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From YouTube: Wellness: Brain Power
Description
Dr. Elna Tymes, a local gerontologist with a specialty in seniors and Alzheimer's, discusses the latest developments in the identification and early treatment of Alzheimer's and related dementia. Alzheimer's has no cure, but there are promising treatments for the symptoms that take over a person's life in its middle and later stages. Recorded January 27, 2019 at the Cupertino Community Hall. (90 min.)
A
Good
afternoon
good
afternoon
and
welcome
to
today's
wellness
program,
my
name
is
Claire
foressi,
oh
and
I'm.
The
community
librarian
next
door
at
Cupertino
library,
we're
very
pleased
to
be
able
to
bring
you
another
series
of
wellness
programs
in
2019,
today's
being
the
first
with
generous
support
from
Cupertino
library
foundation
after
today's
program
be
sure
to
visit
our
table
in
the
back
of
the
room
for
a
survey
as
well
as
some
resource
lists
and
information
about
our
upcoming
wellness
programs,
the
next
of
which
will
be
February
17th
and
also
at
the
end
of
today's
presentation.
A
We
will
have
time
for
question
and
answer
so
please
line
up
at
that
time
at
the
microphone
here
in
the
center
of
the
floor.
If
you'd
like
to
ask
a
question
of
our
presenter,
I
would
now
like
to
introduce
Henry
Tseng
president
of
Cupertino
library
foundation,
who
will
introduce
today's
speaker
dr.
Elna
times.
Thank
you.
B
Remember
how
you
used
to
be
no
word
from
our
sponsor,
so
Cupertino
library
foundation
is
an
organization.
Most
of
you
don't
know
about
I
didn't
know
about
it.
I
joined
it.
We
we
started
in
1994
to
actually
help
get
the
library
doors
back
open.
There
was
a
period
where
we
had
severe
funding
problems
and
I
think
the
total
amount
of
hours
were
cut
down
to
some
like
20,
and
we
advocated
and
got
monies
raised
monies
and
ended
things
now
after
we
were
successful
in
doing
that
and
getting
the
county
and
city
to
support
more.
B
We
then
moved
into
programs,
and
so
we
are
working
with
Claire
in
the
library
to
come
up
with
programs
that
we
think
help
our
community
in
general.
What
we
we
do
is
we
feel
like
we
find
and
help
fill
the
gaps
on
different
things
and
this
program
when
Claire
Claire
got
this
thing
started,
we
were
like.
B
Well,
we
don't
know
exactly
what
it
was
and
and
as
it's
turned
out,
what
we
have
found
is
that
there's
this
weird
world
in
in
wellness
and
medicine
there's
the
stuff
we
go
to
our
doctors
for
and
they
help
us
and
they
treat
us
and
everything,
and
then
there's
all
that
stuff.
That's
kind
of
left
to
us
as
homework,
and
you
figure
out
on
your
own
and
I.
Wasn't
one
of
the
thing
I
was
telling
me:
oh
no,
that
thing
I
hate
is
when
they
come.
B
When
you
go
to
the
finally
gets
of
the
doctor,
and
then
they
say,
oh
you
know
ten
years
ago,
you
should
have
been
doing
this.
It's
like
well,
I,
didn't
know
to
do
that
right,
and
so,
where
do
you
go
to
get
that
so
with
the
library
we're
trying
to
look
at?
How
do
we
uncover
these
things?
Last
year
we
had
people
working
on
on
pain
management
using
acupressure.
We
had
things
looking
at
proper,
bowel
health,
skin
health,
cholesterol,
meditation.
B
You
know
for
dealing
with
stress
on
a
variety
these
topics,
all
of
which
you
know
what
we
try
to
do
is
make
you
come
away
with
understanding
a
little
bit
more,
so
the
foundation
is
trying
to
support
this.
We're
happy
to
support
this
program
with
the
library
we're
trying
to
find
out
ways
that
we
can
actually
improve
it.
So
I
want
to
reiterate
what
Claire
said
and
there's
a
short
survey
if
you
could
fill
it
in,
we
also
are
looking
for
suggestions.
B
There
are
topics
I'd
like
to
hear
about
what
I
like
to
know
more
about
this
topic.
How
do
we?
How
do
we
go?
Do
it?
How
can
we
get
the
word
out?
I
will
tell
you
the
one
thing
that
we
have
the
biggest
problem
with
is
getting
our
marketing
out
there.
You
know
we
do
a
very
successful
job
at
hiding
our
candle
under
a
basket.
I
think,
but
you
know
I'm
very
happy
to
see
things
here
today
and
this
I'm
really
happy
to
have
dr.
times
here.
B
I
met
Elna
whole
few
months
ago
in
in
a
completely
different
context:
I'm
working
on
age,
friendly
cities
for
Cupertino.
So
it's
a
senior's
fillet
thing
and
dr.
x
happens
to
be
one
of
the
leading
experts
in
this
area
and
she
sports
Mountain,
View
and
she's
written
this
to
this
nice
report
and
we
saw
it's
a
light
weight.
B
B
She
she
has
a
lot
of
information
about
a
lot
of
other
senior
things
as
well,
but
she's,
clearly
an
expert
in
this
area
for
a
disease
that
all
of
us
have
to
worry
about,
and
it's
not
just
necessarily
for
ourselves,
but
do
you?
How
do
you
work
about
mom
and
dad
as
well
right?
So
without
further
ado?
Let
me
turn
it
on
over
to
dr.
times
and
I
am
pleased
asked
if
you
could
fill
out
the
the
questionnaire
I'd
like.
Thank
you
very
much.
Thank.
C
You
Henry
I
will
be
I
remind
you
all
that
there
are
handouts
back
in
the
corner.
They
are
a
duplicate
of
the
slides
that
you
will
see.
However,
they
miss
all
my
terribly
important
side
comments.
So
do
what
you
want
with
that?
Can
you
prevent
Alzheimer's
it's
the
title
of
this
presentation
and
it's
an
open
question,
because
the
answer
is
kind
of
diffused
because
right
now,
no,
you
can't.
Can
you
cure
Alzheimer's?
Absolutely
not
yet.
C
C
I
knew
I
was
a
senior
but
I
didn't
know
what
that
meant
either
so
I
decided
to
go
ahead
and
start
learning
about
it
and
the
way
I
learned
about
it
was
first
I
got
scared
and
then
I'd
realized
that,
in
order
to
deal
with
something
that
scares
me,
you
research
it
to
death,
and
that
is
exactly
what
I
did.
I
went
online
and
started
to
look
up.
Information
and
I
found
a
lot
of
information
about
it,
and
suddenly
my
friends
were
starting
to
ask
me
questions
about
it
and
I
said
I.
C
D
D
C
I
will
be
80
next
year.
Excuse
me
next
spring,
and
the
idea
of
getting
a
doctorate
at
my
age
was
not
something
I
envisioned
when
I
was
growing
up.
However,
it
is
a
marker
for
seniors
these
days.
There
is
almost
nothing
you
can't
do,
except
maybe
do
high
jumps
when
you
get
older.
Your
mind
is
still
as
active
as
you
have
trained
it.
To
be,
that's
good.
C
Let's
get
into
what
is
Alzheimer's,
it
is
a
progressive
disease.
It
is
fatal
and
it
generally
starts
a
new
toy.
Okay,
yeah.
Well,
alright,
we'll
see
it
generally
starts
around
age
65.
Before
that,
it's
considered
to
be
early
Alzheimer's
and
early
Alzheimer's,
which
accounts
for
maybe
1%
of
the
population,
can
start
as
early
as
age
35.
It
is
not
the
same
thing
as
what
we
call
normal
aging,
although
a
lot
of
people
confuse
it
that
way,.
C
Very
briefly,
it
destroys
your
memory
bit
by
bit,
and
it
does
this
usually
by
a
biochemical
reactions
that
tend
to
interfere
with
neural
progression
and
neural
communication,
and
the
result
is
that
you
don't
lose
your
memories,
but
you
lose
the
access
to
them.
It's
a
little
bit
like
moving
into
a
house
30
years
ago
that
have
lots
of
closets
and
you
put
stuff
in
the
closets
all
the
time
and
you
get
to
30
years
later,
and
you
know
you
have
a
tennis
racquet.
C
You
just
can't
remember
where
you
put
it,
that's
a
little
bit
like
Alzheimer's,
but
it
also
looks
like
normal
aging.
Some
people
get
to
that
stage
and
they
never
progressed
beyond
it.
They
just
simply
have
where
did
I
put
my
car
keys
or
why
did
I
put
the
bag
of
oranges
on
the
car
and
put
the
car
keys
on
the
butter
dish
and
things
of
this
sort
that
are
really
things
the
another
obvious
one
is.
Why
did
I
walk
into
this
room?
Those
are
all
normal
aging
and
they
are
nothing
to
be
afraid
of.
C
C
Mommy,
my
toy
doesn't
work
it's
on
the
side.
Okay,
sorry,
okay!
Is
this
the
national
problem?
The
answer
is
oh
yeah,
one
at
ten
people
aged
aged,
65
and
older,
have
some
form
of
Alzheimer's
and
of
those
who
have
Alzheimer's
about
three
percent
are
in
the
sixty
five
to
seventy
five
group
about
eight
percent
of
the
group.
Seventy-Five
to
eighty
five
have
some
form
of
Alzheimer's
and
at
age.
Eighty
five,
and
over
about
a
third
of
the
population
of
the
United
States,
has
some
form
of
Alzheimer's.
C
Why
is
this
a
problem?
Well,
there's
the
reason
why
our
older
population
is
growing.
We
have
about
well,
the
the
group
aged
100
and
over
is
the
fastest-growing
demographic
group
in
the
country.
According
to
the
census
figures
that
were
last
updated
in
2015,
we
are
coming
up
on
a
census
and
I
suspect
that
that
line
is
going
to
grow
even
more.
C
We
have
a
large
population
of
people
who
are
a
hundred
and
more
who
are
not
in
the
best
of
health,
but
they
don't
necessarily
plan
on
dying
anytime
soon,
just
as
a
question
here,
how
many
of
you
have
an
ala
key?
How
many
of
you
who
are
over
65,
put
your
hands
up?
Okay?
How
many
of
you
have
multiple
medical
conditions
that
are
under
management.
C
That
can
be
things
like
a
fake
knee.
Excuse
me
a
replacement
knee.
It
can
be
things
like
blood
pressure,
medicine.
It
can
be
things
like
your
overweight.
It
can
be
things
like
neural
problems,
glaucoma
anything
having
to
do
with
the
eyes
anything
having
to
do
with
the
hearing.
So
let
me
ask
again
how
many
of
you
have
more
than
one
medical
problem.
That's
under
management.
C
C
The
biggest
problem
with
this
curves
that
we're
showing
here
is
the
fact
that
it
is
growing
part
of
this
is
because
the
bigger
the
elderly
population,
the
more
money,
gets
spent
on
healthcare
and,
as
you
know,
from
the
battles
on
in
Washington,
health
care
is
a
major
governmental
issue.
Right
now,
medicare
covers
people
who
are
sixty
most
people
who
are
65
and
older,
and
while
there
is
help
for
a
lot
of
the
medical
issues
that
cover
or
affect
the
older
people,
it
doesn't
cover
much
of
the
the
kinds
of
problems
that
are
associated
with
Alzheimer's.
C
If
you
were
one
of
the
fortunate
few
who
got
long-term
care
insurance,
you
have
some
coverage
for
the
medical
care
for
the
caregiving
services
that
are
covered
under
Medicaid
or
some
of
the
other
programs
that
are
out
there.
However,
for
a
lot
of
people
in
this
in
this
room,
you
pay
for
all
that
kind
of
care
out
of
your
own
pocket
or
out
of
your
family's
pocket
and
it's
a
problem.
So
what
are
the
warning
signs
of
Alzheimer's?
First?
C
This
can
be
things
like
you
can't
remember
why
you
would
need
a
spoon
when
you're
putting
something
on
the
stove,
and
the
answer,
of
course
is
because
you
want
to
stir
the
soup
or
you
want
to
ladle
something
out,
but
you
look
at
this
thing:
that's
lying
there
and
you
can't
remember
what
it
is
or
what
it's
for
that's
a
sign
that
you
ought
to
have
something
taken.
You
ought
to
have
somebody
take
a
look
at
things.
C
It
can
be
such
things
as
how
do
I
sew
a
button?
Well,
of
course,
most
the
men
in
this
room
don't
remember
how
to
sew
a
button
on
anyway,
but
but
for
most
of
us
who
have
done
this
most
of
our
lives,
how
to
sew
a
button
on
that
should
be
very
simple
right:
okay,
you
don't
know,
or
you
don't
remember
what
it
is-
that's
required
to
sew
a
button
on.
In
other
words,
you
don't
remember
what
a
needle
is,
and
you
don't
remember
thread
or
if
you
do
remember
the
two
of
them.
C
You
don't
remember
why.
You
would
put
the
two
together:
that's
part
of
problem
solving
another
one
might
be
completing
familiar
tasks
at
home
like
taking
out
the
garbage
or,
for
instance,
separating
the
recyclables
from
the
regular
garbage
or
how
to
load
the
dishwasher
or
how
to
turn
on
the
microwave.
C
C
The
movies
and
you
get
ready
to
go
to
the
movies,
except
that
it
is
11
o'clock
at
night,
and
you
don't
know
how
whether
in
fact
the
movie
theater
is
open
at
11
o'clock
at
night
and
if
you're
in
a
small
community,
probably
not
another
thing
has
to
do
with
confusing
place.
You
want
to
go
to
the
Senior
Center,
for
instance,
and
you
decide
to
go
off
to
the
senior
and
instead
you
wind
up
at
your
local
bank.
C
Okay,
that's
an
example
of
something
that
might
not
be
really
appropriate
and
is
worth
pursuing
a
little
bit
more
another
one
has
to
do
with
a
misunderstanding,
visual
images
and
spatial
relationships,
and
this
can
be
such
things
as
reaching
out
for
something:
that's
not
there
and
you
reach
for
it,
and
you
could
have
sworn
it
was
there,
but
it's
not.
Where
did
it
go?
And
the
answer
is
it's
over
here?
That
can
be
a
problem.
C
Those
are
all
signs
that
you
want
to
see
a
doctor
and
by
a
doctor,
I
mean
a
geriatrician
or
a
neurologist,
not
necessarily
your
internist
or
general
practitioner
so
more
morning.
Problems
when
you
are
writing
as
I
have
been,
and
you
can't
remember
the
word
and
you
think
about
it
and
think
about
it
and
you're
looking
for
clues,
and
you
just
can't
remember
it.
C
Let
me
give
you
an
example:
three
years
ago,
well,
first
of
all,
I
like
to
know
about
the
names
of
plants
and
animals
and
growing
things
and
I'm
I'm,
a
gardener,
so
I
tend
to
remember
the
names
of
trees
and
bushes,
and
things
like
that
and
three
years
ago
there
was
this
beautiful
tree
that
came
into
bloom,
with
beautiful
purple
blossoms
on
it
in
July
and
I,
didn't
know
what
it
was.
Okay,
I'll
go!
Look
it
up
in
my
garden
book,
so
I
looked
it
up,
I
remembered
it
for
the
rest
of
that
year.
C
The
next
year
came
around
in
July
and
I
could
not
remember
the
name
of
the
tree
again.
This
is
ridiculous.
Look
it
up.
Okay,
I!
Looked
it
up,
Oh
got
it
third
year;
Rose
still
can't
remember
the
name
of
it.
Okay,
let's
try
a
little
word
game.
Let's
see,
purple
blossoms
like
grape
grape
is
purple
Oh
grape
sounds
like
crape
myrtle.
That's
how
I
managed
to
remember
that
this
beautiful
purple
blossom
tree
is
named
crape
myrtle.
C
C
Retrace
replacing
things
and
oh,
yes,
miss
policing
things
the
most
common
one
is.
You
went
into
a
room
to
get
something,
and
you
know
what
that
something
is,
but
once
you
go
through
the
door,
you
can't
remember
why
you
walked
into
the
room.
That
is
a
signal
that
normal
aging
is
working.
However,
it
could
also
be
a
problem
if
you
repeat
that
pattern
with
a
number
of
other
things.
Where
did
I
put
my
driver's
license?
What
about
my
passport?
What
about
the
bills
for
this
month?
C
What
about
what
I
was
going
to
have
for
dinner
next
week?
Those
are
all
signs
that
you
might
have
a
memory
problem
and
you
might
not,
and
it
might
be
normal
aging
and
it
might
not.
So
you
should
probably
have
it
taken
to
look
at
another.
One
has
to
do
with
poor
judgment.
The
most
common
one
has
to
do
with
falling
for
the
phone
solicitor.
C
But
you
don't
know
that,
because
you
just
believed
that
you
had
a
wonderful
conversation
with
this
nice
young
man
and
he
wants
you
to
send
him
a
check
for
$75
sure
you
could
do
that.
Another
form
of
that
is
the
nephew
who
calls
you
and
says:
hi
grandma
I'm
in
trouble
and
I
need
some
help
and
the
problem
is
you:
don't
have
any
grandchildren
that
I
don't
have
any
grandchildren
and
I
had
one
called
me
with
precisely
that
I
had
all
sorts
of
fun
telling
him
what
was
wrong
with
his
approach.
C
It
can
be
if
it's
a
problem
where
your
son
or
daughter
or
somebody
in
a
close
family
who
comes
in,
and
you
cannot
remember
their
names
that
might
be
a
problem.
It
might
be
worth
you're.
Taking
a
look,
are
having
a
doctor,
take
a
look
at
your
memory
and
then
it's
the
last
thing,
Oh,
two
more
things:
withdrawal
from
work
and
social
activities.
This
is
called
social
isolation.
It
turns
out
that
going
to
things
involving
other
people
is
one
of
the
healthy
things
that
you
can
do
with
your
life.
C
C
That
might
be
a
notice
that
something
is
going
on,
that
you
should
take
care
of
the
physical
manifestations
of
Alzheimer's
really
have
to
do
with
the
proteins
beta,
amyloid
and
tau,
and
these
form
plaque
are
beta.
Amyloid
forms
plaques
in
the
brain.
In
other
words,
it
sticks
to
the
brain
tissue
and
interferes
with
communication
between
nerves.
Tau
is
another
form.
How
many
of
you
remember
the
old
dial
phones,
where
you
wind
up
with
a
cord
that
has
many
wires
in
them?
C
If
you
ever
took
that
important
part
in
order
to
see
why
it
was
that
the
phone
cord
wasn't
working,
you
recognize
that
each
of
these
little
wires
within
it
had
a
lining
around
it.
Now.
Imagine
that
that's
a
nerve
and
a
nerve
is
carrying
several
of
these
signals,
maybe
as
much
as
a
hundred
and
then
for
some
reason,
the
the
lining
on
one
of
these
wires
gets
corroded
and
somehow
it
manages
to
get
in
contact
with
another
one
of
the
neurons
or
nerve
fibers,
and
they
have
a
short
circuit.
C
C
There
are
about
eight
others
that
have
been
identified
and
several
others
that
don't
have
names
yet,
but
are
recognized
by
the
medical
community.
One
of
the
most
common
ones
is
the
dementia
that
comes
from
Parkinson's
that
differs
from
Alzheimer's
in
that
Alzheimer's
doesn't
usually
have
hallucinations,
but
it
does
have
some
of
the
problems
with
tremors.
Now
Alzheimer's
doesn't
necessarily
have
tremors.
C
It
also
differs
in
terms
of
the
way
that
you
remember
things
with
Parkinson's.
You
remember
some
things
and
not
others.
The
kinds
of
things
that
you
remember
with
Parkinson's
are
different
from
the
kinds
of
things
that
you
don't
remember
with
Alzheimer's.
There
is
the
kind
that
killed
Robin
Williams,
that's
called
Lewy
body
disease
and
it's
another
one
of
these
brain
attacking
proteins
that
goes
in
and
causes
problems.
It
too
causes
hallucinations.
It's
a
different
disease.
There
is
a
another
kind
that
is
currently
referred
to.
C
Alright,
its
head
injury,
where
football
players,
for
instance,
have
been
banging
their
heads
even
in
those
well-protected
helmets
for
years
and
years,
and
their
brain
has
been
kind
of
Smashing
around
inside
this
hard
cage
and
as
a
result,
the
brain
has
gotten
bruised
and
as
a
result
of
that,
it
can't
communicate
effectively.
Nor
can
it
remember
effectively,
and
there
are
several
others-
there
is
okay.
How
many
of
you
have
had
general
anaesthetic
in
the
last
five
years?
Just
put
your
hand
up,
okay,
how
many
of
you
know
what
anaesthetic
you
were
given?
C
Okay,
you've
write
this
down,
do
not
allow
them
to
give
you
propofol,
propofol,
PR,
o
p0
L
is
what
killed
Michael
Jackson
and
it
was
from
an
overdose.
Propofol
is
now
linked
to
the
sudden
onset
of
dementia
that
looks
like
Alzheimer's.
It
is
killing
more
people
than
there
are
records.
There
are
mixed
results
out
there
about
other
kinds
of
anesthetics
that
can
be
used,
but
avoid
propofol.
If
you
can.
C
C
Okay,
about
38%
of
those
over
85
have
some
form
of
Alzheimer's.
I
said
about
a
third.
What
happens
over
the
ten
years
that
it
takes
to
usually
develop
Alzheimer's
is
that
you
need
more
and
more
care,
because
you
cannot
reliably
be
left
alone
at
home
in
in
the
early
stages.
You
can
be
left
alone,
because
it
can
be
trusted
that
you
won't
do
something
to
endanger
yourself
as
the
disease
progresses.
However,
you
can
do
things
like
putting
a
can
of
soup
on
the
stove
to
heat
in
a
pot
of
some
sort.
C
C
C
C
So,
a
little
bit
more
about
Alzheimer's
20%
of
those
more
than
20%
of
those
who
have
Alzheimer's
are
likely
to
be
african-american
and
Latinos
are
at
high
risk
as
well
somewhere
in
the
high
20s
high
teens,
women
are
more
likely
than
men
to
get
Alzheimer's
because
of
the
presence
of
the
apoe4
gene
which
is
passed
genetically
and
the
presence
of
the
apoe4
gene
does
not
mean
that
you
are
like
that.
You
are
going
to
get
Alzheimer's.
It
means
that
you
have
an
increased
likelihood
of
developing
Alzheimer's.
C
Okay.
Here's
pictures
of
what
the
brain
tissue
looks
like
on
the
left
is
a
normal
brain.
Now
it
has
these
folds
and
pits,
and
things
like
that,
and
that
is
normal
for
a
brain
on
the
right.
You
can
see
the
pits
and
valleys
of
a
brain
that
is
developed
with
Alzheimer's.
That's
the
result
of
the
loss
of
brain
tissue,
which
is
fundamentally
a
problem
of
malnutrition
tips.
C
You
will
say
you
have
one
nerve:
that's
trying
to
issue
something
to
a
synapse
at
the
synapses,
the
gap
between
two
neurons,
this
one
says
I'm
hungry
Phoebe
and
because
of
something
in
the
way
here,
either
the
tissue
has
been
is
gone
or
there
is
a
blockage
in
here
or
something
of
the
sort.
This
one
never
gets
the
message,
and
it
may
say
did
you
say
something,
and
so
this
guy
never
gets
fed
and
as
a
result,
it
can
kind
of
atrophy.
C
C
C
C
It's
as,
though
you
had
an
index
to
the
closets
in
your
house,
and
the
index
said
where
each
of
these
things
was
located
in
that
particular
closet.
That
would
be
a
useful
thing
to
have.
Well,
your
brain
has
been
storing
stuff
since
before
you
were
born,
so
there
are
not
millions.
There
are
billions
of
little
closets
in
your
where
you
have
stored
experiences
and
things
you
have
learned
and
sensations
and
responses,
and
all
the
things
that
made
up
your
life
there
there
until
that
closet
disappears
and
most
the
time
the
closet
doesn't
appear,
doesn't
disappear.
C
But
what
happens
under
Alzheimer's
and
other
dementias
is
that
the
ability
to
find
those
things
has
been
interfered
with.
So
you
haven't
necessarily
lost
the
memory,
but
you've
lost
your
ability
to
find
it.
That
can
happen,
for
instance
with
names.
You
know
the
names
of
things
I
know
forever.
Now
the
name
of
what
was
it
again?
Oh,
yes,
crepe
myrtle,
right,
okay,
I'm,
not
kidding
by
the
way
I
have
I,
carry
a
purple
pen
in
my
purse,
just
to
remind
me
to
think
of
crape
myrtle
and
I.
Don't
have
Alzheimer's.
C
Some
of
the
nuns
were
out
in
the
community
going
to
school
or
teaching
school,
we're
working
as
social
workers
or
doing
other
kinds
of
community
things
and
came
back
to
the
the
convent
at
night
to
do
the
praying
and
studying
and
meal
preparation
and
all
the
other
kinds
of
things
that
the
sisters
do
when
they're
not
involved
in
daytime
activities.
The
remainder
of
the
sisters
did
the
same
kinds
of
things
at
home
or
in
the
convent,
such
as
doing
the
dishes
doing
laundry
tending
the
garden.
C
Basically,
things
that
didn't
change
from
day
to
day
upon
their
death.
The
sisters
had
all
study
had
all
willed
their
brands
to
the
scientific
study
and
what
they
found
was
the
sisters
who
had
been
out
in
the
community
doing
things
of
being
mentally
active
were
less
likely
to
develop
the
behaviors
associated
with
Alzheimer's
the
people
who
were
in
the
convent
all
the
time,
with
not
much
change,
wound
up
being
more
likely
to
develop
the
behaviors
associated
with
Alzheimer's
once
they
deceptive
the
brains.
C
However,
they
found
there
was
no
difference,
in
other
words,
the
sisters
who
were
out
getting
all
this
intellectual
stimulation
could
develop
the
physical
manifestations
of
Alzheimer's,
as
well
as
their
sisters,
who
didn't
have
that
kind
of
intellectual
stimulation.
So
the
answer
was
yes,
it's
just
the
behavioral
parts
of
things
that
make
a
difference.
This
study
is
important
because
it
first
demonstrated
that,
even
if
you
have
Alzheimer's,
you
may
not
necessarily
show
the
symptoms
of
it,
and
this
is
important
to
remember.
C
C
C
C
It
does
test
for
mild
cognitive
impairment,
which
is
the
beginning
sign
of
Alzheimer's
or
any
other
dementia,
and
it
comes
back
with
a
prescription
of
mostly
lifestyle
behaviors,
some
supplements,
mostly
it
has
to
do
with
changing
your
diet,
emphasizing
that
you
get
enough
exercise
emphasizing
that
you
get
enough
sleep
and
a
whole
bunch
of
other
things.
There
is.
There
was
a
conference
last
March
in
Palm
Springs
that
was
attended
by
about
30
or
40
doctors.
C
Most
of
those
have
since
gone
on
to
develop
individualized
practices,
and
there
is
now
a
company
that
is
doing
the
computerized
testing
and,
as
I
said,
its
costs
about
fourteen
hundred
dollars.
If
you
are
interested
in
finding
out
more
about
this
write
down
a
H,
M
P
and
look
it
up
on
Google
a
P,
they
will
do
the
testing
and
frankly,
their
webpage
explains
in
fairly
good
detail
what
it
is
that
they're
looking
for
and
what
it
is
that
they
do
with
the
results.
C
Another
study
that
was
recently
published
is
a
longitudinal
study
of
1970s
high
school
students.
Actually
it
was
in
New
England
and
they
found
a
research
team
looking
for
data
that
was
publicly
available,
found
the
achievement
test
levels
of
about
four
thousand
high
school
students
from
the
1970s.
The
I
don't
know
if
you
remember
that,
but
we
were
all
given
achievement
test
level
tests
in
those
days
and
sometimes
those
results
were
kept
on
a
computer
and
sometimes
they
weren't
and
of
those.
C
These
researchers
found
a
lot
of
them
on
a
Medicare
list
and
in
the
same
area
as
their
50-year
class
reunions,
and
so
the
researchers
went
to
the
reunion
chairs
and
said:
can
we
talk
to
and
gave
the
them
the
list
of
people
that
they
had
identified?
They
then
ran
with
the
permission
of
the
people
tests
on
these
people
and
they
found
that
many
who
had
many
of
the
65
year
olds
had
pursued
mentally
challenging
careers
and
did
not
have
mild
cognitive
impairment.
C
That
was
very
interesting
because
it
kind
of
coincided
with
what
the
reticent
protocol
has
done.
The
Bredesen
protocol
is
out
there
now
there's
a
book
by
dr.
Dale
dressin
at
the
end
of
Alzheimer's.
It's
a
paperback
and
you
can
get
it
or
you
can
download
it
for
reading
on
a
Kindle
or
whatever
I
will
warn
you
that
there
are
heavily
marketed
adaptations,
be
very
careful
about
what
it
is
that
you
get
that
says
it's
following
the
bredesen
protocol:
it's
something
that
you
can
do
individually.
C
It's
best
done
if
you
are
working
with
a
doctor
who's
familiar
with
the
limits
of
the
Bredesen
protocol,
a
HNP,
precision,
health,
ok,
there
we
go
that's
who's
doing
it.
I
am
not
recommending
that
I'm
saying
that
this
is
a
different
approach,
because
it's
a
different
approach
from
the
pharmaceutical
companies
that
say
here
take
this
drug.
This
will
reverse
Alzheimer's,
and
yet
none
of
them
have
just
a
word
of
warning.
C
C
Here's
some
other
developments
in
Alzheimer's
diagnosis.
As
I
said,
some
people
can
have
Alzheimer's,
but
never
exhibit
any
of
the
symptoms.
Some
people
with
the
apoE
to
gene
can
develop
early
onset
all
sign.
There
is
a
study
going
on
in
Metis
in
Columbia,
right
now
with
a
family,
an
extended
family
who
all
have
the
apoE
to
gene
and
have
been
developing
Alzheimer's
as
early
as
about
35.
That's
a
great
interest
to
the
medical
community.
C
Most
diagnoses
include
extensive
behavioral
interviews
with
people
some
with
their
family,
some
with
caregivers
and
they're.
Looking
for
symptoms
that
are
behavioral
in
nature.
There
are
recent
Diagnostics
that
include
blood
chests
and
spinal
fluid
tests.
You
can
see
the
condition
of
your
brain
with
an
MRI
or
a
PET
scan
those
are
kind
of
expensive.
The
early
cognitive
tests
and
mild
cognitive
test
impairment,
mild
cognitive
impairment,
tests
usually
are
low
cost
and
you
can
get
you
can
get
somebody
to
do
them,
sometimes
in
a
geriatricians
office,
sometimes
in
a
neurologists
office.
C
C
C
Scientists
have
found
that
there's
many
would
different
ways
to
focus
on
beta
amyloid
and
the
plaques
and
tangles,
but
none
of
them
seem
to
have
been
able
to
come
up
with
anything
that
regulates
how
the
beta,
amyloid
and
tau
affects
the
brain.
They
have
found
where
it
works
and
why
it
works,
but
they
haven't
figured
out
how
to
counteract
it.
C
There
have
been
some
limited
tests
in
Australia
that
suggests
that
these
blasts
of
ultrasound
can
help
clear
away
all
Molloy
Plex.
But
again
you
have
to
target
those,
and
if
you
can
imagine,
your
brain
fits
in
a
mask
this
big
and
it
has
billions
of
connections
targeting
exactly
where
the
amyloid
plaques
are,
is
very
difficult
to
do.
C
One
unfortunate
thing
is
that
about
1/3
of
the
Alzheimer's
patients
today
have
never
been
told
that
they
have
Alzheimer's
and
they
may
even
have
had
tests
for
mild
cognitive
impairment.
We
have
a
problem
with
many
doctors
at
the
internist
and
GP
level,
who
really
don't
know
what
the
signs
of
Alzheimer's
are
and
are
loath
to
to
talk
about
it
with
their
patients
partially,
because
getting
insurance
reimbursement
is
very
difficult
and
partially
because
it
still
has
this
annotation
of
shame
for
a
lot
of
people.
C
C
Okay,
some
hope
there
are
a
lot
of
clinical
studies.
I
think
this
219
figure
is
out
of
date.
I
think
there
are
more
at
the
moment,
but
some
of
those
clinical
trials
have
been
finished.
Some
of
them
have
just
been
cancelled
because
they
couldn't
come
up
with
the
results
they
were
after.
Some
of
them
have
been
have
suffered
a
loss
of
funding
under
the
Trump
administration's
Health
and
Human
Services
budget
cuts
backs.
C
Okay,
we
talked
here
about
the
the
medicines
that
are
available.
Many
of
them
are
not
as
effective
as
they
are.
They
are
supposed
to
be
and
there's
some
evidence
that
inflammation
in
the
brain
can
reduce
the
likelihood
okk
see
anti-inflammatories,
in
other
words,
that
aspirin
can
help
reduce
the
possibility
of
developing
summers.
C
Okay,
look!
Okay!
Let
me
do
this.
How
many
of
you
here
either
have
symptoms
of
Alzheimer's
or
know
of
someone
who
has
Alzheimer's
put
your
hands
up?
Okay,
a
lot
of
people
have
a
parent
or
another
family
member
who
was
developed,
Alzheimer's
and
you're,
familiar
with
what
it
looks
like
you're,
also
sad
about
the
fact
that
this
disease
is
attacking
the
personality
that
you
used
to
know.
C
C
C
C
Well
we'll
get
into
that,
but
very
recently,
let's
deal
with.
Why
it
is
that
you
might
lose
that
diabetes
is
a
major
factor
in
that
it
interferes
at
many
levels
with
the
way
your
bio
chemicals
are
processed
and
created.
Some
of
it
has
to
do
with
epsilon.
For
allele
of
that
you,
that
is
a
genetic
factor.
If
you
have
it,
as
I
said
before,
you
don't
necessarily
mean
you
are
going
to
get
Alzheimer's,
but
rather
that
you
are
more
likely
to
than
other
people.
If
you
have,
if
you
were
smoking,
stop
now
do
not
continue.
C
It
contributes
to
many
many
medical
problems,
one
of
them
being
Alzheimer's.
If
you
have
depression,
get
help,
don't
hide
it.
Depression
is
a
biochemical
reaction
and
what
it
does
is
interfere
with
the
processing
of
what
otherwise
would
be
normal.
Neural
healthy
can
do
signals
if
you
are
physically
inactive,
get
up
and
get
moving,
preferably
20
minutes
a
day
at
least
five
days
a
week.
You
can
go
for
a
walk.
It
doesn't
have
to
be
anything
strenuous.
C
C
If
you
have
a
high
blood
glucose
level,
you
need
to
lower
that
there
are
medications
available
that
will
do
that
and
if
you
have
had
an
MCN,
an
MCI
test,
and
it
is
come
back
questionable,
one
of
the
things
that
you
can
do
is
increase
your
intellectual
activity.
What
does
this
mean?
It
does
not
mean
doing
Sudoku
every
day.
It
does
not
mean
doing
the
New
York
Times
crossword
puzzle
in
ink.
Although
that's
an
achievement,
it
does
mean
different
kinds
of
intellectual
things
that
make
that
challenge
your
mind.
C
I
can
tell
you
from
experience
that
getting
a
doctorate
is
one
of
the
things
that
does
that
you
don't
have
to
go
that
far,
but
learn
a
new
language.
Take
up
a
musical
instrument,
learn
how
to
dance
something
that
you
haven't
tried
before
travel
go
to,
someplace
that
you've
never
been
before.
Take
a
trip
to
a
museum
you've
never
visited,
get
out
and
explore
things
that
are
new.
C
This
will
require
you
to
learn
how
to
deal
with
changing
circumstances,
get
out
and
join
a
different
kind
of
club
where
you'll
talk
about
something
with
another
group
of
people
and
you'll
need
to
learn
what
affects
them,
how
they
look,
how
they
express
themselves
and
things
of
this
sort,
in
other
words,
give
your
mind
a
chance
to
get
out
and
explore.
Those
are
all
intellectually
stimulating
kinds
of
activities.
C
These
things
appear
not
to
work.
One
of
them
is
ginkgo
biloba
that
was
touted
as
a
memory.
Fixer
large
doses
of
vitamin
E
or
large
doses
of
vitamin
C
appear
not
to
work
and
my
favorite
coconut
oil
as
a
supplement.
How
many
of
you've
heard
of
coconut
take
coconut
oil
because
it's
going
to
cure
Alzheimer's
right,
uh-huh.
D
C
C
He
went
from
being
slow,
lethargic
and
mentally,
not
there
before
lunch
and
before
dinner,
to
being
perky
and
there
after
lunch
and
dinner,
and
she
had
added
about
a
tablespoon
of
coconut
oil
to
the
meals
and
she
thought.
Aha
I
have
a
cure
and
she
went
on
the
Christian,
Broadcasting
System
and
talked
about
it
that
spread
to
articles
and
things
on
the
internet.
That
said,
we
have
a
cure
for
Alzheimer's
wrong.
C
Coconut
oil
is
a
medium
chain
triglyceride.
It
has
as
much
impact
on
your
blood
flow
as
the
fat
from
a
steak
that
is
too
well
cooked.
It
is
not
dangerous
as
a
cooking
oil,
but
it
is
not
appropriate
for
curing
Alzheimer's.
It
has
no
effect
other
than
a
brief.
What
amounts
to
sugar
high
because
of
the
way
that
the
coconut
oil
is
processed
in
the
brain?
You
can
have
coconut
oil
in
your
food.
C
C
C
C
One
of
the
things
that
excuse
me,
you
should
know
is
that
the
information
you
take
in
is
stored
in
different
parts
of
your
member
of
your
memory,
depending
on
the
kinds
of
things
that
you
want
to
achieve,
and
short-term
memory
is
what
happens
as
a
result
of
the
hippocampus
progressing,
something
you
have
about
20
seconds
to
tell
the
hippocampus.
This
is
important,
store
it
and
you
don't
do
that
consciously.
The
hippocampus
basically
does
that,
after
that,
it
goes
into
something
called
recent
memory,
which
is
where
you
store
something
that
the
hippocampus.
C
C
C
C
My
brain
doesn't
like
to
remember
those
things,
but
I
can
remember
how
it
is
that
I
approach
finding
information
about
Alzheimer's
very
easily.
In
fact,
I
can
I've
got
my
my
search
engine
so
that
I
don't
even
have
to
type
more
than
three
letters
of
Alzheimer's
and
it
will
go
to
whatever
it
is
that
I'm
looking
for
with
regard
to
Alzheimer's.
That's
the
kind
of
plasticity
versus
rote
memory
plasticity
set
tends
to
stay
longer.
Rote
memory
tends
to
not
stay
long.
C
We
talked
about
general
anesthetic
stroke,
how
many
of
you
know
the
symptoms
of
a
stroke?
Oh
my
goodness
come
on.
Let's
have
more
hands
up.
You
know
the
symptoms
of
a
stroke.
One
of
them
is
your
face
on
one
side
or
another
tends
to
sag.
You
can't
lift
your
arm
or
you
can't
do
things
with
your
hand
or
something
of
this
sort.
Another
one
has
to
do
with
the
ability
to
speak.
Your
words
come
out
kind
of
garbled.
There
are
several
other
things
that
are
very
common.
C
The
difference
between
how
a
stroke
affects
the
brain
now
versus
how
it
used
to
affect
the
brain
say
about
30
years
ago,
is
that
we
now
have
the
ability
to
correct
the
conditions
involved
that
are
created
by
a
stroke.
If
you
can
get
to
a
hospital
within
three
hours,
there
are
drugs
that
are
available.
That
will
reverse
the
effects
of
stroke.
If
you
cannot
get
that
reversed
chances,
are,
it
will
do
permanent
damage
to
whatever
part
of
the
brain.
The
stroke
occurred
in
I
should
also
add
minor
head
trauma.
C
If
you
fall
and
hit
your
head
pay
attention
to
your
ability
to
think.
After
that,
it
may
be
a
minor
kind
of
thing.
You
bumped
your
head
on
the
bureau
or
you
wind
up,
knocking
your
noggin
against
a
door
jamb.
Those
are
all
simple
kinds
of
things
and
you
may
not
think
anything
of
it,
but
frankly,
every
hit
causes
this
mass
of
jelly
to
kind
of
bounce
around
within
your
skull.
C
Don't
take
it
lightly
but
be
aware
of
the
fact
that
if
you
start
seeing
signs
of
a
stroke,
even
a
mini
stroke
go
see
a
doctor.
Another
thing
that
can
cause
can
affect
memory
is
depression
or
another.
Medical,
mental
health
disorder.
Depression
is
not
a
character
flaw.
Depression
is
a
biochemical
malfunction,
treat
it
like
that
and
don't
be
ashamed
to
admit
that
you
have
it.
It
is
more
common
to
happen
when
you
live
in
an
area
that
doesn't
get
a
lot
of
sunshine.
C
C
If
you
have
a
vitamin
b12
deficit,
you
can
have
a
problem
with
memory.
Be
sure
that
whatever
vitamin
supplements
you
are
taking
include
vitamin
b12
and
one
of
the
things
that
I
ask
people
is
what
would
you
want
to
do
if
you
knew
that
you
were
at
risk
for
Alzheimer's
and
the
things
I
list
here
are
simple
and
things
that
you
can
do,
among
other
things,.
C
This
describes
a
study
that
was
used
to
just
to
describe
how
people
reacted
to
the
news
that
they
might
have
Alzheimer's.
That's
one
slide
you
can
follow
here
are
some
more
things
that
you
can
do.
These
are
eating
a
balanced
diet,
which
is
primarily
medicating.
What
is
the
difference
between
a
Mediterranean
diet
and
the
normal
American
diet?
Anybody
less
meat
is
one
what
else:
olive
oil,
what
else?
C
I'm?
Sorry
less
green,
no
more
greens,
more
greens,
more
greens,
fish
oil,
more
more
healthy
fat.
Yes,
does
that
include
milk
products
or
dairy
products?
No
be
careful
limit
the
amount
of
dairy
products
as
you
eat
it
in
the
classic.
Mediterranean
diet
is
fruits
and
vegetables
legumes
meat.
Maybe
once
or
twice
a
week,
fish
more
common
than
meat
nuts
I
forget
what
else
and
exercise
those
are
important
factors.
You
can
look
up,
Mediterranean
diet
on
the
internet
and
find
many
variations
on
it.
There
are
cookbooks
that
say
it.
C
It
is
different
from
the
keto
diet
and
that
the
keto
diet
tends
to
prohibit
other
kinds
of
nutrients
with
the
idea
of
throwing
you
into
ketosis,
which
supposedly
helps
you
lose
weight.
The
jury's
out
on
this
one
I
won't
tell
you
to
go,
read
about
nutritional
information,
but
that's
probably
one
of
the
things
that
you
should
do.
There's
no
definitive
study
that
says
the
Mediterranean
diet
is
better
than
the
keto
diet,
because
there
are
variations
on
both
some
more
things
that
you
can
do.
C
Exercise
20
minutes
a
day
at
least
5
days
a
week,
and
it
has
to
be
more
than
simply
walking
around
your
house.
Although,
if
you
do
a
brisk
face,
walking
around
your
house
for
20
minutes
that
might
work
get
enough
sleep,
many
people
go
to
sleep
with
the
TV
set
on
or
these
days
a
cell
phone
or
tablet
on
turn
it
off.
You
don't
want
that
going
on,
while
you're
trying
to
get
to
sleep
mental
stimulation.
C
Fill
your
brain
read,
watch
educational
television,
not
necessarily
to
the
detriment
of
everything
else,
pay
attention
to
things
that
keep
you
stimulated
only
stimulated,
learn
something
new,
frequently
avoid
or
treat
depression
and
take
vitamin
D
d3
in
particular,
every
day,
more
things
that
you
can
do
you
get
to
drink
coffee,
three,
to
five
cups
a
day
three
to
five.
You
can
have
as
much
as
three
to
five
cups
a
day
and
that's
because
the
size
of
a
cup
varies
from
demitasse
to
mug,
brush
and
floss
every
day.
C
There's
recent
research
that
says
that
there
is
a
relationship
between
gingivitis
which
comes
from
gum
disease
to
developing
Alzheimer's.
There
is
no
definitive
research
on
that,
but
that's
worth
taking
care
of
protect
your
head.
If
you're
going
to
fall,
see
if
you
can
keep
your
head
from
hitting
the
floor
or
whatever
object
is
around
oops
I
missed
how
do
I
go
back
there,
we
go
alright
meditate.
C
It
turns
out
that
meditating
20
to
30
minutes
a
day,
usually
in
the
morning,
is
very
good
for
you
and
the
reason
is
that
it
changes
your
mental
state
you
can
get
on
with
whatever
it
was
that
you
were
doing
after
that,
but
go
ahead
and
meditate,
and
if
you
don't
know
how
to
do
that,
there's
lots
of
information
on
the
internet
about
it
avoid
infection.
If
you
can
yes
colds
flu,
those
things
matter
see
if
you
can
get
rid
of
it
or
at
least
treat
it.
C
Gently
I
happen
to
be
a
fan
of
the
hot
lemonade
made
with
hint
with
honey,
mostly
because
I
have
a
lemon
tree
in
my
backyard.
But
I
am
a
firm
believer
in
the
power
of
lemon
juice,
drink
right,
fruit
or
vegetable
juices,
not
too
many
in
the
way
of
sugared
things,
and
it
depends
on
that
we'll
get
there
in
a
minute.
C
It
depends
on
the
type
of
tea
that
you
get.
Some
is
good
for
you
and
some
not
and
here's
the
good
part
you
can
have
chocolate.
You
can
have
as
many
of
to
one
out
squares
a
day
or
you
can
have
as
much
as
two
cups
of
hot
chocolates
or
anything
in
there.
Okay.
Finally,
here
are
some
resources.
I
won't
read
this
to
you,
because
you
can
and
finally
here's
how
to
reach
me
and
if
you
have
questions
or
comments,
please
go
ahead
all
right
now
for
questions.
Yes,
sir
sir
I'm.
C
E
A
C
C
If
you
look
at
the
kinds
of
American
foods
that
contain
sugar,
it's
everywhere,
I
can't
give
you
a
measurement
of
sugar,
but
I
would
definitely
limit
the
amount
of
sugar
that
you
get
I
limit
myself
to
one
item
with
sugar
in
it
per
day
as
it
so
happens,
I
happen
to
be
a
fan
right
now
of
hot
mocha,
which
gets
its
sugar
from
the
chocolate
syrup,
but
one
a
day
and
no
more
for
the
rest
of
the
day.
That's
just
my
preference.
C
F
F
C
If
you
see,
if
you
work
at
home,
for
instance,
you
can
get
some
stimulation
from
the
work
that
you
do,
you
can
get
some
stimulation
from
the
email
discussions
that
you're
involved
in,
but
it
would
be
very,
very
good
for
you
to
take
breaks
and
get
out
and
go
somewhere
interact
with
people
if
it
means
taking
your
swim
class
in
the
middle
of
the
day.
Go
do
it
if
it
means
you
signed
up
for
a
dance
class
at
4
o'clock.
Go!
C
F
C
Can
get
a
there's
several
tests?
One
is
a
blood
test
which
should
be
available
everywhere
everywhere.
There's
a
doctor,
another
one
is
a
tap
of
spinal
fluid.
Both
of
those
will
indicate
a
likelihood
of
the
genes
that
seem
to
be
associated
with
Alzheimer's.
You
can
get
an
MRI
or
a
PET
scan
as
it
says
in
the
slides.
Those
will
give
you
a
picture
of
what
your
brain
is
like
and
if
you're
seeing
things
like
the
two
two-brains
that
I
showed
you.
C
F
C
F
F
G
H
C
H
I
Have
a
comment
about
metabolic
dementia,
uh-huh
I
think
that
it's
important
for
people
to
know
that
there
is
such
a
thing
as
metabolic
dementia,
you've
kind
of
hinted
at
it
with
some
of
the
other
causes
that
you
mentioned
right.
My
daughter
was
misdiagnosed
just
a
few
years
ago
with
Alzheimer's
and
I'll.
I
It's
interesting.
What
happened
with
her,
because
the
symptoms
that
she
had
among
other
symptoms
that
had
nothing
to
do
with
Alzheimer's
we're
very
much
like
the
symptoms
that
you
were
talking
about
very
much
like
those
symptoms
and
her
cognitive
level
decreased
markedly
after
she
was
diagnosed
with
Addison's
disease.
I
Let
people
know
that
you
should
always
check
for
other
metabolic
possible
causes
because,
unlike
Alzheimer's
disease,
many
of
the
metabolic
causes
can
be
dealt
with
with
very
good
results
now
as
to
why
it
was
likely
that
she'd
get
that
misdiagnosis.
She
also
has
Down
syndrome
and,
as
I'm
sure
you
know,
people
who
have
down
syndrome
has
an
extra
chromosome
number,
21
and
genes
that
cause
Alzheimer's
disease
are
located
on
chromosome
21.
I
That
means
she
has
an
extra
copy
of
those
genes
that
cause
those
tangles
and
plaques
and
is
very
likely
to
get
down
I'm
again
also
Miss
disease.
It's
important
I
think
for
the
public
to
know.
Most
of
you
knows
somebody
who
has
Down
syndrome,
it's
important
for
people
to
know
that
back
in
the
70s,
when
my
daughter
was
born,
the
life
expectancy
was
a
run
in
the
round
the
20s
okay.
I
C
D
C
C
J
C
C
The
current
statistics
of
things
that
kill
us
Alzheimer's
excuse
me
dying
of
something
of
a
medical
condition
with
Alzheimer's.
In
other
words,
there's
a
companion.
Medical
condition
is
the
fourth
ranking
leading
cause
of
death
among
those
65
and
older
death
from
Alzheimer's
is
the
sixth
leading
cause
of
death.
C
D
C
But
I
was
close.
Okay
I
mean
I,
showed
you
a
picture
of
the
Alzheimer's
brain
next
to
a
picture
of
a
normal
brain
in
the
80s.
It
was
not
common
for
MRIs
and
PET
scans
to
be
easily
available
and
the
study
the
nun
study
didn't
in
you
didn't
use
MRIs
or
PET
scans
as
part
of
their
diagnostic
procedures.
They
simply
looked
at
the
behavioral
things
that
you
could
see.
Either
they
have
the
symptoms
which
were
behavioral
or
they
didn't
have
the
symptoms.
And
then
you
could
only
tell
the
difference
at
that
point
upon
autopsy.
C
In
those
days
you
couldn't
definitively
say
whether
you
had
Alzheimer's
until
you
were
dead
nowadays.
Of
course,
things
are
considerably
different.
So
if
you
have
the
pits
and
valleys
of
an
Alzheimer's
brain,
you
may
not
necessarily
develop
the
symptoms
of
Alzheimer's,
depending
on
what
else
is
going
on
in
your
lifestyle.
You
could
be
doing
all
these.
You
have
a
lot
of
arterial,
our
alternate
pathways
in
your
brain,
and
it
has
done
a
terrific
job
patching
around
the
problem
areas.
So
you
still
have
those
pits
and
valleys,
but
you've
got
detours
that
are
working,
wonderful.
C
K
L
C
There,
a
relationship
between
hearing
loss
and
dementia.
Yes,
there
is,
it
really
depends
on
what's
causing
that
hearing
loss.
As
you
know,
hearing
is
processed
by
your
nerves
and
the
nerves
that
come
from
here
are
really
close
to
what's
in
the
hippocampus,
so
you
know,
is
it
processing
kinds
of
things
that
are
going
on,
or
is
this
one
of
these
things
where
the
amyloid,
the
beta
amyloid,
has
traveled
to
a
neighbor
and
affected
that
one?
We
don't
know
that.
Thank
you.
M
C
If
you
stop
drinking,
you
are
basically
removing
what
amounts
to
a
poison
from
your
system,
and
that
can
be
beneficial,
although
you
may
have
had
permanent
damage,
it
really
depends
on
that.
If
you've
been
drinking
excessively
most
of
your
life
chances
are
your
parts
of
your
brain
are
destroyed.
At
this
point,
my
last.
M
C
C
That's
one
possible
cause:
that's
one
very
good
indicator.
Is
it
definitive
know
they
have
Alzheimer's
in
Japan
too
wait
a
minute.
Let
me
say
why
isn't
and
always
showing
up
training
doctors
to
recognize
Alzheimer's
is
a
still
young
field.
We
have
more
doctors
in
this
country
and
Canada
than
can
recognize
Alzheimer's.
Then
there
are,
for
instance,
in
most
countries
in
Africa
in
many
cases,
actually
it
used
to
start
in
China
and
Japan
where
everybody
had
a
funny
uncle
or
a
funny
grandma
who
didn't
really
get
out
into
the
community.
C
L
I'm
glad
that
bringing
up
red
meat
as
a
factor
for
Alice
Harbor
has
been
brought
up
repeatedly
in
today's
talk
and
in
yours
now
about
10
or
15
years
ago,
I
had
heard
on
a
radio
program,
maybe
at
the
level
of
NPR,
or
something
like
that.
Some
research
was
done,
and
perhaps
you
can
address
this
about
the
Association
of
Americans
eating
a
lot
of
red
meat
and
it
is
really
not
detected
into
maybe
20
30
40
years
later,
that
there's
a
high
risk
for
Alzheimer's,
and
why
is
that?
L
It's
because
unfortunately,
in
our
country,
with
the
USDA
United
States
Department
of
Agriculture,
as
they
do
Meat
Inspection,
sometimes
they
miss
a
cow
or
two
or
they
let
it
go.
Those
were
the
met
cows
disease,
so
that's
brain
disease,
so
they
they
find
that
there
are
prions
in
the
in
the
neuron
cells
and
then
here
as
Americans,
are
consuming
all
this
red
meat,
especially
red
meat.
That's
closer
to
this,
to
the
brain
or
to
the
spinal
cord
of
the
cow.
Then
they
are
in
terms
a
ting
off
as
the
bad
prions
and
so
later
on.
L
C
You're
kind
of
right,
mad
cow
disease,
has
been
specifically
a
target
of
the
FDA.
The
original
mad
cow
disease
were
located
in
a
herd
in
Canada.
It
was
spread
to
several
other
herds
and
against
protests
from
the
Canadian
government.
Imports
of
red
meat
from
Canada
were
stopped
for
a
while,
while
they
figured
out
what
was
mad
cow
disease,
how
much
of
it
had
gotten
into
the
meat
diet
of
Americans
and
so
on?
C
With
the
advent
of
better
inspection
of
meat
coming
in
Mad,
Cow
has
been
almost
completely
removed
as
a
source
of
problems
in
the
American
meat
industry,
where
there
is
lacks
FDA
affection,
as
has
happened
recently
with
the
government
shutdown.
There
is
the
possibility
that
mad
cow
can
get
in
a
little
easier.
I,
don't
know
that
for
a
fact,
it's
just
that
the
possibility
is
still
there.
Okay.
C
C
Why
say,
no
there's
a
difference
between
distilled
alcohol
and
red
wine.
Red
wine
has
resveratrol,
which
is
a
good
thing.
Distilled
spirits
do
not
alcohol
any
kind
of
alcohol
in
excess.
Will
fry
parts
your
brain
at
least
temporarily,
and
this
includes
beer,
but
that
is
not
to
say
that
too
much
red
wine
can't
also
have
the
same
effect,
but
I
want
you.
The
takeaway
is
that
red
wine
has
resveratrol
in
higher
amounts
than
any
other
kind
of
alcohol.
N
E
You
mentioned
that
anesthetics
is,
can
be
dangerous
and
lead
towards
Alzheimer's.
Is
that
can
that
happen
in
a
single
event?
Cuz,
usually
don't
have
this
happen
that
often,
yes,
you
have
a
surgery
or
something
so
just
having
that
propofol
just
once
or
something
could
could
could
okay.
So
it's
quite
dangerous
Kulik.
C
C
C
A
Thank
you
all
again
for
coming
for
today's
program.
We
think
dr.
ona
times
as
well
for
all
of
the
information
she
shared
with
us.
We
will
be
having
our
first
wellness
plus
event
next
month,
Sunday
February
17th
at
2:00
p.m.
research
updates
with
the
Alzheimer's
Association.
So
if
you
would
like
to
learn
more,
please
join
us
also
Cupertino
Library
Foundation
sponsors,
a
weekly
film
series,
Tuesday
evenings
at
the
Senior
Center.
So,
as
we
were
talking
about,
if
you
would
like
an
event
to
get
out,
learn
more
and
socialize
with
others.
A
That
may
be
one
to
try.
Also,
if
you
would
like
to
sign
up
for
emails
to
receive
notifications
about
future
wellness
programs
and
other
library,
events
go
to
Cupertino
library,
foundation,
org.
It
is
also
on
the
pencil
that
you
receive
today,
the
URL.
Thank
you
and
thank
you
again
to
the
city
of
Cupertino
for
filming
this
afternoon's
program
for
us.