Monday, 6 July 2015

The Doctor’s dementia review: ‘You live with dementia, you don’t suffer it’

Facebook is useful, and singing helps … Jennifer Bute

It takes one hell of a woman to burst out laughing at the thought of her own torturous hallucinations of ringing phones, babies crying and typewriter keys tapping. Dr Jennifer Bute is that woman. In The Doctor’s Dementia (Radio 4), Jennifer tells the no-nonsense story of what it is like to live with her condition. She was in her late 50s and working as a busy GP when she noticed she was becoming forgetful, a symptom she blamed on getting older.

But Jennifer was diagnosed with dementia – and realised her condition was deteriorating when she left her internet shopping delivery on the hob and instinctively turned on the four “twirly things”. The plastic packaging melted while she watched. “It was only when the bananas exploded that I was brought to my senses,” she says.

Although it’s unimaginably hard for Jennifer to go from lecturing “off the hoof” to batting off an attack by an imaginary swarm of bees, her refusal to become a victim is a breath of fresh air. You instinctively trust her when she says dementia is a challenge, not the end of the world or a death sentence. Yes, she’s a doctor, but she’s also speaking up for herself and many others in the same situation.

“I discovered when people found out I had dementia they avoided me,” she explains. “They don’t know what to say.” So she produced leaflets for her children and friends to help them cope. And when she realised she couldn’t find her way home, she bought a satnav.
It’s a practical approach to dementia, and a reminder that life goes on for the person involved. Little strategies go a long way. She finds Facebook useful as it involves short sentences and a picture of the person she’s interacting with, making it easier to remember who they are. Singing also helps. “It’s like a workout,” she says.



Friday, 3 July 2015

Scientists look into why most Alzheimer’s patients are women

Amy Shives, right, and her husband George walk their cavalier King Charles spaniel Chester in their neighborhood, Wednesday, June 3, 2015, in Spokane, Wash. Amy Shives was diagnosed with early onset Alzheimer's disease in 2011 and has since been involved with the Alzheimer's Association. Nearly two-thirds of Americans with Alzheimer's disease are women, and now some scientists are questioning the long-held assumption that it's just because women tend to live longer than men. (AP Photo/Young Kwak)


Nearly two-thirds of Americans with Alzheimer’s disease are women, and now some scientists are questioning the long-held assumption that it’s just because they tend to live longer than men.
What else may put woman at extra risk? Could it be genetics? Biological differences in how women age? Maybe even lifestyle factors?
Finding out might affect treatments or preventive care.
One worrisome hint is that research shows a notorious Alzheimer’s-related gene has a bigger impact on women than men.
“There are enough biological questions pointing to increased risk in women that we need to delve into that and find out why,” said Maria Carrillo, chief science officer for the Alzheimer's Association.
Last month, the association brought 15 leading scientists together to ask what’s known about women’s risk. Later this summer, Carrillo said it plans to begin funding research to address some of the gaps.
“There is a lot that is not understood and not known. It’s time we did something about it,” she added.
A recent Alzheimer's Association report estimates that at age 65, women have about a 1 in 6 chance of developing Alzheimer’s during the rest of their lives, compared with a 1 in 11 chance for men.
The tricky part is determining how much of the disparity is due to women’s longevity or other factors.
“It is true that age is the greatest risk factor for developing Alzheimer’s disease,” said University of Southern California professor Roberta Diaz Brinton, who presented data on gender differences at a meeting of the National Institutes of Health this year.
But, she said, “on average, women live four or five years longer than men, and we know that Alzheimer’s is a disease that starts 20 years before the diagnosis.” That’s how early cellular damage can quietly begin.
Brinton researches if menopause can be a tipping point that leaves certain women vulnerable.