Alzheimer's and Red Meat

A recent study published in Journal of Alzheimer’s Disease suggests that higher levels of iron in the body may contribute to Alzheimer's disease. While the study utilized a relatively small sample size, researchers believe that the iron may trigger a tissue breakdown associated with the disease. There are three things specifically mentioned as a way to address the elevated iron levels. The researchers suggest  that people reduce or stop red meat consumption, reduce or stop iron supplements, or that women have hysterectomies before menopause.

http://www.counselheal.com/articles/6463/20130822/red-meat-linked-alzheimers-disease.htm

New Study- Breastfeeding Reduces Risk of Alzheimer's

My wife and I have been blessed with six sons. We have been further blessed that she has been able to breast-feed all of them. The benefits of breastfeeding are multiple. While there are those who may exaggerate those benefits and those who may downplay them, the scientific evidence is fairly convincing. Breastfed babies have been shown to have a reduced risk of ear infections, stomach viruses, respiratory infections, atopic dermatis, asthma, Type 1 and Type 2 diabetes, childhood leukemia and a gastrointestinal disease in preterm infants known as necrotizing enterocolitis. There are also many who believe that breastfeeding increases a child's intelligence. For the mother, breastfeeding is reported to reduce the occurrences of postpartum depression, certain types of cancer, hypertension and diabetes. All things considered, breastfeeding is a very good thing.

A new report released in the Journal of Alzheimer's Disease shows that breastfeeding may also lower a woman's risk of Alzheimer's disease. While it is a fairly small group that the study researched, the results are eye popping. Women who breastfed at some point in their lives showed a 64% reduction in their risk of Alzheimer's when compared to those who had children but didn't breast-feed.

http://www.cbsnews.com/8301-204_162-57597014/breast-feeding-may-lower-moms-risk-of-alzheimers-disease/

Let's Talk About Sex...in Nursing Homes.

Sexuality is an exciting topic at any age. Thanks in no small part to the daily dose of sexuality we ingest through television and media, the drugs constantly offering to help us have better sex, and the societal mentality that defines people according to who they have sex with, we think about sex a lot. One place, however, you might not spend a great deal of time thinking about sex in is a nursing home. Times they are a-changing.

Seniors today are far more active than they have ever been before. They are living longer, fuller lives. While many of the senses may dull or fail with old age, the sense of touch remains intact. Seniors have desires and seniors are having sex.

A conversation with any worker in an assisted living community will confirm this fact if you have any doubt. When the families are through visiting, the room swaps begin. This has brought about some difficult ethical questions to answer for administrators in facilities and communities. Do they have the legal power to stop consensual sex between adults? At what point is sex no longer consensual with regards to dementia?

There are examples on both sides of the debate. On the more conservative side is an example out of Iowa where to two seniors with dementia were caught having sex on Christmas day. Administrators and nurses were fired and lambasted as public examples of negligence. Charges were filed by the family against the facility for failing to prevent the rape of one resident by another. Eventually, both of the residents in question passed away as did the lawsuit. The administrators never worked in senior care again; the scarlet letter of a new era. In the Bronx, there is a nursing home with an entirely different take on the issue which is making headlines. At this home, the administrator brags that his staff "actively encourages and supports sex and intimacy among its residents. Our position is very strongly that consenting adults who have capacity, this is a civil right of theirs. They do not give up a civil right simply because they are in need of nursing care in a facility. And that our obligation as a nursing facility is to encourage their civil rights, as we would do with respect to voting."

No matter where you fall on this issue, the reality is that seniors are having sex more than probably ever before. With the rapidly increasing numbers of this demographic and the rise of seniors who are struggling with dementia, this is a conversation that needs to be had.

Low Testosterone Shown To Increase Risk For Parkinson's

In a recent study, a drop in the testosterone levels of male mice caused them to manifest symptoms that appear to be very similar to those found in Parkinson's Disease. Male testosterone levels typically peak in the mid-30's and then decline around 1% each year thereafter. The decline can be made more sudden by other factors such as stress or other life events. Low testosterone has also been linked to an increased risk for Alzheimer's. Given that men are already known to be 1.5 times more likely to develop Parkinson's, the link to lower testosterone levels seems to make a lot of sense.

http://www.medicaldaily.com/articles/17863/20130728/mouse-study-shows-link-between-low-testosterone.htm

Exciting News in the Battle Against Alzheimer's!

I typically hesitate posting medical journals or studies on this blog because I assume that those reading it probably don't have the time to sift through the jargon and medical terminology. However, this is some exciting news on the Alzheimer's front that I think needs to be shared. Out of respect for everyone's time, I will briefly summarize my understanding of the findings as well as post the actual article below.

Scientists have previously identified a gene, APOE4, which is known to increase the risk of developing Alzheimer's later in life. Individuals who possess one copy of the gene are three times more likely to develop Alzheimer's and those who possess more than one copy are ten times more likely. That discovery was made in 1991. This is not news.

The exciting news is the recent discovery that people who have the APOE4 gene experience changes in the way that 215 other genes express themselves before they actually develop Alzheimer's.  This is exciting for a number of reasons. Mostly, it means that scientists can begin to look into early ways to intervene BEFORE symptoms appear. All of the treatment options for people with Alzheimer's currently are behind the proverbial eight ball. Once you develop the disease THEN doctors look into ways that they can slow the progression. There is currently no feasible way to predict who will get it. There is no way to prevent people from acquiring it. There is no way to cure people who have it. In a world of gray skies and dim possibilities, this is finally some sunshine from behind the clouds.

http://www.bloomberg.com/news/2013-07-24/path-of-alzheimer-s-disease-risk-gene-tracked-scientists-say.html

Parkinson's Didn't Stop an Astronaut From His Space Walk

This is an amazing story about astronaut Rich Clifford, who was diagnosed with Parkinson's Disease when he was 42 yrs old. He went on to fly in another space shuttle mission and complete a lengthy space walk in spite of his diagnosis. After 15 yrs of staying silent on the subject, he now tours the country to raise awareness for Parkinson's and to tell his own fantastic story.

http://thechart.blogs.cnn.com/2012/11/14/parkinsons-didnt-stop-his-space-walk/

China Mandates That Children Care For Their Parents.

The People's Republic of China made waves recently by enacting "The Law of Protection of Rights and Interests of the Aged." Among other things, this law mandates that children visit their parents regularly in order to provide for their financial and spiritual needs. Senior issues are an area of critical concern for China. Currently, they have approximately 185 million people over the age of 60. By 2050, the elderly are predicted to account for more than a third of the entire population. Read more about it below.

http://www.cnn.com/2013/07/02/world/asia/china-elderly-law/index.html?iref=allsearch

Woman Marries for the Fourth Time at 80 Yrs Old

A local woman made headlines this week when she married for the fourth time at the age of 80. When a local news station interviewed her recently, they asked her a myriad of questions about life, marriage, happiness, and of course her new husband. 

 The interviewer asked her questions about what it felt like to be marrying again at 80, and then... about her new husband's occupation. "He's a funeral director," she answered.

"Interesting," the newsman thought.

He then asked her if she wouldn't mind telling him a little about her first three husbands and what they did for a living. She paused for a few moments, needing time to reflect on all those years. After a short time, a smile came to her face and she answered proudly, explaining that she had first married a banker when she was in her 20's, then a circus ringmaster when in her 40's, and a preacher when in her 60's, and now - in her 80's - a funeral director.

The interviewer looked at her, quite astonished, and asked why she had married four men with such diverse careers.

She smiled and explained,

"I married one for the money, two for the show, three to get ready, and four to go."

 

- Thanks to HISC franchise owner Karin Lindblom for sending this to me.

AARP says that 1 out of 4 Retired Early to Care for a Spouse

One-in-5 employees age 45-74 say they expect to take time off of work to care for a spouse, a parent or relative in the next five years, AARP officials say.

An AARP report, "Keeping Up with the Times: Supporting Family Caregivers with Workplace Leave Policies," also said 1-in-4 retirees said they left the workforce earlier than planned to care for an ill spouse or other family member.

"The aging of the population, changing workforce demographics and increasing demands on family caregivers are colliding at the expense of working caregivers," Lynn Feinberg, senior strategic policy adviser with the AARP Public Policy Institute and author of the report, said in a statement.

Read more: http://www.upi.com/Health_News/2013/06/19/One-in-5-employees-age-45-74-must-quit-work-for-caregiving/UPI-41721371620805/#ixzz2Xzilse9x

Want to Improve Your Memory? Eating smart really can help you keep your brain sharp.

Antioxidants! Omega-3s! Anti-inflammatory diets! Can something you eat really help you remember — again — where you put your cellphone or reading glasses? If you add blueberries to your morning oatmeal or sip a glass of red wine at dinner, will your brain cells stay healthier longer?


http://www.aarp.org/health/brain-health/info-06-2013/worried-about-your-memory.html?intcmp=HPBB1J

The Wonderful Wizard of Hos-pice

Last week I found myself visiting with the daughter of an aging parent. After reviewing their situation, I mentioned that it might not be a bad idea to contact a hospice organization. As soon as the word "hospice" escaped my lips, I found myself face to face with a hysterical daughter who sobbed uncontrollably at the imminent passing of her father. That wasn't what I said!

At Home Instead Senior Care, we often partner with hospice organizations. Home Instead is dedicated to the mission of helping people live life on their own terms. So is hospice. Home Instead recognizes that there are certain realities that are naturally associated with the aging process that cannot be avoided. So does hospice.

Many people think about hospice as a place but in actuality it is a philosophy of care. Hospice can help patients and their families begin to deal with whatever is happening to them on their own terms and in their own time frame. If life is a journey, think of hospice as a travel agent. Hospice helps coordinate community resources and helps you to know where to go in order to get the very best of everything. While most of us try to cheat death at every turn, there has only ever been one man who has managed to defeat death. That makes the human mortality rate pretty close to 100%. If you are the child of an aging parent and are approaching the point where care is more important than cure then I would highly suggest getting in touch with a hospice organization. They are truly wonderful people and have been a tremendous comfort to to the clients we have partnered with them to serve.

Gimme the Candy!

To say that there are an abundance of children in my neighborhood would be an understatement. Our house sits on the corner of two cul-de-sacs which, in total, represent 32 children. Halloween is kind of a big deal. Nevertheless, I am guilty of two Halloween sins. First, I turn my lights off before the candy is really gone. Once the stash of candy has run down to the dregs, I flip the light off and retreat to my lazy boy (aptly named) where I work to avoid the stomach ache which will undoubtedly follow the consumption of that many Sour Patch Kids. Second, I lie to my children. My oldest son has a peanut allergy and we therefore must screen all of our children's loot to ensure that there are no peanut candies hiding in the mix. Over the years, my wife and I have taken increasing liberties with the screening process. My kids are now convinced that there are many candies that could potentially spell disaster for people with a peanut allergy. Such as: Gummy Savers, the aforementioned Sour Patch Kids, Smarties, Rolo's, Swedish Fish, Airheads, Nerds, Sweet Tarts, Now-n-Laters,  and anything with dark chocolate in it. These are a few of my favorite things. Following the onslaught of our neighbor's goodwill, the kids all come back home and dump their goodies onto the living room floor where I scour the contents of their respective pumpkins, removing all "risky" items. Safety is important on Halloween.

I thought this blog was about seniors?

Relax, I'll get there.
One of the parts of the natural aging process is the reduction in the body's ability to taste things. This is due to a number of factors such as a reduction of saliva production as well as a reduction in the actual number of taste buds. Frequently, you will see older people dumping unholy amounts of salt, pepper, vinegar, Tabasco, etc. onto everything they eat. They don't decide to begin bathing their food in hot sauce because they have suddenly gone cajun at the ripe old age of 65. They do this because it is the only way they can taste the foods. The reduction of a senior's ability to taste their food has a couple effects which merit words of caution. First, it is no fun for older adults to eat so they don't. The only thing worse than eating by yourself is eating a meal you physically can't enjoy by yourself. Proper nutrition is important at every stage of life but probably most of all for seniors, some of whom are managing chronic conditions. These conditions can be greatly exacerbated by poor nutrition. At Home Instead Senior Care, our caregivers pay special attention to the nutritional needs of seniors and work to make meals more enjoyable. They do this not only through companionship but also by working to make mealtime more of an event. Eating out of microwaveable cardboard container stinks even with good conversation. Setting a nice table goes a long way toward making meals more palatable even if it is only for the eyes.

Ok. But how does this have anything to do with Halloween and your crimes against children?

Hold on to your hats because I'm about to bring it all home.
Riddle: If you are unable to taste anything except for things that are exceptionally salty or sweet and suddenly find yourself with an abundance of Halloween candy, what will you probably eat?
Answer: All of the leftover Halloween candy.
The days following Halloween are great times to visit the senior in your life and check in on the nutrition front. Look to make sure that there isn't a ton of candy left over which could pose a significant health threat in the absence of other foods. Plan a trip to the grocery store to provide nutritious companions if not alternatives to the belly full of Snicker's Minis that will represent the first thing your senior has been able to taste in weeks.

If the senior in your life is unreceptive to this kind of assistance then I would encourage your children to be more insistent about that second or third treat in the basket. Arm them with kind words like: 'It's for your own good,' and 'Because we care.'

Have fun and be safe tonight, dear readers. Happy Halloween!

How Does Your Garden Grow?

I find some of my greatest life lessons in my garden. Last year, I built two raised bed gardens in my backyard. I had grand dreams of the food we would grow there. Initially, the garden I made was a thing of beauty. Rich black soil, the smell of fresh mulch, bees buzzing busily as they pollinated my crops. Each morning and evening I would water and preen by hand. In short order, my garden began to blossom. Then life happened. I got busy. I got too busy to continue to spend the amount of time that I had initially spent cultivating my garden. As a result, weeds and bugs began to invade. Before long, the fantastic thing I built was no longer.

So much of in-home care is a garden. Initially, we utilize a ton of resources to ensure that we are recruiting and training the very best caregivers available. The background check we run on all our applicants continues to be the most thorough available, the reference checks and drug screening we insist upon have set the standard for in-home care. But that isn't enough. We must continue to water and preen our garden lest the weeds and bugs should invade. This is the new battlefield for in-home care providers.

One of our two core values at Home Instead Senior Care in Chapel Hill is to exceed the expectations of everyone that we encounter. We call it our 4E's. Sadly, the expectations from seniors and their families are fairly low. They have become accustomed to a certain amount of tardiness, a certain amount of apathy, a certain amount of absenteeism when dealing with in-home care. Their experience with the industry has taught them what they can realistically expect. From day one, we fight against this "assumed reality" with our clients and our caregivers. From birthday and anniversary cards, to our P.E.A.Q. program, to our quality assurance visits, to our on-call policy, to our community involvement-Home Instead Senior Care is working to exceed the expectations of everyone that we encounter. As anyone who is happily married can tell you, relationships do not build themselves. Like gardens, relationships require constant effort if they are to grow.

Engaging the Lost Causes

When caring for people who are suffering from Alzheimer's and other forms of dementia, there comes a time when the person suffering loses the ability to communicate. During typical late stage Alzheimer's, a person may be bed or chair-bound, unable to speak, and in some cases completely unresponsive. Sadly, the temptation is to disengage from the person we love at this point. Why bother talking with them when they can't talk back? Why ask them questions to which they can no longer respond? While this approach is understandable to anyone who has dealt with this disease firsthand, it misses a huge opportunity to continue to connect with the people we care about.

During our Alzheimer's and Other Dementia training at Home Instead Senior Care, we deal specifically with late stage clients. We address the fact that just because the people for whom we are caring aren't able to verbally validate our attempts, we shouldn't be discouraged from continuing to interact with them. We should, however, amend the techniques we use in order to give them the maximum benefit of our involvement.

The techniques we use for late stage clients all revolve around the five senses: smell, touch, taste, sight, and hearing. These senses unlock a world of memories for the clients that we serve that we may never truly realize. For all of us, there are certain things which take us to another time and place.

-If I smell Cinnamon Butter Cake, I am transported back to my grandparent's house in Woodward, OK. I can see the large front door they had swinging open as my brother and I bound out of the car after a long drive up from Texas and into their waiting arms.
-The feel of a saxophone in my hands brings back memories of long band bus trips and cold competition mornings.
-The taste of tamales paints a portrait of Christmas in San Antonio that no artist could ever come close to rivaling.
-The sight of pictures of my kids in their toddler years brings smiles to my heart that last all day.
-If I hear the song "Two Princes" by the Spin Doctors, I find myself sitting in the back seat of Jana Davis' car on the way to school. She was a beautiful flute player in the high school band who as a senior agreed to give me a ride as a freshman so that I wouldn't have to ride the bus.

None of these journeys you can go on with me. For our dementia clients in their late stages, you can't go where they are headed either. You may never get the validation of knowing that you have given them the memory tool to take that mental trip. But we do not care for those in our lives in order to attain some personal validation, we care for them in order to provide them with the best possible quality of life. And on that mission, we never give up.

A Turn For the Worse

If I had a nickel for every time I heard the phrase "Since she has been at the hospital, Mother's dementia has taken a turn for the worse," I would be a very wealthy man. The idea that hospitals cause dementia is an amazing phenomenon to me that way too many people accept at face value as a universal truth of aging. Hospitals do not cause dementia. Granted, with the size and confusing layout of most hospitals even I forget how to get back to the parking garage from time to time. The fact that so many seniors never have the opportunity to return home from a hospital stay due to the mysterious "dementia monster" attacking them upon admission is troubling. The fact that this absurd logic is never even challenged is downright maddening.

What causes dementia is, in fact, a mystery. Scientists know that the greatest risk factor is advancing age but beyond that the entirety of medical knowledge on the subject resorts to what can be most aptly described as a "best guess scenario."The sudden, rapid progression of dementia is a far less complicated matter to investigate than actual dementia. So allow me.

In the normal aging process, senior's bodies begin to function differently than they did  in younger years. Kidneys do not function as efficiently as they once did. This particular facet of aging, I believe is responsible for a huge percentage of the post hospital rehab admissions today. Imagine this scenario:

A woman, age 94, has lived independently since her husband's death two decades ago. She continues to be fairly engaged in the community and has a caregiver who comes in twice a week to keep her company and assist her with errands and chores around the house. At times, she has troubling recalling certain things but the things she forgets will generally come back to her and do not interfere with her daily life. She is a model for aging with independence. One day she slips and falls while retrieving the mail. Due to the brittle nature of her bones, she fractures her left hip requiring surgery. The surgery goes extremely well, especially considering her age, and the doctors all say that after some quick rehab she should be fine to return home with limited assistance as before. Not so strangely, she begins to show confusion following surgery. It is gradual at first and then increases rapidly. The doctor's offer a simple explanation. Sometimes in a hospital situation, a senior's dementia takes a turn for the worse. AAAAAAAAAAAAAGH!! With respect to the kind hearted medical professionals, allow me to postulate another theory. This particular 94 year old has avoided medications for most of her life wherever possible. She takes a baby aspirin every morning and a multivitamin because an episode of Donahue told her that doing so might reduce her risk of certain cancers. Suddenly, due to her hip fracture, she is being given an anesthetic for the actual surgery, a sedative to help her sleep at night, a medication to prevent constipation, and Oxycodone to ease the pain. When you combine that cocktail with the knowledge that her kidneys are not filtering these drugs effectively, another possible diagnosis presents itself. She isn't suddenly demented. SHE IS HIGH!!

I wish I could tell you that this woman eventually stabilized and was able to return home. I wish I could tell you that she wasn't discharged to a skilled nursing facility where she was administered a daily dose of instant-dementia for the rest of her days. Most of all, I wish I could tell you that her's was a unique story. But alas, I am unable to make any of these statements and instead sit here at the keyboard typing, collecting a nickel for every time that I hear that someone's dementia has taken a turn for the worse.

Alzheimer's and the Marvel of the Human Mind

Yesterday, I taught a group of our Home Instead Senior Care CAREGivers about Alzheimer's. As part of our C.A.R.E. initiative, we are teaching not only our caregivers but families as well.

As I taught the class, I couldn't help but notice one attendee who was not engaged in the material. After our initial period of instruction, we took a short break where I seized the opportunity to ask why she seemed so distant from the rest of the class. She replied, "This doesn't apply to me. I don't have any clients that have Alzheimer's."

It struck me just how typical that attitude is with regards to Alzheimer's and other dementia. And just how inaccurate. Since Dr.Alzheimer first discovered the plaques and tangles which are the indicators of the disease, there have been great advancements made. 100 years of medical research has brought an end to a number of formerly deadly diseases and chronic conditions. The human brain, however, remains an outlier. After a century of funding and research, scientists still stand in amazement at the marvel of the human mind.

As a Christian, it is my belief that I am not an accidental collection of cells that somehow, after a billion years of trial and error, managed to put themselves together in a manner that encompasses every facet of my functioning body as well as my personality. To take a hard look at the human body and believe that it is simply the result of chance requires, in my opinion, a far greater amount of faith than belief in a creator. I see intricate designs and systems which work in perfect harmony with one another. I see passions, desires, and creativity which make no sense in the scheme of "survival of the fittest" and would have likely been lost throughout the millenia if evolution were the only explanation for our existence. If the brutal battle for survival is solely responsible for our survival as a species then I think we should be a far less compassionate and reasoned people than we find ourselves. I digress.

On the matter of Alzheimer's and dementia, there is very little to show for 100 years of study. At this point, we cannot tell you who is more likely to develop Alzheimer's. We cannot tell you what causes Alzheimer's. We cannot therefore tell you how to prevent Alzheimer's. We are unable to effectively treat Alzheimer's. And we are unable to cure Alzheimer's. That is the reality of this tragic disease. The other tragic portion is the statistical inevitability that each and every one of us will be affected by it.

The greatest risk factor associated with Alzheimer's and other dementias is advancing age. The older you get, the more likely you are to develop symptoms. In 2011, the Alzheimer's Association reported that an estimated 5.4 million Americans of all ages have a type of dementia. Over the age of 65, the number of people with Alzheimer's narrows to one out of every eight. If you live to the age of 85 or beyond your risk of Alzheimer's increases to one out of two.

You may choose to bury your head in the sand and pray that you will not be one of the people struck with Alzheimer's. You may not have anyone in your immediate circle who is currently struggling with dementia. Since half of all seniors who live to be 85 will be stricken with this tragic disease, it is unreasonable to assume that you will not be affected in some way.

Join us for a family education event in Chapel Hill on December 4th and 6th from 6pm-8:30pm. The classes will be held at the Chapel Hill Carrboro Chamber of Commerce office, 104 S. Estes Dr. Chapel Hill, NC. Please RSVP to 919.933.3300 so that we can provide adequate materials for all in attendance. I look forward to seeing you there!

The Foul Ball

This is the story of an unbelievable experience I had while caring for one of our clients. It appears as it was published in Fifteen-501 The Magazine.

"As the owner of a senior care company, I've learned that spending as much time as possible with clients keeps me in touch with what I believe to be the heartbeat of our business. While most still live in their homes with our assistance, many clients reside in facilities. For the latter, we provide a much-needed escape from the monotony that can have a devastating effect on the morale of those who, despite their outward appearance, feel no different than they did 40 years ago.

I had the privilege of taking one such client, Mr.H, to a Durham Bulls baseball game last season. Mr.H, who lives in an assisted living facility in Chapel Hill, has moderate dementia. As with many who suffer from this condition, there are things about his life that are clear as a bell and others that elude him: He can't tell you what he did for a living for 35 years or how he came to be in Chapel Hill, but he can tell you what it was like to storm the beaches at Normandy, how cold the water was, and how he prayed that he would make it to the beach before he was shot down because he didn't want to die drowning.

He can also tell you what it was like to watch Babe Ruth take batting practice during the late 1920's, and how the effortlessly the slugger knocked 10 or 12 balls over the fence. In medical circles, they call these memories "moments of clarity." A s a student of history, I don't mind the repetition of stories, so we spent the first five or six innings of the game talking through some of these moments. He asked me several times whether I had ever caught a foul ball, and mentioned how he couldn't believe that in 83 years of attending baseball games he'd never caught one himself.

As the day wore on, the heat finally got the best of us. After the seventh inning stretch, we decided to call it quits. He asked the foul-ball question again as we were leaving, and I replied that we'd have to wait until next time around. At that exact moment, we heard the crack of the bat and both turned to look. the ball floated in the air toward us in almost slow motion, and after what seemed like an eternity, it landed-- literally--at Mr.H's feet. I bent down, picked it up, and handed it to him. He had caught his first foul ball.

The ride back was quiet to say the least. The entire experience was surreal. He spent most of the time tossing the ball between his hands, smiling, quietly uttering, "Eighty-three years. I can't believe it. Eighty-three years."

When we returned to the facility, he shook my hand, thanked me again and began to walk inside. After four or five steps, he turned around and looked down at the ball, then back at me.

"Maybe you can come sometime and we can have a catch," he said. "Sure," I replied. "It would be my pleasure."

I know Mr.H might not remember that I was the one who took him to the game that day. I know he might not be able to recall what teams were playing. I do know, however, that he'll remember the day that he caught a foul ball. I know that as cloudy as his mind might be, that moment has joined the pantheon of Babe Ruth and Normandy, and I was there to see it. I got to see an 83-year-old become just another boy at the ballpark. I watched a man come alive, if only for a moment.

Still Funny

Several years ago, at our Home Instead Senior Care International Convention, a senior citizen named Mary Maxwell delivered the invocation. Part prayer, part hilarious rant about aging; it left us all howling with laughter. The Youtube video has since gone viral with almost 10 million views but I still crack up every time I watch it. Enjoy!

http://www.youtube.com/watch?v=vPFCn3itBFE

Both Sides

I have been blessed by so many things in my life. Among the most wonderful of these blessings is my wife. I like to think that we have 'a groovy kind of love.' We have had our ups and downs but after 11 years there have been far more ups than downs. After a decade, she still takes my breath away.

On Monday evenings, we host a church small group comprised mostly of younger couples. We enjoy sharing in the excitement of their marriages and in walking with them through the reality check that often occurs after about six months of living with a new spouse. Ah, young love.

At work however, I am privileged to be able to observe the other side of  love. I meet almost daily with husbands and wives who are living out their covenant vows in often painful and trying circumstances. I see wives who are doing everything possible to preserve the dignity of the man that they adore as his mind and body are ravaged by the effects of Alzheimer's disease. I see husbands drive daily to sit by the bedside of the love of their life and softly sing a song to which they used to dance. No longer able to walk, they hold hands and dance through their memories together. It is a poignant, beautiful thing that I get to see. It is a picture that moves me to cherish my bride even more.

Two members of our small group, Ben and Brittany recently walked through a moment like that earlier in their marriage than they had ever imagined. Complications surrounding the birth of their twins put the survival of the mother and both of the daughters in jeopardy. We give thank God that Brittany and both of the girls are home and doing very well. Today is Ben and Brittany's two year anniversary. Somehow I think that he will  hold her a little closer today than maybe he did before. Not because he didn't love her before but because he has now seen both sides.  The blinding affection of young love is intoxicating but fleeting. The mature resolute love that has been tested and yet endures is sacrosanct.

http://vimeo.com/15103432

Am I Going To Get Alzheimer's?

Alzheimer's disease is one of the most tragic things to potentially happen to a senior. But so many people suffer from the fear of Alzheimer's for years unnecessarily. While there are a multitude of theories and speculations regarding this disease, the disappointing reality is that we still don't know much about it. Sure we can tell you what it does, what it looks like, and how it generally progresses but we still can't tell you who is going to get it. We can't tell you who is most at risk. We can't tell you how to slow it down. We can't tell you how to stop it. After a hundred years of research, we can't tell you how to cure Alzheimer's disease.
The lack of concrete answers hasn't stopped us from inventing our own realities. I grew up watching my grandfather work the crossword every morning and adopted a 'use it or lose' mentality regarding Alzheimer's. Many others take fish oil supplements or avoid certain foods or chemicals. These may all be great habits to form but there is relatively little scientific evidence which suggests that they are anything more than wishful thinking.
For anyone with a genetic connection to it, the fear of inheriting Alzheimer's disease can become an all consuming force. Everything you forget somehow translates into a sure sign that you have the disease. Studies have shown that there are relatively few cases of Alzheimer's which can be attributed to genetics. Some studies put the number at less than 1%! Early onset Alzheimer's can be cause for alarm. These are situations where someone will develop Alzheimer's prior to turning 65. In those instances, there is a stronger probability that someone in their family might develop Alzheimer's as well. Those cases represent less 5% of all documented diagnoses and therefore shouldn't strike premature fear in our hearts. If someone in your family develops Alzheimer's well after their 65th birthday there is no significant cause for alarm as the biggest cause of the disease is increasing age. In fact, by the time someone reaches the age of 85, the odds of them developing Alzheimer's disease is around 47%.
So the simple answer to the question 'Am I going to get Alzheimer's?' is that we just don't know. If you live a long time you run a greater risk.
As a father of five young children, I have become increasingly forgetful in the last few years. At times it has caused me to ask the same question. Am I going to get Alzheimer's? But then I think about what Jesus said. ""Therefore I tell you, do not be anxious about your life, what you will eat or what you will drink, nor about your body, what you will put on. Is not life more than food, and the body more than clothing? Look at the birds of the air: they neither sow nor reap nor gather into barns, and yet your heavenly Father feeds them. Are you not of more value than they?  And which of you by being anxious can add a single hour to his span of life?  And why are you anxious about clothing? Consider the lilies of the field, how they grow: they neither toil nor spin, yet I tell you, even Solomon in all his glory was not arrayed like one of these. But if God so clothes the grass of the field, which today is alive and tomorrow is thrown into the oven, will he not much more clothe you, O you of little faith?  Therefore do not be anxious, saying, 'What shall we eat?' or 'What shall we drink?' or 'What shall we wear?' 32 For the Gentiles seek after all these things, and your heavenly Father knows that you need them all. 33 But seek first the kingdom of God and his righteousness, and all these things will be added to you. 34 "Therefore do not be anxious about tomorrow, for tomorrow will be anxious for itself. Sufficient for the day is its own trouble. Matthew 6:25-34