Monthly Archives: February 2019

Motivating family members to help

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  • It takes a village . . . .

Until age eight, I lived in an extended family house with my parents, brother and me on the top floor, my grandparents on the middle floor, and my aunt, uncle and cousin on the bottom floor. We all took care of each other, no questions asked. It was a close, loving family.

But that was then, this is now. Times have changed. People move away, and families don’t always stick together. I was lucky that my daughter and her newly-wed husband live near me and helped care for my husband (her father) who had Alzheimer’s disease. Every Sunday afternoon they took him out to a movie or to lunch. It gave me a break and it uplifted his spirit. My son, who was in graduate school, came home when he could to take his dad to a football game. And friends took my husband out to lunch on a regular basis.

But I needed extra help so I hired two graduate psychology students. I had promised myself that I wouldn’t become a martyr to my husband’s illness. I took care of myself by pursuing my interests and meeting with friends. Because I had time for myself, I had more energy to be present for my husband. Still, caring for someone with Alzheimer’s disease was a daunting task, as is caring for anyone with a chronic disease.

It really does take a village to provide care for someone with a chronic illness. If you have family that offers to help, you are lucky. Sadly, it’s often the case that one family member bears the brunt of the caregiving, which can lead to conflict and bad feelings.

What can you do to encourage family and friends to help?

  • If your loved one has Alzheimer’s or another form of dementia you are well aware of the difficult task of caregiving. But if your sister or brother, son or daughter, etc. only sees the ill person once in a while they might not realize the full impact of the disease. Try to plan a respite day or weekend by having another family member care for your loved one. This is the best way to help your family realize how much care your loved one needs and what the task requires.
  • Plan a conference call and divvy up the caregiving. If your family is spread out, encourage a rotation of caregiving. In some cases, the ill person stays with a daughter or son for a few months and then moves on to stay with another family member. This eliminates guilt and bad feelings among siblings. The logistics are complicated, but it can work.
  • If it is impossible for others to share in the physical caregiving because of where they live or other circumstances, encourage family members to take on a specific responsibility such as: refilling medications, driving to and/or making doctor appointments, providing meals, researching community assistance programs that include respite care and volunteer programs, setting up automatic bill payments and/or dealing with financial issues, providing a housecleaner or cleaning the house once a month, mowing the lawn, shoveling the snow, etc.
  • Speak your truth. Do you need a night out with friends? Time to go for a walk or to the gym? Say so, and don’t be afraid of offending anyone. The worst that can happen is that your sister or brother, or son or daughter will say “no.”
  • Is it possible for you to get paid for the help you provide? Discuss the options with your financial planner and other family members.
  • Ask a family member to create an online caring community such as “Share The Care” https://sharethecare.org/getting-started/ or “Caring Bridge.”  “Share The Care” is a system that creates a support network among caregivers that lets everyone share responsibilities. “Caring Bridge” https://www.caringbridge.org/how-it-workshelps you create a site that enables you to share updates about your loved one, coordinate help, and get emotional support.
  • It’s a fact of life that you can’t force another family member to help. Even if you do get help, you might be the one who does the disproportionate amount of caregiving. Try to accept it and be grateful that you will not feel guilty for not being there for your loved one. You are appreciated and even if your loved one can no longer communicate, he or she appreciates you and loves you. Just know that you are doing the best that you can . . . and that is all you can do.. 

Barbra Cohn cared for her husband Morris for 10 years. He passed away from younger-onset Alzheimer’s disease in 2010. Afterward, she was compelled to write “Calmer Waters: The Caregiver’s Journey Through Alzheimer’s & Dementia”—Winner of the 2018 Book Excellence Award in Self-Help—in order to help other caregivers feel healthier and happier, have more energy, sleep better, feel more confident, deal with feelings of guilt and grief, and to ultimately experience inner peace. “Calmer Waters” is available at Amazon, Barnes & Noble, Boulder Book Store, Tattered Cover Book Store,  Indie Bound.org, and many other fine independent bookstores, as well as public libraries.

Does gum disease really cause Alzheimer’s disease?

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Doctor holding blue crystal ball with gum disease sign on medical background.A study published January 23, 2019 in Science Advances caused a lot of people to freak out. It implied that the bacteria called Prophyromonas gingivalis that cause gum disease—gingivitis– might be the culprit in Alzheimer’s disease. It sounded too good to be true. But can you reduce your risk by getting regular dental check-ups, and brushing and flossing every day?

I posted a link to the study on my Facebook page and got some heated responses such as “I don’t believe that. My mom and husband always went to the dentist??????” Another person called the study “BS.” 

So, what is the bottom line? And what is the response of scientists who were not involved in the research paid for and conducted in part by employees of Cortexyme, Inc., a San Francisco–based biotech company? 

Here’s the gist of the Cortexyme study: the researchers found that enzymes made by P. gingivalis, called gingipains, interact with amyloid-beta and tau (the proteins implicated in Alzheimer’s disease) in test tube experiments and in the brains of mice. According to the study, gingipains cause A-beta to accumulate and tau to behave abnormally. These are the primary signposts of Alzheimer’s disease in the brains of humans.  The Cortexyme group also found genetic material from P. gingivalis in the cerebral cortex – an area involved in conceptual thinking – in the three Alzheimer’s brains they examined. Cortexyme, Inc. is developing compounds that block gingipains, which their scientists claim reduce the amount of A-beta in the infected mice.

In a previous study, Sim Singhrao at the University of Central Lancashire, UK, found that P. gingivalis can migrate from the mouth to the brain in mice with gum infections. Her group of researchers concluded that periodontal disease is a polymicrobial inflammatory disease that leads to chronic systemic inflammation and direct infiltration of bacteria/bacterial components, which may contribute to the development of Alzheimer’s disease.

A cautious response

Rudolph Tanzi,PhD, an Alzheimer’s researcher at Massachusetts General Hospital in Boston says that the Science Advances study is inconclusive.  An interview in Science News (January 31, 2019) conducted by Laura Sanders reported Tanzi’s responses to the following questions:

Do we now know what causes Alzheimer’s disease?

No. “It would be a complete fantasy to say that now we’ve solved Alzheimer’s based on this,” Tanzi says.  “People need to know that this was a small study…. It’s way too early to say that this result is valid.  We need to see many more samples. We need much more replication.”

Headlines that claim gum bacteria causes Alzheimer’s disease stretch the science way too far, he says. “It got out of hand. People should not be freaking out just because they didn’t floss enough. It doesn’t mean you’re going to get Alzheimer’s.”

But did it make sense to look at whether gum bacteria play a role in Alzheimer’s?

Yes. Tanzi and his colleagues suspect that Alzheimer’s is kicked off by brain inflammation, perhaps prodded along by bacteria, viruses or fungi. His team has been looking at large swaths of genetic material found in brains to figure out exactly which infectious entities might be in the brains of people with Alzheimer’s.

“We went in expecting to see periodontal bacteria in the brain. That was a leading hypothesis. One of the biggest pools of bacteria in your body lives in your gums if your gums are not clean. We expected to find them, but we didn’t.” (Those negative results, from dozens of brains, are unpublished.)

What you need to know

Periodontitis is the most common infectious inflammatory disease of humans. A recent survey in the USA concluded that 47.2% of adults aged 30 years and older had periodontitis. The disease is characterized by the loss of periodontal ligament, connective tissue, and alveolar bone, and is a major cause of tooth loss. 

Now we know that virulent strains of P. gingivalis can affect the central nervous system, which can result in Alzheimer’s and dementia. Although the research is still in its early stages, it’s a good idea to amp up your dental care and get thee to a dentist at least once a year for an exam and cleaning. It is certainly worth the bucks if it will help reduce your risk of Alzheimer’s disease. Don’t you think?

For more information about periodontal disease and why it’s important to floss please take a look at my previously published blog Do you still need to floss“

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    Barbra Cohn cared for her husband Morris for 10 years. He passed away from younger-onset Alzheimer’s disease in 2010. Afterward, she was compelled to write “Calmer Waters: The Caregiver’s Journey Through Alzheimer’s & Dementia”—Winner of the 2018 Book Excellence Award in Self-Help—in order to help other caregivers feel healthier and happier, have more energy, sleep better, feel more confident, deal with feelings of guilt and grief, and to ultimately experience inner peace. “Calmer Waters” is available at Amazon, Barnes & Noble, Boulder Book Store, Tattered Cover Book Store,  Indie Bound.org, and many other fine independent bookstores, as well as public libraries.