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Medical Forum / Diseases and Disorders / Alzheimer's / April 2007

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Is alzheimers heredity?

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J J - 08 Apr 2007 05:06 GMT
please tell me no it is not!!!!!!

I already told both my sons while I am of sound body and mind, that if I
should get it ---to put me in a home, I would never burden them with
this awful disease.
JJ
don - 08 Apr 2007 05:57 GMT
> please tell me no it is not!!!!!!

Ok...it is not...but that's not true.  While it's not a certainty like
eye color it tends to run in families.  For basic facts and information
about Alzheimer's, I suggest you look at the official Alzheimer's
Association site at www.alz.org especially the section What is
Alzheimer's?

> I already told both my sons while I am of sound body and mind, that if
> I should get it ---to put me in a home, I would never burden them with
> this awful disease.

You should make provisions for it now.  Have a medical power of attorney
drawn up stating who you want to make decisions about you (if you aren't
able to) and what you want them to do.
Bud - 08 Apr 2007 17:00 GMT
> please tell me no it is not!!!!!!

???? My MIL and both her daughters had it but whether heridity or
environmental factors is uncertain AFAIK.

Bud
Easter Stephens - 10 Apr 2007 16:34 GMT
My Dad Had it and two of his brothers had it and I and my sister both
have it....I also have Diabetes and learned that the medecine I take for
diabetes helps my Alzhiemers a little...
Baird Stafford - 08 Apr 2007 21:44 GMT
<snip>

> please tell me no it is not!!!!!!

As far as I know, the jury is still out.  The research I've read
recently would seem to indicate that, if there is, it isn't absolute -
in other words, something environmental may be required to trigger
and/or aggravate it.

Blessed be,
Baird

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Alan Meyer - 08 Apr 2007 22:01 GMT
I have read one claim that says early onset Alzheimer's
has a strong hereditary component, but late onset does
not.

A specific gene has been identified in early Alzheimer's
patients that seems to be associated with the disease.
As I understand it, people without the gene do not get
early AD.  However, not all people with the gene get AD.
So there is more to it than just having this gene.

Again, as I understand it, no gene has yet been found that
is associated with late onset AD.  No one yet knows why
some people get it and some don't.

   Alan
Tumbleweed - 08 Apr 2007 22:35 GMT
>I have read one claim that says early onset Alzheimer's
> has a strong hereditary component, but late onset does
[quoted text clipped - 11 lines]
>
>    Alan

Indeed, the facts are, even if there is a heriditary 'bias' , there is no
need to be worried for two reasons;

1) If there is a hereditary bias (to late onset, eg the 'normal' kind), its
so low it hasnt been spotted yet.
2) the chances of you getting Az if aged over 85 are 50%.  Yep, 1 in 2. This
makes any hereditary factor pale into insignificance. Any hereditary chance
of getting it will be in the 0.00 or lower range (because if it was higher
than that it would have been spotted already). So,  IF there is a hereditary
factor and IF it is in your family, then your chances of getting it aged 85
might be, say, 50.002%, otherwise your chances are 50.000%.

And for me, reason (3)  the day I get the diagnosis is the day I buy a large
box of paracetamol and a bottle of vodka.
Of course, I might forget why i bought them but ......

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Tumbleweed

email replies not necessary but to contact use;
tumbleweednews at hotmail dot com

Strobe - 09 Apr 2007 14:33 GMT
On Sun, 8 Apr 2007 22:35:22 +0100, "Tumbleweed" <thisaccountneverread@yahoo.com>
wrote:>

>...
>And for me, reason (3)  the day I get the diagnosis is the day I buy a large
>box of paracetamol and a bottle of vodka.
>Of course, I might forget why i bought them but ......

Oh, please find something more certain than paracetamol (acetaminophen).
You might accidentally live on for a bit with liver failure - and that's not a
nice way to go.
Evelyn Ruut - 09 Apr 2007 15:16 GMT
> On Sun, 8 Apr 2007 22:35:22 +0100, "Tumbleweed"
> <thisaccountneverread@yahoo.com>
[quoted text clipped - 10 lines]
> not a
> nice way to go.

Kidney failure too, from that combination.   Another unpleasant way to go.
The Hemlock society might have better ways to offer.    For the record my
mother in law always said she would kill herself if she became that ill.
She never did, but she threatened it a lot.   Once she was on Zoloft (among
other meds) she was happier.
A guy I know insists that he will use a helium rebreather to commit suicide
if he ever develops some horrible illness.   The guy is a real rocket
scientist, an absolutely brilliant man.   From what he claims it would be
painless.

Signature

Best Regards,

Evelyn

Beth Cole - 09 Apr 2007 15:20 GMT
> Kidney failure too, from that combination.   Another unpleasant way to
> go. The Hemlock society might have better ways to offer.    

Yes, they do.  Along with ways that don't require your family to clean
up after you, if you take that course. Most of the very effective
methods leave a huge mess behind, so finding an effective method that
doesn't is generally considered more considerate of those that must go
on after the deed is done.

This is a discussion I've had with my father, whose own father died of
complications to AD.  He doesn't want to be a burden to anyone should he
be diagnosed, as he's lived with the burden himself.

Beth

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Don't go around saying the world owes you a living. The world owes you
nothing. It was here first. ~Mark Twain

Evelyn Ruut - 09 Apr 2007 15:57 GMT
>> Kidney failure too, from that combination.   Another unpleasant way to
>> go. The Hemlock society might have better ways to offer.
[quoted text clipped - 10 lines]
>
> Beth

My MIL always said she'd jump off the roof of her house, but of course she
didn't have the courage to do that, and who could?  That's a really scary
way.   When she finally became ill enough to really be counting down the
days, she wasn't cognizant enough to even consider it.   Every day was a
brand new day to her.   She forgot everything.

Fortunately she didn't actually die of the alzheimers, she died of
pancreatic cancer.

Signature

Best Regards,

Evelyn

Tumbleweed - 09 Apr 2007 20:22 GMT
>>> Kidney failure too, from that combination.   Another unpleasant way to
>>> go. The Hemlock society might have better ways to offer.
[quoted text clipped - 19 lines]
> Fortunately she didn't actually die of the alzheimers, she died of
> pancreatic cancer.

from personal experience, thats not a good way to go either :-(

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Evelyn Ruut - 10 Apr 2007 03:20 GMT
>>>> Kidney failure too, from that combination.   Another unpleasant way to
>>>> go. The Hemlock society might have better ways to offer.
[quoted text clipped - 21 lines]
>
> from personal experience, thats not a good way to go either :-(

Tumbleweed there IS no good way to go.   Well, maybe......

My mom died in her sleep.  She was there one minute and gone the next.   I
am sure she had some really good karma stored up, from putting up with my
father all those years.

Signature

Best Regards,

Evelyn

> email replies not necessary but to contact use;
> tumbleweednews at hotmail dot com
Strobe - 09 Apr 2007 21:39 GMT
>My MIL always said she'd jump off the roof of her house, but of course she
>didn't have the courage to do that, and who could?  That's a really scary
>way.   When she finally became ill enough to really be counting down the
>days, she wasn't cognizant enough to even consider it.  

>Every day was a brand new day to her.   She forgot everything.

That's the *only* good thing about AD.

>Fortunately she didn't actually die of the alzheimers, she died of
>pancreatic cancer.

Which raises another thing that I have an opinion on!
My wife died of cancer, too - cancer that we didn't detect earlier because of
her AD.   We decided against chemo for 2 reasons - one) due to the late
detection, chemo had very little chance of being effective and two) due to the
AD she wouldn't have understood why she was having to suffer the chemo side
effects.  
From her point of view, it would have seemed like pointless torture...

I think far too little stress is placed on the problems of detecting *other*
diseases in people with AD.
The AD makes it hard for them to explain that they have symptoms - or to even
recognise that they *have new symptoms.

Thus, it is the caregivers who have to notice when something new is wrong - and
to distinguish the new symptom from the continually changing effects of the AD.

Again, there's an interesting ethical issue here.
How aggressively should we strive to prolong a life when the quality of that
life is already going irreversibly downhill, fast?
Once the AD has progressed beyond a point, is there still a life worth
prolonging, or is it better to let nature take its course and concentrate on
just making the patient as comfortable as possible?
Tumbleweed - 09 Apr 2007 23:34 GMT
> Again, there's an interesting ethical issue here.
> How aggressively should we strive to prolong a life when the quality of
[quoted text clipped - 4 lines]
> on
> just making the patient as comfortable as possible?

For me, its the latter every time even without the practical issues which
generally make it the only realistic option anyway.

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Tumbleweed

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Evelyn Ruut - 10 Apr 2007 03:27 GMT
>>My MIL always said she'd jump off the roof of her house, but of course she
>>didn't have the courage to do that, and who could?  That's a really scary
[quoted text clipped - 4 lines]
>
> That's the *only* good thing about AD.

Yes!  There were days when I was very grateful for that.

>>Fortunately she didn't actually die of the alzheimers, she died of
>>pancreatic cancer.
[quoted text clipped - 30 lines]
> on
> just making the patient as comfortable as possible?

I personally would say that the latter would be the better choice, but of
course it depends on the person, the situation, how bad their alzheimers is,
exactly what sort of illness is being either treated or left alone.... lots
of factors.   No one size would fit all, if you know what I mean.

In Ida's case, we did consent to letting them put in a stent in the bile
duct, so that she would not be in pain from the cancer when first diagnosed.
They never even mentioned the possibility of chemo.   I would have
definitely declined that, if it was offered, but it wasn't.   She was too
far into her illness and too confused to even begin to deal with it.   She'd
signed DNR papers.   She wanted to die as soon as she realized she was
having problems with confusion, years before, but we gave her a few really
comfortable years, or at least as good as could be had.

At any rate, I feel we did a good thing for her, and I have no regrets.

Signature

Best Regards,

Evelyn

sweetpickleNO@SPAMknology.net - 10 Apr 2007 20:30 GMT
Strobe, my husband had some heart problems, but I stopped taking him to the
cardiologist because there was nothing that would keep the AD away.  And any
and all tests or anesthesia can only make matters worse instead of better.-
Gwen

>>My MIL always said she'd jump off the roof of her house, but of course she
>>didn't have the courage to do that, and who could?  That's a really scary
[quoted text clipped - 39 lines]
> on
> just making the patient as comfortable as possible?
Tumbleweed - 09 Apr 2007 20:21 GMT
> On Sun, 8 Apr 2007 22:35:22 +0100, "Tumbleweed"
> <thisaccountneverread@yahoo.com>
[quoted text clipped - 10 lines]
> not a
> nice way to go.

all suggestions welcome.

Signature

Tumbleweed

email replies not necessary but to contact use;
tumbleweednews at hotmail dot com

stopalz@gmail.com - 10 Apr 2007 13:16 GMT
> please tell me no it is not!!!!!!
>
[quoted text clipped - 5 lines]
>  text_html_part
> 1KDownload

Absolutely no, chronic progressive dementia (CPD), vulgarly named
alzheimer, it isnt an hereditable illness, and not a disease.
Nevertheless, some familial patterns, like coping deficit of painful
losses, like some kind of depresion or melancolic position in front to
life and life problems can be taken from the parents, and this are
risk factors to enter a CPD. It isnt exist nothing like genetic risk:
it is an epidemiologic especulation or a mere supposition to intended
explain the facts. APOe4 are one of the natural variants of a gene,
not a mutation, not an abnormal gene. Amyloid proteins are
consequences of natural neural death, acelerated in alz by the obvious
default of brain activity (specifically the sensorial recognition
system), but it isnt the origin of the problem. The origin, the
psycobiological origin of the problem, is the fixation of attention on
the desire of death, and the blockade (but not the elimination) of the
survival principle.

Luis Maria Sanchez,
Neural Nets Laboratory, Sience and Technology Faculty, Autonomic
University of Entre Rios, Argentine.
stopalz@gmail.om
Bud - 10 Apr 2007 16:10 GMT
> The origin, the
> psycobiological origin of the problem, is the fixation of attention on
> the desire of death, and the blockade (but not the elimination) of the
> survival principle.

Pbtttt!
Alan Meyer - 11 Apr 2007 07:46 GMT
[I attempted to post a response earlier today via Google but it
seems to have gotten lost.  Here it is again.]

Luis,

You make a lot of statements here and in your other postings that
are controversial and disagree with the standard view of
Alzheimer's Disease.  Since you are associated with a University,
I assume you understand the need for documented, peer reviewed,
research.  I would like to ask you to provide citations to this
research to support your claims.

I can see that English is not your first language so it's
possible that some of the things you say here are not adequately
or precisely expressed.  But I still need to ask you to support
your claims.

> Absolutely no, chronic progressive dementia (CPD), vulgarly named
> alzheimer,

It was named Alzheimer's Disease after Alois Alzheimer, who first
described a specific type of lesions in the brain in 1906.  I
don't understand why that is a "vulgar" name.

Calling it "chronic progressive dementia" would seem to be a
worse name because there are a number of different
dementias which are both chronic and progressive.  They are not
the same illness as Alzheimer's Disease.

What is wrong with the term "Alzheimer's Disease"?

> ... It isnt exist nothing like genetic risk:
> it is an epidemiologic especulation or a mere supposition to intended
> explain the facts. APOe4 are one of the natural variants of a gene,
> not a mutation, not an abnormal gene.

apoE4 is one of three known alleles of the apoE gene.  People
with two copies of the apoE4 gene are thought to be 8 times more
likely to develop Alzheimer's than those who have two copies of
the apoE3 allele (see for example:
http://www.portfolio.mvm.ed.ac.uk/studentwebs/session3/7/Genetics.htm.)

If that's not a genetic connection, I don't know what is.

Why do you say it is "mere supposition"?

> ... Amyloid proteins are
> consequences of natural neural death, acelerated in alz by the obvious
> default of brain activity (specifically the sensorial recognition
> system), but it isnt the origin of the problem.

Can you cite the source for this claim?  It is my understanding
that living brain cells produce amyloid protein, not dead ones,
and that the crystalization of the amyloid protein produces
plaques that come out of solution and disrupt the cell membranes.
I agree that there must be an underlying biological process that
causes the amyloid plaques to form.  However it appears that the
plaques do indeed cause cell death.

> ... The origin, the
> psycobiological origin of the problem, is the fixation of attention on
> the desire of death, and the blockade (but not the elimination) of the
> survival principle.

I have never seen this claim before and find it extremely
difficult to believe.  Can you cite the research that supports
this claim.

> Luis Maria Sanchez,
> Neural Nets Laboratory, Sience and Technology Faculty, Autonomic
> University of Entre Rios, Argentine.
> stopalz@gmail.om

Can you tell us your specialty at the university?  I presume that
you are not studying medicine or molecular biology.

Thank you.

   Alan
 
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