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
Memory Problems ?
Hard to concentrate?
Fuzzy-headed?
Forgetful?
Memory Problems ?
Hard to concentrate?
Lupus Fog
Fuzzy-headed?
Forgetful?
Cognitive
dysfunction
MEMORY PROBLEMS IN LUPUS
• 2010 study: Arthritis and Rheumatology:
• Lupus patients = 50%
• Rheumatoid arthritis = 61%
• M...
WHAT I WILL COVER
• Causes of memory problems in lupus
• What to do about it:
• You Game Plan!
DO I HAVE ALZHEIMER'S DISEASE?
• Alzheimer’s disease = degenerative process
• Get’s worse over time
• 6th most common caus...
•ALZHEIMER’S
Poor judgment and
decision making
regularly
•LUPUS FOG
• Make bad
decisions
occasionally
•ALZHEIMER’S
Poor judgment and
decision making
• Can’t manage a
budget
•LUPUS FOG
• Make bad decisions
occasionally
• Miss...
•ALZHEIMER’S
• Poor judgment and
decision making
• Can’t manage a
budget
• Lose track of
date/season
•LUPUS FOG
• Make bad...
•ALZHEIMER’S
• Poor judgment and
decision making
• Can’t manage a
budget
• Lose track of
date/season
• Difficulty having a...
•ALZHEIMER’S
• Poor judgment and
decision making
• Can’t manage a
budget
• Lose track of
date/season
• Difficulty having a...
ACTION PLAN!
STEP 1:
SEE A NEUROLOGIST?
• If > 60 years old
• If early dementia runs in your family
• If memory interrupts your life
• ...
IRREVERSIBLE CAUSES
• Age
• Genetics
• Decreased kidney function
• Chronic kidney disease
• Stroke
• CNS lupus
• Concussio...
TREATABLE CAUSES
• Depression
• Fibromyalgia
• Lack of exercise
• High blood pressure, over weight, diabetes,
smoking, hig...
MEDICINES TO AVOID
• Ambien
• Anti-histamines
• Benadryl
• Benzodizepines
• Valium
• Ativan
• Opioid narcotics pain reliev...
TREATMENTS THAT DON’T WORK
• Gingko biloba
• Multiple vitamins
• Omega-3 fatty acid supplements
• DHA supplements
• Soy pr...
TREATMENTS THAT PROBABLY DON’T
HELP
• Antioxidant vitamins
• Vitamin E, C, beta-carotene
• Vitamins B6, B12, and folic acid
TREATMENTS THAT PROBABLY HELP
TREATMENTS THAT PROBABLY HELP:
OMEGA-3 FATTY ACID FOODS
TREATMENTS THAT PROBABLY HELP:
MEDITERRANEAN DIET
TREATMENTS THAT PROBABLY HELP
TREATMENTS THAT PROBABLY HELP:
FLAVONOID RICH FOODS
TREATMENTS THAT PROBABLY HELP
ALCOHOL SERVING PER DAY FOR
WOMEN
TREATMENTS THAT DO HELP
• Cross-trains brain
• Memorize steps
• Forces Balance
• Listening
• Decreases stress
• Improves mood
D
A
N
C
E
7 MINUTE HIIT:
HIGH INTENSITY INTERVAL TRAINING
LUPUS EXERCISE STUDY:
138 WOMEN WITH SLE
• Non-exercisers
• 23% with memory problems
• Over-weight
• 23% with memory probl...
LUPUS EXERCISE STUDY:
138 WOMEN WITH SLE
• Non-exercisers
• 23% had memory problems
• Exercisers
• 5% had memory problems
...
TREATABLE CAUSES
• Depression
• Anxiety disorders
• Lack of sleep
• Fibromyalgia
• Lack of exercise
• High blood pressure,...
TREATMENTS THAT DO HELP
Brain games without computer
Get out of comfort zone
Force brain to do uncomfortable tasks
MEMORY IMPROVEMENT HABITS
MEMORY IMPROVEMENT HABITS
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Lupus cognitive dysfunction talk 2014
Upcoming SlideShare
Loading in …5
×

Lupus cognitive dysfunction talk 2014

1,196 views

Published on

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.

Published in: Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
1,196
On SlideShare
0
From Embeds
0
Number of Embeds
3
Actions
Shares
0
Downloads
11
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Lupus cognitive dysfunction talk 2014

  1. 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. 2. Memory Problems ? Hard to concentrate? Fuzzy-headed? Forgetful?
  3. 3. Memory Problems ? Hard to concentrate? Lupus Fog Fuzzy-headed? Forgetful?
  4. 4. Cognitive dysfunction
  5. 5. MEMORY PROBLEMS IN LUPUS • 2010 study: Arthritis and Rheumatology: • Lupus patients = 50% • Rheumatoid arthritis = 61% • Multiple sclerosis = 75%
  6. 6. WHAT I WILL COVER • Causes of memory problems in lupus • What to do about it: • You Game Plan!
  7. 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
  8. 8. •ALZHEIMER’S Poor judgment and decision making regularly •LUPUS FOG • Make bad decisions occasionally
  9. 9. •ALZHEIMER’S Poor judgment and decision making • Can’t manage a budget •LUPUS FOG • Make bad decisions occasionally • Miss monthly payment
  10. 10. •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
  11. 11. •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
  12. 12. •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
  13. 13. ACTION PLAN!
  14. 14. 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
  15. 15. IRREVERSIBLE CAUSES • Age • Genetics • Decreased kidney function • Chronic kidney disease • Stroke • CNS lupus • Concussion • Closed head injury
  16. 16. 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
  17. 17. MEDICINES TO AVOID • Ambien • Anti-histamines • Benadryl • Benzodizepines • Valium • Ativan • Opioid narcotics pain relievers • Tramadol • Hydrocodone • Oxycodone • Fentanyl • Morphine
  18. 18. TREATMENTS THAT DON’T WORK • Gingko biloba • Multiple vitamins • Omega-3 fatty acid supplements • DHA supplements • Soy protein supplements
  19. 19. TREATMENTS THAT PROBABLY DON’T HELP • Antioxidant vitamins • Vitamin E, C, beta-carotene • Vitamins B6, B12, and folic acid
  20. 20. TREATMENTS THAT PROBABLY HELP
  21. 21. TREATMENTS THAT PROBABLY HELP: OMEGA-3 FATTY ACID FOODS
  22. 22. TREATMENTS THAT PROBABLY HELP: MEDITERRANEAN DIET
  23. 23. TREATMENTS THAT PROBABLY HELP
  24. 24. TREATMENTS THAT PROBABLY HELP: FLAVONOID RICH FOODS
  25. 25. TREATMENTS THAT PROBABLY HELP
  26. 26. ALCOHOL SERVING PER DAY FOR WOMEN
  27. 27. TREATMENTS THAT DO HELP
  28. 28. • Cross-trains brain • Memorize steps • Forces Balance • Listening • Decreases stress • Improves mood D A N C E
  29. 29. 7 MINUTE HIIT: HIGH INTENSITY INTERVAL TRAINING
  30. 30. LUPUS EXERCISE STUDY: 138 WOMEN WITH SLE • Non-exercisers • 23% with memory problems • Over-weight • 23% with memory problems
  31. 31. 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
  32. 32. TREATABLE CAUSES • Depression • Anxiety disorders • Lack of sleep • Fibromyalgia • Lack of exercise • High blood pressure, over weight, diabetes, smoking, high cholesterol • Antiphospholipid antibodies • Medications
  33. 33. TREATMENTS THAT DO HELP
  34. 34. Brain games without computer Get out of comfort zone Force brain to do uncomfortable tasks
  35. 35. MEMORY IMPROVEMENT HABITS
  36. 36. MEMORY IMPROVEMENT HABITS

×