Lupus cognitive dysfunction talk 2014
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Cognitive dysfunction (also called lupus fog or memory problems) occur in around 50% of people who have systemic lupus erythematosus. This slide show goes along with my Youtube video here: https://www.youtube.com/watch?v=A9H4QT6EjGo&list=HL1399166249&feature=mh_lolz and the accompanying handout here: https://docs.google.com/file/d/0B4H3j0I3kMuPRTRiUFJXMWZTTHM/edit . For more daily tips and facts about lupus... follow me and "LIKE" me at www.facebook.com/LupusEncyclopedia.
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Lupus cognitive dysfunction talk 2014
- 1. H O W T O I M P R O V E Y O U R M E M O R Y LUPUS: MEMORY PROBLEMS Donald Thomas, MD, FACP, FACR
- 2. Memory Problems ? Hard to concentrate? Fuzzy-headed? Forgetful?
- 3. Memory Problems ? Hard to concentrate? Lupus Fog Fuzzy-headed? Forgetful?
- 5. MEMORY PROBLEMS IN LUPUS • 2010 study: Arthritis and Rheumatology: • Lupus patients = 50% • Rheumatoid arthritis = 61% • Multiple sclerosis = 75%
- 6. WHAT I WILL COVER • Causes of memory problems in lupus • What to do about it: • You Game Plan!
- 7. DO I HAVE ALZHEIMER'S DISEASE? • Alzheimer’s disease = degenerative process • Get’s worse over time • 6th most common cause of death in the USA • “Lupus fog” rarely gets worse • “Lupus fog” does not become Alzheimer’s disease • Rare less than 60 years old
- 10. •ALZHEIMER’S Poor judgment and decision making regularly •LUPUS FOG • Make bad decisions occasionally
- 11. •ALZHEIMER’S Poor judgment and decision making • Can’t manage a budget •LUPUS FOG • Make bad decisions occasionally • Miss monthly payment
- 12. •ALZHEIMER’S • Poor judgment and decision making • Can’t manage a budget • Lose track of date/season •LUPUS FOG • Make bad decisions occasionally • Miss monthly payment • Forget the date; remember it later
- 13. •ALZHEIMER’S • Poor judgment and decision making • Can’t manage a budget • Lose track of date/season • Difficulty having a conversation •LUPUS FOG • Make bad decisions occasionally • Miss monthly payment • Forget the date; remember it later • Sometimes forgetting which word to use
- 14. •ALZHEIMER’S • Poor judgment and decision making • Can’t manage a budget • Lose track of date/season • Difficulty having a conversation • Misplacing things; unable to retrace steps •LUPUS FOG • Occasional bad decisions • Miss monthly payment • Forget the date; remember it later • Sometimes forgetting which word to use • Losing things from time to time
- 15. ACTION PLAN!
- 16. STEP 1: SEE A NEUROLOGIST? • If > 60 years old • If early dementia runs in your family • If memory interrupts your life • See a neurologist • With special interest in dementia • Neuropsychologists • Dr. Majid Fotuhi
- 17. IRREVERSIBLE CAUSES • Age • Genetics • Decreased kidney function • Chronic kidney disease • Stroke • CNS lupus • Concussion • Closed head injury
- 18. TREATABLE CAUSES • Depression • Fibromyalgia • Lack of exercise • High blood pressure, over weight, diabetes, smoking, high cholesterol • Anxiety disorders • Lack of sleep • Antiphospholipid antibodies • Medications • Excessive alcohol
- 19. MEDICINES TO AVOID • Ambien • Anti-histamines • Benadryl • Benzodizepines • Valium • Ativan • Opioid narcotics pain relievers • Tramadol • Hydrocodone • Oxycodone • Fentanyl • Morphine
- 20. TREATMENTS THAT DON’T WORK • Gingko biloba • Multiple vitamins • Omega-3 fatty acid supplements • DHA supplements • Soy protein supplements
- 21. TREATMENTS THAT PROBABLY DON’T HELP • Antioxidant vitamins • Vitamin E, C, beta-carotene • Vitamins B6, B12, and folic acid
- 24. TREATMENTS THAT PROBABLY HELP
- 25. TREATMENTS THAT PROBABLY HELP: OMEGA-3 FATTY ACID FOODS
- 26. TREATMENTS THAT PROBABLY HELP: MEDITERRANEAN DIET
- 27. TREATMENTS THAT PROBABLY HELP
- 28. TREATMENTS THAT PROBABLY HELP: FLAVONOID RICH FOODS
- 30. TREATMENTS THAT PROBABLY HELP
- 31. ALCOHOL SERVING PER DAY FOR WOMEN
- 32. TREATMENTS THAT DO HELP
- 33. • Cross-trains brain • Memorize steps • Forces Balance • Listening • Decreases stress • Improves mood D A N C E
- 36. 7 MINUTE HIIT: HIGH INTENSITY INTERVAL TRAINING
- 37. LUPUS EXERCISE STUDY: 138 WOMEN WITH SLE • Non-exercisers • 23% with memory problems • Over-weight • 23% with memory problems
- 38. LUPUS EXERCISE STUDY: 138 WOMEN WITH SLE • Non-exercisers • 23% had memory problems • Exercisers • 5% had memory problems • Over-weight • 23% had memory problems • Normal weight • 6% had memory problems
- 39. TREATABLE CAUSES • Depression • Anxiety disorders • Lack of sleep • Fibromyalgia • Lack of exercise • High blood pressure, over weight, diabetes, smoking, high cholesterol • Antiphospholipid antibodies • Medications
- 40. TREATMENTS THAT DO HELP
- 46. Brain games without computer Get out of comfort zone Force brain to do uncomfortable tasks