Dec 062013
 

early onset alzheimer's“In all likelihood, you have mild cognitive impairment that will eventually lead to younger-onset Alzheimer’s disease, especially with your family’s history.”

With that brief pronouncement, my world, my husband’s world and our children’s world changed forever. My husband Jim was 48 when we heard those words. I was 40. Our daughter was 9 and our son was 6.

I wasn’t exactly sure what it all meant. The more reading and research I did, the more depressed I became. Words and phrases kept jumping off the page….”no cure,” “death,” “progressively worse,” “dependent,” “no treatments.”

I started to separate myself from Jim and the disease to the point that I became almost businesslike. Researching, interviewing doctors, contacting the Alzheimer’s Association – I was just trying to figure out what was happening and what kind of timeline we were on. I soon found out that there is no timeline. In fact, no two patients have the same symptoms at the same time, in the same order or on the same schedule. It makes for an isolating and desperate feeling.

With two young children at home, I was unable to wallow in my self-pity. I am no longer afforded the luxury of thinking too far ahead, dreaming of a life enchanted. Luckily we are an active family with hectic schedules; this helps me focus on my to-do list and not on our plight.

I have slowly developed an awareness of the new Karen. The old Karen liked to think of herself as a giver, and she was to a certain point. But the new Karen must constantly be giving to Jim, the kids, to others. And it feels good.

Lifting my head off my pillow, pushing away the covers and facing the day ahead of me takes every ounce of self-motivation I can muster. But if I don’t, I won’t get paid, the kids won’t have breakfast, their lunches won’t get made and they won’t make it to school. It is a cycle, and everyone lives it.

Slowly – very slowly – I have pulled myself out of the fog, out of the darkness. Don’t get me wrong; I still have moments of sheer terror and obliterating pain. But I have found my life again. I thought I found my life when I met Jim. Then I thought I found my life when I had each of my children. But I think I was always trying to figure out what my true calling was. I felt I had a purpose, but it eluded me until this past year.

I started by doing advocacy work with the Alzheimer’s Association in Washington D.C. That led to some interviews about the disease. Then, with encouragement from friends, I started writing a blog chronicling our path through younger-onset Alzheimer’s. Emails started pouring in, then more speaking engagements and interviews. Suddenly I realized I had found what I was looking for. I was looking for my life’s calling and this was it. It wasn’t what I would have ever expected or guessed or hoped for, but it is my calling all the same.

Jim’s mother and brother died of Alzheimer’s disease, so it doesn’t take a genius to realize our children have a high probability of also succumbing to this hideous malady. There is my motivation. There is where my strength starts and ends. I don’t feel as if I am going through a mid-life crisis as much as I am going through a mid-life awakening.

Life is so much different since our world became engulfed with all things Alzheimer’s. I feel like a small pilot light inside of me has now been ignited and is ready to spread like a wildfire.

No day is the same and no day is easy. There are days when Jim barely acknowledges me or our kids. He is in his own world. It is hurtful. It is lonely. It is heartbreaking. And I know it’s only going to get worse.

Luckily, I know I am not alone. I think of what I am going to do to help others. By helping others, I will help us. It is a continual shifting back and forth, like water in an eddy.

There is a sense of duty and a sense of awareness that I have never felt before. It empowers me to not only get out of bed and make it through my day, but to do it with a sense of purpose, with an understanding of pain, and the ability to feel powerless against a force I have no control over. There is no way of knowing when it will be felt or when it will strike a new low, but if I were to let myself lose focus of the bigger picture, I would be crushed under the weight of uncertainty that is equaled out by a certainty of what is to come.

I am strong. I am weak. I am a caregiver for a man with younger-onset Alzheimer’s disease.

I will survive. It may not be pretty. It may not be quick. It may cost me everything I cherish, but I will survive with the help of friends, family, strangers and myself. I must survive for my children and for other caregivers that are struggling just as I am. We will all survive together, knowing that we are not alone. Feel the love and the power of others rooting for you to endure.

About the blog author: Karen Garner is a mother of a 9-year-old son and a 12-year-old daughter.  She works full time and is care partner for her husband, Jim, who is living with younger-onset Alzheimer’s. She shares her journey through her blog, Missing Jim.

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Nov 252013
 

When it comes to caring fwoman sleeps on the sofaor a parent, spouse or other loved one, sleep is not for beauty. It is essential to maintain health and the energy needed to be a caregiver. Uninterrupted, restorative sleep (7 to 9 hours) is recommended by most experts.

But for many of the nation’s 65 million family caregivers, sleep is an elusive luxury.  In fact, a National Alliance for Caregiving (NAC) study on caregiver health risks found 87 percent of those caregivers surveyed suffered from insomnia.

If you suffer from insomnia or sleep deprivation, you are at risk for numerous health issues. According to the National Sleep Foundation (NSF), more than 50 percent of people older than age 65 suffer sleep disorders that ultimately shorten their lives. This deprivation of sleep is called sleep debt. In an interview with WebMD, Susan Zafarlotfi, Ph.D., clinical director of the Institute for Sleep and Wake Disorders at Hackensack University Medical Center in New Jersey, said, “Sleep debt is like credit card debt. If you keep accumulating credit card debt, you will pay high interest rates or your account will be shut down until you pay it all off. If you accumulate too much sleep debt, your body will crash.”

Insomnia typically is a function of not being able to relax our minds and our bodies. To get some sleep, try these tips from Dr. Lawrence J. Epstein, associate physician, Division of Sleep Medicine at Harvard University:

1. Create a sleep-inducing environment: a dark, quiet, comfortable and cool room.

2. Do not use your bedroom for anything other than sleep or sex. No television, no laptops.

3. Make sure you do not eat at least two to three hours before bedtime, and avoid caffeine or alcohol close to bedtime. Note that smoking can cause trouble sleeping.

4. If you are tossing and turning at night and you cannot get those eyes closed, try drinking green or chamomile tea before bed or put a lavender pillow near your head to aid relaxation.

5. Create consistent sleep and wake schedules, even on weekends. Our bodies have internal clocks called circadian rhythms that synchronize our active and rest states with biochemical reactions in our bodies. Circadian rhythms are based on light/dark cycles, with light having the most impact on our ability to get to and stay in restorative sleep.

For caregivers, it is time to awaken to the fact that sleep may be your best medicine.  Sleep well.

Excerpted from A Cast of Caregivers – Celebrity Stories to Help You Prepare to Care by Sherri Snelling (Balboa Press).

 

About the Author 

Sherri Snelling, CEO and founder of the Caregiving Club and author of “A Cast of Caregivers – Celebrity Stories to Help You Prepare to Care,” is a nationally recognized expert on America’s 65 million family caregivers with special emphasis on how to help caregivers balance “self-care” while caring for a loved one.  She is the former chairman of the National Alliance for Caregiving.

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Oct 232013
 

flu vaccine and Alzheimer's‘Tis the season for flu vaccine! Every year we get calls from people asking if there is a link between the flu vaccine and Alzheimer’s disease. This is an idea that came about more than a decade ago and has been debunked many times over.

Fact:  Several mainstream studies link flu shots and other vaccinations to a reduced risk of Alzheimer’s disease and overall better health! For example:

   A  2001 Canadian Medical Journal report suggests older adults who were vaccinated against diphtheria or tetanus, polio, and influenza seemed to have a lower risk of developing Alzheimer’s disease than those not receiving these vaccinations.

The bottom line is that you should speak to your doctor about whether or not you should get a flu vaccine this year and don’t let fears of Alzheimer’s risk stop you!

About the  author: Elizabeth Edgerly, Ph.D., is the chief program officer for the Alzheimer’s Association, Northern California and Northern Nevada Chapter. To read more blog posts by Dr. Edgerly, click here.

This post originally appeared on www.alzheimersblog.org.

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Aug 132013
 

saturated fatsIn a study published online in JAMA Neurology, researchers found that dietary saturated fat reduced the body’s levels of apolipoprotein E, also called ApoE, which helps remove amyloid beta proteins out of the brain. Essentially, people who received a high-saturated-fat, high-sugar diet showed a change in their ApoE, such that the ApoE would be less able to help clear the amyloid.

ApoE4 status is associated with an increased risk of cognitive decline and elevated brain amyloid deposition. It is believed that the different forms of ApoE (2, 3 and 4) appear to regulate the removal of beta-amyloid from the brain, and they do so with different efficiencies. It has been shown that ApoE4 seems to be the slowest in removing beta-amyloid from the brain, which may be why it confers the most genetic risk.

In a previously published diet intervention, the researchers showed that a diet high in saturated fat content and with a high glycemic index worsened cerebrospinal fluid biomarkers of Alzheimer’s disease, lowered cerebrospinal fluid insulin levels, and worsened some aspects of memory function, whereas a diet low in saturated fat content and with a low glycemic index had opposing effects.

In the current study, 20 seniors with normal cognition and 20 with mild cognitive impairment, a precursor to Alzheimer’s disease, were studied. The patients were randomly assigned to diets that contained the same amount of calories but were either high or low in saturated fat. The high-saturated-fat diets had 45 percent of total energy coming from fat, and more than one-quarter of the total fat came from saturated fats. In the low-saturated-fat diets 25 percent of energy came from fat, with saturated fat contributing less than 7 percent to total fat.

After just one month, the diets caused changes in the amounts of amyloid beta and ApoE in the subjects spinal fluid such that there was more beta-amyloid present in those on the high saturated fat diet. This data is in line with previous studies showing a link between higher amyloid in the brain of patients with ApoE4 and diets high in saturated fat increasing the risk of developing Alzheimer’s. With the results of this study, there is a possible elucidation of the mechanism at play, namely that saturated fats decrease ApoE’s ability to remove beta-amyloid from the brain, leading to its increasing levels in the brain (and spinal fluid that bathes the brain). Further studies on modulating beta-amyloid and ApoE with diet are pending.

Thanks for reading,

Michael S. Rafii, M.D., Ph.D.

Director, Memory Disorders Clinic
Associate Medical Core Director, Alzheimer’s Disease Cooperative Study
University of California San Diego

This post originally appeared in Alzheimer’s Insights, an ADCS Blog.

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 Posted by at 4:54 pm
Jan 092013
 
 Posted by at 4:24 pm
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