So the good news is that all of us, especially older adults,
have dementia. Yes, that is the good news. Because although we all have some of
the biological mess in our brain—amyloid-beta plaques, and tau-protein
tangles--we deal with this on a daily basis. We overcome these plaques and
tangles through brain plasticity. We push ourselves to learn new things and
that develops new brain pathways. As
with cancer, which we all have, our body deals with it effectively. It is only
when our body stops dealing with these biological messes that these become a
major health hazard. Most of the time however, we deal with these complications
because our body is always changing. That is our natural state.
There are 37.2 trillion cells in the human body. All
vibrating with activity and they are always changing. Our body is in reality
only about 11 years old. It keeps replacing parts on a daily basis. Jonas
Frisen from Karolinska Institute in Stockholm have been studying how quickly
our organs are replaced. He reports the following turnover of organs: Intestines (2-3 days); Taste buds (10 days);
Skin and lungs (2-4 weeks); Liver is replaced (5 months); Nails (6-10 months);
Red Blood cells (4 months); Hair (3-6 years); Bones (10 years); and
Heart--most of it (20 years). So how come I do not look 11 years old?
In the process of replication some mistakes are made, and
some damage cannot be corrected. There are also some cells that cannot be
replaced. Cells like the inner lens cells of the eye, or some of the valves and
muscle cells of the heart and also cartilage. If we have the brain mess in our
brain can we heal ourselves? And the answer is yes.
We are not sure what causes dementia. The antiquated idea
that it is caused by plaques (amyloid beta) has not been proven. To date most
of the treatments tested in human clinical trials are drugs that remove plaques
have not resulted in any positive outcomes. Although the drugs were successful
in removing the plaques from the brains of patients with dementia their
dementia grew. The focus on brain mess now has been directed at the tangles
(tau-protein), although again we are finding that there are different types of
these errant proteins (18 so far) that have different ways of infecting the
brain. And we are not sure that they are the sole cause of the disease. It is
telling that between one in five people--and as high as two out of three people--who
have the “disease” in their brain do not show dementia. We still do not know
what causes Alzheimer’s disease.
We are also still struggling to diagnose Alzheimer’s disease
correctly. We confuse Alzheimer’s disease with Creutzfeldt-Jakob disease, Lewy
Body dementia and Vascular dementia. There is also confusion with anxiety, low
education, cultural variability and—the main cause of misdiagnoses—depression.
Our diagnostic tools are too crude to differentiate these other problems with
our thinking. Primarily because we are measuring how strong the problems are rather
than the type of problems.
More telling is that the “brain mess” is less likely to cause
Alzheimer’s disease as we age. What this means is that there are other problems
with the brain as we age. Half of older people with dementia do not have enough
brain mess to explain their dementia. Strangely enough, half without dementia have
enough brain mess to be diagnosed with Alzheimer’s disease but they do not have
it. The sad part about research in Alzheimer’s disease is that around one in
ten residents in nursing homes and assisted living facilities have a type of
disease that can be reversed. It is caused by water pressure accumulating
inside the brain. They are likely misdiagnosed with Alzheimer’s disease when it
can be cured. We are too quick to label someone with dementia, especially in
older age. It is not that these diseases do not exist, but that there are so
many problems with the brain and not all are Alzheimer’s disease. We are too quick
to label someone and then this labelling has negative repercussions.
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The husband and wife team of professors Alex and Catherine
Haslam with the University of Queensland in Australia looked at how stereotypes
play a significant role in diagnosis of dementia. What is referred to as
stereotype-threat-related, by reading a short sentence or two about how older
adults suffer from dementia when they have memory problems, physicians are more
likely to then diagnose someone with dementia. In one study, seven out of ten physicians
were more likely to diagnose an older adult who has memory issue as having dementia
rather than when there is no stereotyping (only one in seven). Unfortunately,
in response, when older adults are faced with negative stereotypes about their
age and their thinking, their memory gets worse. We perform worse when we are
stressed and we tend to conform to how people expect us to behave. This is not
to say that Alzheimer’s disease is made up. But the negative stereotype stops
us from performing our best in combating the everyday brain mess that accumulates.
Negative
stereotypes stop us doing our best. Stop us from trying harder and pushing the
brain to develop new pathways. Negative stereotypes stop us trying. Helping the
brain mess to take over. Never stop learning, we are never too old.
© USA Copyrighted 2016 Mario D. Garrett
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