 Speaker 1: How about that? That is pretty great. But as great 751 00:45:42,160 --> 00:45:44,239 Speaker 1: as that is, that's not why I'm emailing. Actually have 752 00:45:44,280 --> 00:45:47,240 Speaker 1: a fun fact for you guys from your Plato episode 753 00:45:47,480 --> 00:45:51,280 Speaker 1: and once you mentioned Captain Kangaroo. Well, my great grandfather 754 00:45:51,360 --> 00:45:54,239 Speaker 1: worked on that show. He produced the songs for it, 755 00:45:54,560 --> 00:45:58,600 Speaker 1: as well as several several Christmas carols, including Frosty the 756 00:45:58,680 --> 00:46:02,040 Speaker 1: Snowman and his biggest claim to fame, Rudolph the Red 757 00:46:02,080 --> 00:46:04,800 Speaker 1: Nose Reindeer. That is awesome. I've always thought it was 758 00:46:04,920 --> 00:46:07,279 Speaker 1: very funny that a Jewish guy was responsible for the 759 00:46:07,280 --> 00:46:12,840 Speaker 1: popularity of Christmas carols. My family all still Jewish watches 760 00:46:12,880 --> 00:46:15,880 Speaker 1: the Claimation Rudolph movie every year because of that, our 761 00:46:15,960 --> 00:46:19,320 Speaker 1: own little taste of that irony. I don't want to 762 00:46:19,360 --> 00:46:21,680 Speaker 1: tell you what to do, because I'm sure you have 763 00:46:21,719 --> 00:46:23,560 Speaker 1: a lot of episodes on your plate already, But I'm 764 00:46:23,600 --> 00:46:28,120 Speaker 1: just saying, Hecky Krasnaw was a pretty interesting person. Uh, 765 00:46:28,200 --> 00:46:31,200 Speaker 1: there might just be enough material for an episode on him. 766 00:46:31,280 --> 00:46:33,919 Speaker 1: Up to you. Thanks for helping with my school work. 767 00:46:34,000 --> 00:46:38,680 Speaker 1: That is from Aiden in Maryland. Awesome. Thank you very much. Aiden. 768 00:46:39,760 --> 00:46:42,160 Speaker 1: And when I say Hecky Krasnow lives, I mean lives 769 00:46:42,160 --> 00:46:46,919 Speaker 1: on like Viva La Hecky. Yeah. Uh, if you want 770 00:46:46,960 --> 00:46:49,239 Speaker 1: to tell us about someone interesting in your family, we 771 00:46:49,400 --> 00:46:52,279 Speaker 1: love that kind of stuff. Also, if you're caring for 772 00:46:52,640 --> 00:46:54,840 Speaker 1: them into patient we want to hear the highs and 773 00:46:54,840 --> 00:46:57,160 Speaker 1: the lows of that. UM just kind of bring it 774 00:46:57,200 --> 00:46:59,920 Speaker 1: on home for us, will you? You can tweet too, 775 00:47:00,080 --> 00:47:02,720 Speaker 1: said s y esk podcast. You can join us on Facebook, 776 00:47:02,760 --> 00:47:04,919 Speaker 1: dot com, slash stuff you Should Know. You can send 777 00:47:04,960 --> 00:47:07,439 Speaker 1: us an email to Stuff Podcast at how stuff works 778 00:47:07,480 --> 00:47:09,759 Speaker 1: dot com, and as always, joined us at our home 779 00:47:09,800 --> 00:47:17,000 Speaker 1: on the web, Stuff you Should Know dot com. For 780 00:47:17,120 --> 00:47:19,440 Speaker 1: more on this and thousands of other topics, is it 781 00:47:19,520 --> 00:47:29,440 Speaker 1: how stuff Works dot com.