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Medical Forum / Diseases and Disorders / Alzheimer's / May 2009

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June - 28 Apr 2009 19:17 GMT
As most of you know my mother has vascular dementia and is in independent
assisted living.   She loves it there.  She has actually made a lot of
friends even though she can never remember their names.  Most of them are
card players and even after 16 years of dementia she can still play.  I
think it's mostly rummy now.
I had a what I thought was a moral dilemma.  I was concerned that Mom might
have glaucoma.  I have glaucoma and her mother had eye problems but nobody
knows if it was glaucoma or not.  While Mom was living in Florida her eye
doctor prescribed eye drops.   Well nobody ever said she had glaucoma.  My
brother took her an optometrist here in Indiana who continued to prescribe
eye drops.  I always had her put in the eye drops in when I visited but it
was a bit of a hit and miss proposition.  The eye drops were the only
medication she had.  This makes her monthly rent at the assisted living very
reasonable and she doesn't have a lot of money so it could be an issue.
It's $10 every time they come to her room to give her medication so you can
see that could add up pretty quick.  They do check on her if there's a
concern without charging.   Actually the owners are really nice people and
all their employees seem to be happy working there.  I'm lucky that it's so
close to my home.  OK Back to my story.   I finally made an appointment with
my new Ophthalmologist to have her checked out.   Come to find out she does
not have glaucoma and she doesn't even need eye drops!   Her optic nerve is
much healthier than mine.   She has a little bit of dry macular degeneration
that's age related but even that really isn't an issue at her age. (89)  All
this time I was feeling guilty because she didn't get the drops everyday.
That was the good news.  The bad news is she has some hemorrhages in her
eyes so she is going to the regular doctor for a check up and blood test to
see what might be causing them.   I'll keep you posted.....June

PS  Moral of the Story---If you have suspicious glaucoma or glaucoma or
macular degeneration---go to an Ophthalmologist not an optometrist.  There
are so many new procedures in just the past few years that can help.
Evelyn - 29 Apr 2009 16:28 GMT
> As most of you know my mother has vascular dementia and is in independent
> assisted living.   She loves it there.  She has actually made a lot of
[quoted text clipped - 28 lines]
> macular degeneration---go to an Ophthalmologist not an optometrist.  There
> are so many new procedures in just the past few years that can help.

My father has vascular "issues" that sometimes might be called vascular
dementia and other times might be just considered a bit eccentric.   He gets
good days and bad days.   Anyway, he has glaucoma.... REAL glaucoma, and the
opthalmologist said that a tiny hole made with a laser could CURE it for
him.   He won't do it.

He's 96 years old so I can understand to some degree why he is somewhat
reluctant, but it is done right in the office, not in a hospital, and it
would end the need for all these drops he has to take, and I might add he is
very allergic to the drops, which burn his skin badly.

Other than having vascular blockages to his brain, he takes no medications
other than a thyroid pill and a statin pill.   He is in basically pretty
good health for his age other than what I have mentioned.   No blood
pressure problems, no heart problems, only a touch of arthritis.   I don't
understand why he won't do the surgery, he has already had two cataract
surgeries and come out fine.

Anyway the reason I mention all this is to re-iterate what you said about
there being lots of new procedures and glaucoma doesn't have to mean a life
of eye drops forever.

Signature

--
Best Regards,
Evelyn

Rest in a sky-like mind.
Sit like a mountain floating on the earth.
Breathe like the wind circling the world

Justin Hale - 29 Apr 2009 20:12 GMT
Comment at the bottom., re: glaucoma.

> Anyway the reason I mention all this is to re-iterate what you said about
> there being lots of new procedures and glaucoma doesn't have to mean a
> life of eye drops forever.

My wife was originally diagnosed with glaucoma many years ago.  Pressure in
her eyes at the time (as I recall) was 29 and 27, abnormally high.  Several
eye drop treatments were tried, some more successful that others, but a
prescription of three different drops in combination have lowered the
pressure to 15 and 17, entirely satisfactory.  If you're interested, the eye
drops are Cosopt, Alphagan, and Xalatan, in combinations and strengths I do
not remember.  I had never heard of laser treatment for glaucoma but a
Google search for glaucoma treatment tells me that it can also be effective.
And I assume it would only have to be done once.

Ken Bland
Evelyn - 29 Apr 2009 22:51 GMT
> Comment at the bottom., re: glaucoma.
>
[quoted text clipped - 13 lines]
>
> Ken Bland

Hi Ken,

I recognize the names of a couple of those that he is on for a while now.
His eye doc insists he would only need to do the surgery once and that would
be the end of the problem.

Signature

--
Best Regards,
Evelyn

Rest in a sky-like mind.
Sit like a mountain floating on the earth.
Breathe like the wind circling the world

June - 30 Apr 2009 00:36 GMT
>> Comment at the bottom., re: glaucoma.
>>
[quoted text clipped - 19 lines]
> His eye doc insists he would only need to do the surgery once and that
> would be the end of the problem.

Hi.......Well I had a laser procedure for glaucoma (a couple of months ago
in the doctor's office) but I still have to have eye drops everyday twice a
day.  I just don't need as strong a drop as I would if I hadn't had the
surgery.  The surgery will have to be repeated every 3 years.  There is
another procedure that is done once but the success rate isn't as good.   My
pressures went down quite a bit after the surgery and the doctor said it
could take several months to know the full effect.  I started with
suspicious glaucoma in 1987.
I had LASIK on my eyes in 1999 for nearsightedness.  This laser surgery for
glaucoma is a piece of cake compared to that.  This procedure is about 15
minutes per eye about 3 weeks apart.  Side effects were bloodshot eye for a
few days and a bit of a dull ache in the eye for a day or two.  Well worth
it.  I suggest that Ken's wife look into it; maybe she would be a good
candidate.  It is covered by medical insurance.
Evelyn I'm sure you know that you can only do so much and sometimes you just
do what you can and don't feel guilty.  At least that's what I'm trying to
do ......June
Evelyn - 30 Apr 2009 02:59 GMT
>>> Comment at the bottom., re: glaucoma.
>>>
[quoted text clipped - 38 lines]
> just do what you can and don't feel guilty.  At least that's what I'm
> trying to do ......June

Hi June,   Yes, I do understand.    I'm no expert on glaucoma, and I am sure
that every situation is a little different.   My father won't do it anyway,
unfortunately.   It is great that you are able to use weaker drops.   He is
so allergic to them his eye gets all red and the skin gets inflamed.
Unfortunately nothing can be done.  He needs them.

Signature

--

Evelyn

"Since everything is but an apparition, perfect in being what it is, having
nothing to do with good or bad, acceptance or rejection, one may well burst
into laughter."    -Longchenpa

Dennis P. Harris - 30 Apr 2009 23:27 GMT
> Hi June,   Yes, I do understand.    I'm no expert on glaucoma, and I am sure
> that every situation is a little different.   My father won't do it anyway,
> unfortunately.   It is great that you are able to use weaker drops.   He is
> so allergic to them his eye gets all red and the skin gets inflamed.
> Unfortunately nothing can be done.  He needs them.

Have you considered medical marijuana?  Marijuana has been proven
to lower interocular pressure for patients with glaucoma, and is
frequently prescribed in California for patients who are allergic
to most of the eyedrops and other pressure reducing meds.

As a side effect, it might also mellow him out a bit, which from
your descriptions of him the the past might do everyone some
good.  Marijuana consumers don't tend to be very cranky.  ;^)
BootNic - 01 May 2009 00:20 GMT
<3a9kv4lp46bb7k7bd5g9tlu9go2r3hcp2s@4ax.com>

[snip]

> Have you considered medical marijuana? Marijuana has been proven
> to lower interocular pressure for patients with glaucoma, and is
[quoted text clipped - 4 lines]
> from your descriptions of him the the past might do everyone some
> good. Marijuana consumers don't tend to be very cranky. ;^)

Marijuana for someone with Alzheimers or even the elderly is not likely
a good ideal.

Marijuana Side Effects

[url] http://marijuana-addiction.info/side-effects.htm  [/url]

• Sleepiness Difficulty keeping track of time, impaired or
  reduced short-term memory

• Reduced ability to perform tasks requiring concentration
  and coordination, such as driving a car

• Increased heart rate

• Potential cardiac dangers for those with preexisting heart
  disease

• Decreased social inhibitions

• Paranoia, hallucinations

• Impaired or reduced short-term memory

• Impaired or reduced comprehension

• Altered motivation and cognition, making the acquisition of
  new information difficult

• Paranoia

• Psychological dependence

• Impairments in learning and memory, perception, and
  judgment - difficulty speaking, listening effectively,
  thinking, retaining knowledge, problem solving, and forming
  concepts

• Intense anxiety or panic attacks

Signature

BootNic                                       Thu Apr 30, 2009 07:20 pm
 "There is a wicked pretense that one has been informed. But no such
 thing has truly occurred! A mere slogan, an empty litany. No
 arguments are heard, no evidence is weighed. It isn't news at all,
 only a source of amusement for idlers."
 *Gibson-Sterling, The Difference Engine*

EddyJean - 01 May 2009 06:32 GMT
Re: New Update...  

Group: alt.support.alzheimers Date: Thu, Apr 30, 2009, 7:20pm (PDT+3)
From: bootnic.bounce@gmail.com (BootNic)
On Thu, 30 Apr 2009 14:27:59 -0800
NO_SPAM_TO_dpharris@gci.net (Dennis P. Harris) wrote in:
<3a9kv4lp46bb7k7bd5g9tlu9go2r3hcp2s@4ax.com>
[snip]
Have you considered medical marijuana? Marijuana has been proven to
lower interocular pressure for patients with glaucoma, and is frequently
prescribed in California for patients who are allergic to most of the
eyedrops and other pressure reducing meds.
As a side effect, it might also mellow him out a bit, which from your
descriptions of him the the past might do everyone some good. Marijuana
consumers don't tend to be very cranky. ;^)
Marijuana for someone with Alzheimers or even the elderly is not likely
a good ideal.
Marijuana Side Effects
[url] http://marijuana-addiction.info/side-effects.htm [/url]
  â€¢ Sleepiness Difficulty keeping track of time, impaired or
  reduced short-term memory
  â€¢ Reduced ability to perform tasks requiring concentration
  and coordination, such as driving a car
  â€¢ Increased heart rate
  â€¢ Potential cardiac dangers for those with preexisting
heart   disease
  â€¢ Decreased social inhibitions
  â€¢ Paranoia, hallucinations
  â€¢ Impaired or reduced short-term memory
  â€¢ Impaired or reduced comprehension
  â€¢ Altered motivation and cognition, making the acquisition
of   new information difficult
  â€¢ Paranoia
  â€¢ Psychological dependence
  â€¢ Impairments in learning and memory, perception, and  
judgment - difficulty speaking, listening effectively,   thinking,
retaining knowledge, problem solving, and forming   concepts
  â€¢ Intense anxiety or panic attacks
Signature

BootNic                                
      Thu Apr 30, 2009 07:20 pm "There is a wicked pretense that
one has been informed. But no such thing has truly occurred! A mere
slogan, an empty litany. No arguments are heard, no evidence is weighed.
It isn't news at all, only a source of amusement for idlers."
    *Gibson-Sterling, The Difference Engine*
signature.asc (pgp-signature attachment)
========================================
I'm wondering if marijuana was analyzed on persons with AD, or other
chronic diseases, or on healthy individuals and who made the analyses?
I've heard marijuana's effects act differently on a healthy person than
on one who is ill.

EddyJean

Dennis P. Harris - 09 May 2009 08:07 GMT
> Marijuana for someone with Alzheimers or even the elderly is not likely
> a good ideal.

He doesn't have AD, he has a vascular blockage.  IMHO a cranky
old bastard like him would probably be a nice person after eating
an Alice B. Toklas brownie... ;^)
deerwood - 09 May 2009 18:05 GMT
On May 9, 2:07 am, NO_SPAM_TO_dphar...@gci.net (Dennis P. Harris)
wrote:
> On Thu, 30 Apr 2009 19:20:17 -0400 in alt.support.alzheimers,
>
[quoted text clipped - 4 lines]
> old bastard like him would probably be a nice person after eating
> an Alice B. Toklas brownie... ;^)

Lol dennis,Barb
Evelyn - 01 May 2009 03:19 GMT
>> Hi June,   Yes, I do understand.    I'm no expert on glaucoma, and I am
>> sure
[quoted text clipped - 13 lines]
> your descriptions of him the the past might do everyone some
> good.  Marijuana consumers don't tend to be very cranky.  ;^)

Dennis for a normal person that might be a great idea, but he is a cranky,
obstinate, difficult man.   I can't even get him to take Coenzyme Q-10 to
help him combat the muscle fatigue he gets from his statin drugs.   He hates
all drugs, even vitamins and beneficial stuff.   The mere mention of
Marijuana would have him kicking me out the door!

Signature

--

Evelyn

"Since everything is but an apparition, perfect in being what it is, having
nothing to do with good or bad, acceptance or rejection, one may well burst
into laughter."    -Longchenpa

EddyJean - 30 Apr 2009 09:05 GMT
New Update...  

Group: alt.support.alzheimers Date: Tue, Apr 28, 2009, 2:17pm (PDT+3)
From: Nospam@yahoo.com (June)
As most of you know my mother has vascular dementia and is in
independent assisted living.   She loves it there. She has actually
made a lot of friends even though she can never remember their names.
Most of them are card players and even after 16 years of dementia she
can still play. I think it's mostly rummy now.
I had a what I thought was a moral dilemma. I was concerned that Mom
might have glaucoma. I have glaucoma and her mother had eye problems but
nobody knows if it was glaucoma or not. While Mom was living in Florida
her eye doctor prescribed eye drops.   Well nobody ever said she had
glaucoma. My brother took her an optometrist here in Indiana who
continued to prescribe eye drops. I always had her put in the eye drops
in when I visited but it was a bit of a hit and miss proposition. The
eye drops were the only medication she had. This makes her monthly rent
at the assisted living very reasonable and she doesn't have a lot of
money so it could be an issue. It's $10 every time they come to her room
to give her medication so you can see that could add up pretty quick.
They do check on her if there's a concern without charging.   Actually
the owners are really nice people and all their employees seem to be
happy working there. I'm lucky that it's so close to my home. OK Back to
my story.   I finally made an appointment with my new Ophthalmologist
to have her checked out.   Come to find out she does not have glaucoma
and she doesn't even need eye drops!   Her optic nerve is much
healthier than mine.   She has a little bit of dry macular
degeneration that's age related but even that really isn't an issue at
her age. (89) All this time I was feeling guilty because she didn't get
the drops everyday. That was the good news. The bad news is she has some
hemorrhages in her eyes so she is going to the regular doctor for a
check up and blood test to see what might be causing them.   I'll keep
you posted.....June
PS Moral of the Story---If you have suspicious glaucoma or glaucoma or
macular degeneration---go to an Ophthalmologist not an optometrist.
There are so many new procedures in just the past few years that can
help.
-----------------------------------------------------------
June......
A friend frequently had eye hemorrhages. Her doctor told her that the
blool vessels in the brain and the ones leading to the eyes were fragile
and hemorrhages were usually caused from an allergy.

EddyJean
June - 01 May 2009 22:03 GMT
> As most of you know my mother has vascular dementia and is in independent
> assisted living.   She loves it there.  She has actually made a lot of
[quoted text clipped - 28 lines]
> macular degeneration---go to an Ophthalmologist not an optometrist.  There
> are so many new procedures in just the past few years that can help.

Another update.   I took Mom in for a physical and blood test and she passed
both just fine.  She currently takes no medications.   It looks like she can
stay in assisted living for awhile longer.   I'm so glad.......June
Evelyn - 02 May 2009 14:33 GMT
>> As most of you know my mother has vascular dementia and is in independent
>> assisted living.   She loves it there.  She has actually made a lot of
[quoted text clipped - 34 lines]
> like she can stay in assisted living for awhile longer.   I'm so
> glad.......June

That's great!
Signature

--

Evelyn

"Since everything is but an apparition, perfect in being what it is, having
nothing to do with good or bad, acceptance or rejection, one may well burst
into laughter."    -Longchenpa

Robert Miles - 04 May 2009 21:48 GMT
> As most of you know my mother has vascular dementia and is in independent
> assisted living.   She loves it there.  She has actually made a lot of
[quoted text clipped - 28 lines]
> macular degeneration---go to an Ophthalmologist not an optometrist.  There
> are so many new procedures in just the past few years that can help.

I've seen some news on treating some types of eye problems with something
related to vitamin B1.  Rather new news, so you might want to print a copy
and ask either her doctor or her opthalmologist if they know about it yet
and
if it's suitable for her.

Common Cause Of Blindness Could Be Treated By Type Of Vitamin B1

http://www.medicalnewstoday.com/articles/147480.php

Robert Miles
 
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