lupus cognitive dysfunction talk 2014
DESCRIPTION
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.TRANSCRIPT
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H O W T O I M P R OV E YO U R M E M O RY
LUPUS: MEMORY PROBLEMS
Donald Thomas, MD, FACP, FACR
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Memory Problems ?
Hard to concentrate?
Fuzzy-headed?
Forgetful?
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Memory Problems ?
Hard to concentrate?
Lupus Fog
Fuzzy-headed?
Forgetful?
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Cognitive dysfunction
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MEMORY PROBLEMS IN LUPUS
• 2010 study: Arthritis and Rheumatology:• Lupus patients = 50% • Rheumatoid arthritis = 61%• Multiple sclerosis = 75%
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WHAT I WILL COVER
• Causes of memory problems in lupus• What to do about it:• You Game Plan!
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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
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•ALZHEIMER’S
Poor judgment and decision making regularly
•LUPUS FOG•Make bad decisions occasionally
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•ALZHEIMER’S
Poor judgment and decision making
•Can’t manage a budget
•LUPUS FOG• Make bad decisions
occasionally
•Miss monthly payment
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•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
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•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
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•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
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ACTION PLAN!
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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
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IRREVERSIBLE CAUSES
• Age• Genetics• Decreased kidney function• Chronic kidney disease
• Stroke• CNS lupus• Concussion• Closed head injury
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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
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MEDICINES TO AVOID
• Ambien• Anti-histamines• Benadryl
• Benzodizepines• Valium • Ativan
• Opioid narcotics pain relievers• Tramadol• Hydrocodone• Oxycodone• Fentanyl• Morphine
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TREATMENTS THAT DON’T WORK
• Gingko biloba• Multiple vitamins• Omega-3 fatty acid supplements• DHA supplements
• Soy protein supplements
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TREATMENTS THAT PROBABLY DON’T HELP
• Antioxidant vitamins• Vitamin E, C, beta-carotene
• Vitamins B6, B12, and folic acid
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TREATMENTS THAT PROBABLY HELP
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TREATMENTS THAT PROBABLY HELP:OMEGA-3 FATTY ACID FOODS
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TREATMENTS THAT PROBABLY HELP: MEDITERRANEAN DIET
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TREATMENTS THAT PROBABLY HELP
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TREATMENTS THAT PROBABLY HELP:FLAVONOID RICH FOODS
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TREATMENTS THAT PROBABLY HELP
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ALCOHOL SERVING PER DAY FOR WOMEN
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TREATMENTS THAT DO HELP
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• Cross-trains brain• Memorize steps• Forces Balance
• Listening• Decreases stress• Improves mood
D
A
N
C
E
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7 MINUTE HIIT:HIGH INTENSITY INTERVAL TRAINING
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LUPUS EXERCISE STUDY:138 WOMEN WITH SLE
• Non-exercisers• 23% with memory problems
• Over-weight• 23% with memory problems
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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
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TREATABLE CAUSES
• Depression • Anxiety disorders• Lack of sleep• Fibromyalgia• Lack of exercise• High blood pressure, over weight, diabetes,
smoking, high cholesterol• Antiphospholipid antibodies• Medications
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TREATMENTS THAT DO HELP
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Brain games without computerGet out of comfort zoneForce brain to do uncomfortable tasks
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MEMORY IMPROVEMENT HABITS
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MEMORY IMPROVEMENT HABITS
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