Memory lapses can occur at any age, but we tend to get more upset by them as we get older because we fear they’re a sign of dementia, or loss of intellectual function. The fact is, significant memory loss in older people isn’t a normal part of aging—but is due to organic disorders, brain injury, or neurological illness, with Alzheimer’s being among the most feared.

Harvard Medical School

“No matter what your brain status or age, there is much we can do to significantly improve brain functions and slow brain aging.”

Dr. Larry McCleary (Former Acting Chief, Pediatric Neurosurgery, Denver Children’s Hospital Author of The Brain Trust Program)

First let us look at the functions the brain has in its operations:

– Memory

Memory is probably the easiest of the cognitive domains to understand. Memory is the process through which new information about our world is encoded, stored and later retrieved by our brain cells. The ability to remember new facts and new ways of doing things is not only key to our ability to maintain independent lives, our memories are what individualizes each and everyone of us. Our personal memories of past experiences and of family and friends are valuable treasures. Sadly, these treasures are often lost or become tarnished as we age and in tragic cases, with the onset of dementia. For this reason alone, it is necessary that we continue to exercise and activate the neural networks that form our memories. It is also important that we continue to find new strategies and tools to help us form new memories.

– Focus

We live in a world of instant communication and sometimes the demands of work and family can become unbearable and seemingly never-ending. When we become mentally fatigued or over burdened we can lose our ability to prioritize, our ability to identify important information and our ability to stay on task. At home, at the office and at school, we are constantly pulled in multiple directions at the same time and losing focus and concentration can result in us failing to meet our obligations. In addition to providing our brains with the rest and relaxation it needs to operate at its best, it is also important that we engage in brain exercises that can improve our ‘mental endurance’, focus and concentration.

It is also important that we exercise this cognitive domain to find new strategies to overcome specific challenges such as ADD/ADHD. You need to provide your brain with the best and newest brain fitness tools that will improve your concentration and strengthen your mental endurance. Which can be done through games and exercises that will engage your brain and sharpen your focus and teach you new ways to stop wasting time. With stronger concentration skills, improved attention to detail, and sharper focus you can expect to live life with less confusion, less stress and a greater feeling of mental clarity. Strengthening your focus is a surefire way to improve your performance at work or at school.

– Word Skills

Language is the highly evolved human skill that enables us to effectively communicate our thoughts and emotions with the rest of the world. Language is what allows us to grow as people, to share ideas with others and to form the social bonds that bring true value and meaning to our lives. And the fabulous fact about our word skills and capacity for language is that we can continue to improve these skills over the course of our lives.

Unfortunately, on the other side of the coin is fact that our spoken and written word skills can degrade over time with out practice. I’m sure we can all remember a time during conversation when we found ourselves dumbfounded and embarrassed as we struggled to find a word stuck on the tip of our tongue. Or maybe we can remember a time when we mis-used or mis-spelled a fancy word in an important email. As we grow, it is important that we continue to expand our vocabulary, improve our language comprehension skills and find new ways to make our words mean more to the people in our lives.

You can do this through fun and effective brain fitness games and tools to help them continue to grow their capacity for language. Improving word-skills with brain fitness games and exercises is a sure fire way to increase your verbal communication confidence and reduce social anxiety.

– Coordination

From the moment we wake up in the morning until we fall asleep at night, we humans are constantly on the move! And for most of us, our ability to make purposeful, timely and accurate movements is often taken for granted as we go about our day. But the truth is that our ability to perform the seemingly infinite number of goal directed movements we make is the result of our brain precisely detecting sensory information from the world around us and integrating it with our internal motivations to accurately execute the appropriate motor commands that tell our muscles how to move.

Unfortunately, as we age, this process becomes more difficult and moving about the world can become more challenging than it once was before. For most of us, our senses tend to dull, our reaction times become a bit slower and seemingly simple motor tasks such as writing, driving our car and moving about to enjoy the things we love to do can become more difficult. For this reason, it is important that we not only exercise our muscles to maintain strength and flexibility to stay mobile, but that we also exercise the areas of our brain that are involved in coordinating our movements.

You need to provide yourself with fun and challenging brain fitness tools that will help improve your sensory perception, manual dexterity, spatial awareness and precision of movement. By doing you can continue to make the most of your independent lifestyle.

– Critical Thinking

Critical thought can also be referred to as our brain’s ‘executive function’. And as such, we can think of our critical thinking skills, as the analysis tools used by the CEO of our brain.

Critical thinking skills are the tools we use to objectively analyze information, recognize patterns, follow logical rules, strategize, and solve problems. It is also the brain function that provides us with the ability to form the complex chronological and spatial plans we use to navigate our lives. Everyday we use our critical thinking skills to objectively analyze the world we live and thrive as individuals.

Along with Language, higher order critical thinking skills are what separate us humans from the rest of the Animal Kingdom. And anatomically speaking, the parts of our brain that allows us to think critically reside in the most highly evolved parts of our brain, the frontal and temporal lobes of the cortex. Sadly, it is most often our critical thinking skills that decline with age-related dementia. Our critical thinking skills also need to be fostered at an early age and throughout our lives in order for our brains to operate at their best.

Fortunately, research investigating the phenomenon of neuroplasticity has taught us that we can actually change the way our brains are wired. By engaging in intellectually stimulating activities and by taking on cognitive challenges we actually have the ability to strengthen our critical thinking skills and improve our executive function. But if we want to enhance our critical thinking skills globally, it is important that we exercise our executive functions individually and as a whole. For example, it is important to engage in a variety of different brain exercise designed to improve deductive reasoning, logical reasoning, pattern recognition skill, strategic decision-making skill and the efficiency of our brain’s ability to process information.

By taking a ‘whole- body approach’ and incorporating brain fitness into your daily routines you will be making the lifestyle changes needed to sharpen your minds and reduce your risk of dementia.

Since the human brain peaks in size at about age 20 and then starts to shrink, you might think that by age 70 or 80, you’d be lucky to remember your name. The good news is that memory loss is not inevitable. “There are examples of people who have lived to 123 years of age who died with completely intact memories and no evidence of neuropathology,” said Sam Gandy, MD, PhD, director of the Center for Cognitive Health at The Mount Sinai Medical Center in New York City.

A history of infectious mononucleosis due to infection by Epstein–Barr virus (EBV) may increase risk of Hodgkin’s Lymphoma but the precise contribution of Epstein–Barr virus remains largely unknown.  Hodgkin lymphoma is characterized by the orderly spread of disease from one lymph node group to another and by the development of systemic symptoms with advanced disease. When Hodgkins cells are examined microscopically, multinucleated Reed–Sternberg cells (RS cells) are the characteristic histopathologic finding.

Memorial Sloan Kettering Hospital

Hodgkin’s lymphoma — formerly known as Hodgkin’s disease — is a cancer of the lymphatic system, which is part of your immune system.

In Hodgkin’s lymphoma, cells in the lymphatic system grow abnormally and may spread beyond the lymphatic system. As Hodgkin’s lymphoma progresses, it compromises your body’s ability to fight infection.

Hodgkin’s lymphoma is one of two common types of cancers of the lymphatic system. The other type, non-Hodgkin’s lymphoma, is far more common.

Advances in diagnosis and treatment of Hodgkin’s lymphoma have helped give people with this diagnosis the chance for a full recovery. The prognosis continues to improve for people with Hodgkin’s lymphoma.

Hodgkin’s lymphoma signs and symptoms may include:

• Painless swelling of lymph nodes in your neck, armpits or groin
• Persistent fatigue
• Fever and chills
• Night sweats
• Unexplained weight loss — as much as 10 percent or more of your body weight
• Loss of appetite
• Itching
• Increased sensitivity to the effects of alcohol or pain in your lymph nodes after drinking alcoholMake an appointment with your doctor if you have any signs or symptoms that worry you.Doctors know that most Hodgkin’s lymphoma occurs when an infection-fighting cell called a B cell develops a mutation in its DNA. The mutation tells the cells to divide rapidly and to continue living when a healthy cell would die. The mutation causes a large number of oversized, abnormal B cells to accumulate in the lymphatic system, where they crowd out healthy cells and cause the signs and symptoms of Hodgkin’s lymphoma.Classical Hodgkin’s lymphomaSubtypes of classical Hodgkin’s lymphoma include:
• Classical Hodgkin’s lymphoma is the more common type of this disease. It can be broken down further into subtypes. People diagnosed with classical Hodgkin’s lymphoma have large, abnormal cells called Reed-Sternberg cells in their lymph nodes.
• Various types of Hodgkin’s lymphoma exist. The type is based on the types of cells involved in your disease and their behavior. Your type determines your treatment options.
• It’s not clear what causes Hodgkin’s lymphoma.
• When to see a doctor

• Nodular sclerosis Hodgkin’s lymphoma
• Mixed cellularity Hodgkin’s lymphoma
• Lymphocyte-depleted Hodgkin’s lymphoma
• Lymphocyte-rich classical Hodgkin’s lymphomaThis much rarer type of Hodgkin’s lymphoma involves large, abnormal cells that are sometimes called popcorn cells because of their appearance. Treatment may be different from the classical type. People with this type of Hodgkin’s lymphoma may have a better chance of a cure when the disease is diagnosed at an early stage.Factors that increase the risk of Hodgkin’s lymphoma include:
• Lymphocyte-predominant Hodgkin’s lymphoma

• Your age. Hodgkin’s lymphoma is most often diagnosed in people between the ages of 15 and 30, as well as those older than 55.
• A family history of lymphoma. Having a close family member who has Hodgkin’s lymphoma or non-Hodgkin’s lymphoma increases your risk of developing Hodgkin’s lymphoma.
• Your sex. Males are slightly more likely to develop Hodgkin’s lymphoma.
• Past Epstein-Barr infection. People who have had illnesses caused by the Epstein-Barr virus, such as infectious mononucleosis, are more likely to develop Hodgkin’s lymphoma than are people who haven’t had Epstein-Barr infections.
• A weakened immune system. Having a compromised immune system, such as from HIV/AIDS or from having an organ transplant requiring medications to suppress the immune response, increases the risk of Hodgkin’s lymphoma.
• Make an appointment with your family doctor or a general practitioner if you have any signs or symptoms that worry you. After your diagnosis, your doctor may refer you to a specialist who treats Hodgkin’s lymphoma, such as a hematologist, medical oncologist or radiation oncologist.
• Preparing for an appointment with your doctor

What you can do

• Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there’s anything you need to do in advance, such as restrict your diet before testing.
• Write down any symptoms you’re experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
• Write down key personal information, including any major stresses or recent life changes.
• Make a list of all medications, vitamins or supplements you’re taking.
• Consider taking a family member or friend along. Sometimes it can be difficult to absorb all the information provided during an appointment. Someone who accompanies you may remember something that you missed or forgot.
• Write down questions to ask your doctor.

Your time with your doctor is limited, so preparing a list of questions can help you make the most of your time together.

What to expect from your doctor

Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over points you want to spend more time on.

TURN INTO PART 2 ON MONDAY (tests, procedures and treatment for the disease).

It is known that hyperinsulinemia precedes type II diabetes and that it is associated with an adverse cardiovascular risk profile.

American Heart Association

 There are several stages involved in the development of heart disease. Unfortunately having too much insulin in your blood is involved in each and every stage.  Without disease that affects your insulin level, like in diabetes, you can help control this through prevention measures in dieting, exercise with balance of resting.

Stage 1: First excessive insulin raises the level of bad cholesterol in the blood – the LDL version. At the same time it decreases the level of “good” cholesterol – the HDL variety. Then it goes on to increase the level of triglycerides in the blood – yet another risk factor for heart disease. Excessive insulin also causes your blood to clot more quickly which increases your risk of stroke. Though your kidneys are not insulin sensitive, when your insulin level is elevated it indirectly causes your kidneys to retain salt and fluid which further increases your blood pressure.

Stage 2: In this stage excessive insulin increases cellular proliferation which damages the lining of your blood vessels. This increases the blood vessels vulnerability and sets the stage for even more blood vessel damage.

Stage 3: In this third stage insulin plays a different role. There are two very different kinds of LDL cholesterol. “Pattern A” LDL cholesterol is light, floats on water and represents no particular threat to the human body. But “Pattern B” LDL is a smaller particle, much more dense form that’s intimately involved in the heart disease process. That’s because it’s this denser form that attaches itself to the blood vessel lining to form artery-clogging plaques. Excessive insulin increases this more dangerous form of LDL. It’s this kind of LDL that forms the “fatty streak” plaques that are the hallmark of early heart disease.

Stage 4: Excessive insulin promotes the conversion of specialized cells called microphages in your blood into foam cells which further promotes the formation of dangerous plaques.

Stage 5: Before the plaque becomes dangerous it must be oxidized by free radicals. Once again insulin plays a role by increasing the level of dangerous tissue-damaging free radicals in your blood. The smaller dense LDL particles that excessive insulin promotes are more subject to free radical oxidation.

Stage 6: This damage to your blood vessel lining triggers an inflammatory response which contributes to the vicious cycle. Excessive insulin boosts inflammation throughout the body including within the lining of blood vessels. Many medical researchers feel that inflammation plays a major role in heart disease and excessive insulin plays a major role in generating it. In addition, studies have shown that this increased level of inflammation can directly damage brain neurons. (The C-reactive blood test measures the level of inflammation in your body. Today more and more doctors are using the test in recognition of the key role inflammation plays in so many different diseases.)

Stage 7: As the plaque builds over the years, it eventually restricts the flow of blood causing either chest pain or other symptoms in other parts of your body. If the blood vessels feeding the brain become restricted, your brain function will inevitably be affected. In numerous studies where insulin was injected into the blood vessels of lab animals, it was found that thick artery clogging plaques accumulated just downstream from the injection sites.

Stage 8: Excessive insulin also directly stimulates the central nervous system raising blood pressure which further increases the risk of a heart attack or stroke. At this stage you may experience TIAs (transient  ischemic attacks) which are small strokes that damage small areas of your brain. Damage caused by TIAs are commonly found in the brains of deceased Alzheimer’s patients.

Stage 9: Excessive insulin causes the body to increase it’s excretion of magnesium which causes a magnesium deficiency which can then trigger arterial spasms that can directly cause a heart attack. If a heart attack doesn’t get you, remember that excessive insulin has already increased the blood’s tendency to clot. A blood clot can easily form at the site of the spasm and travel to other areas of the body such as the lungs where it can cause a fatal embolism.

Stage 10: You’re officially diagnosed as having heart disease and if that isn’t bad enough this diagnosis dramatically increases your risk of dementia and premature death.

After reading the above it should come as no shock that studies have found that fatal heart attacks are three times more likely after a high carbohydrate meal than after a high fat/protein meal!

During an angioplasty in OR for a blockage , the balloon is inflated and the spring-like stent expands and locks into place inside the artery tring to break up the blockage.  If their are too many blockages or its unsuccessful a stent is put in place.  The stent stays in the artery permanently to hold it open and improve blood flow to your heart.

MAYO CLINIC

A stent is a wire mesh tube that is used to help hold open an artery. To simple understanding this concept think of a plumber or a mechanic. With a plumber sometimes they have to replace a certain area of a pipe that connects the water or like a mechanic replacing a certain area of piping (like the muffler piping connected infront of the muffler than can either can be replaced or just welded with piece of piping welded just to save money. Well a stent opens the artery that was clogged and its put in that place to reinforce that area of the artery to remain open to allow blood to get to that heart from that coronary artery and it will stay there life to keep the artery permanently patent to prevent the blockage from happening again with the synthetic mesh piece.

Description

Stents are used to hold open diseased coronary arteries (these arteries supply blood to the heart), as well as diseased arteries of the peripheral vascular system (PVS). Peripheral means away from the heart the PVS is the arteries that supply blood to the rest of the body (again away from the heart all the way down to the hands and feet).

There are variety of stents currently available.

For a surgeon to find out if you even need one, first usually a angiogram is performed and this is a catheter simply from the femerol artery or from your arm to the coronary arteries. If the MD sees you show a blockage 80% or more an angioplasty is performed which is a balloon at the end of this catheter that blows up and decompresses to give the effect like punching gloves. The balloon inflates and deflates over and over again till the blockage breaks open free and then a stent is put in that area to help keep it open permanently (patent).

Some stents have been compressed onto the outside of an angioplasty balloon catheter and delivered by inflating the balloon in the desired location. Other stents are “self- expanding” spring-loaded devices, which expand automatically upon deployment.

Stents remain in arteries permanently. The tissue lining the arteries actually grows over the metal mesh to cover the inner lumen of the stent.

Stent procedures have become very common like tonsillectomies were in childhood. Stents are sometimes used as an alternative to coronary artery bypass surgery, if the patient is a candidate. Stents are often used in combination with balloon angioplasty. One leads to the other depending on what the angioplasty displays for the surgeon on the T.V. in when they are doing the procedure and if the come up to a blockage high enough to perform the angioplasty followed with a stent it will be done.

Stents are used in cases of “restenosis”, which refers to the re-closing of arteries after balloon angioplasty. In carefully selected patients, the use of stents can dramatically reduce restenosis following balloon angioplasty or other catheter-based procedures. Stents are used frequently to hold open the arteries that have been damaged, torn, or dissected by balloon angioplasty or other catheter-based procedures. Like plumber or mechanic, get it.

Stents allow angioplasty to be done in patients with severe and long-segment obstruction of coronary arteries. As soon as the I initial part of the block is widened, a stent is place, which holds it open allowing further opening to proceed. Stents have also allowed angioplasty to be performed in patients with blocks of multiple vessels, and in multiple blocks in a single artery.

Risks

Risks include the standard risks of an interventional, catheter-based procedure, which should be specifically discussed with your doctor. Lesions treated with stents can “restenosis” (re- narrow with in weeks to months after the procedure) similar to restenosis associated with angioplasty. This is why patients after having a stent put in they are on a medication for example like Plavix for life to prevent this occurrence from happening. It is a anti platelet medication, meaning it doesn’t allow clotting to happen in the stent so blockage doesn’t reoccur through clotting.

Many new technologies are being tested to reduce the problem of restenosis. These technologies include coating and coverings for the stent, new materials, and radiation. These new technologies are primarily experimental at this point and will reach soon to the market if not already. Technology allows the medical field to continuously expand and this will be replaced at one point but isn’t yet. Just give it time. At one point we had no CABG (coronary artery bypass) but now the stent in certain cases is replaced by angiograms to further expanding to angioplasties and stents furthering allowing the surgery to take place 1x hopefully if the patient is compliant in diet, exercise, and following the doctors orders with meds, activity and follow up visits (which are so vital).   A lot is up to the patient in caring or themselves to prevent having this take place again.

Follow up Instructions

Your doctor will recommend blood thinning medications following your stent procedure. These agents are usually given for one month post procedure along with aspirin and then continued indefinitely. Your doctor may also prescribe antibiotics for a period of time after the stent procedure, to be taken anytime you have a medical or dental procedure. Preventing infection.

MRI tests should not be done for at least eight weeks without your doctor’s approval. Metal detectors do not present a problem. Stents appear to be safe in the long-term; there are no long-term complications associated with a permanent stent.

A recent study has shown that babies with dogs are actually healthier than those without dogs, reporting fewer coughs, runny noses, and ear infections. The reason, researchers believe, is because dogs will track in dirt, mud, and other germ-infested bits of earth, thereby boosting the child’s immune system.

Jason Iannone (journalist, author)