November 10, 2024 • 16 mins
Dr. Choctaw offers compassionate guidance on supporting loved ones facing dementia and depression. Listeners discover ways to help without overwhelming themselves, with insights on caregiving, therapeutic conversations, and self-care for sustained emotional resilience.
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Episode Transcript
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(00:00):
Coming up on this episode of thehealthy, wealthy, and wise podcast.
Let's say a quick word about depression.
Um, because again, I wantto make the distinction.
Remember, um, when I talk about dimension,talk about how we think, um, uh, and
when I talk about depression, I'mtalking about how we feel, how we feel.
(00:20):
Um, one, one, uh, medical, uh, definition
of depression is welcome to the healthy,wealthy, and wise podcast with Dr.
William T.
Choctaw, MD.
This podcast will provide you withtools and actionable information
you can use to help live a morehealthy, wealthy, and wise life.
It's powered by the over 50 years ofmedical experience of this Yale university
(00:44):
medical school trained surgeon, who isalso a Western state law school trained
attorney with executive experience beinga former mayor of Walnut, California,
as well as the current chairman ofthe nonprofit servants arms and.
And as president of ChoctawMedical Group, Incorporated.
(01:05):
This is the Leadership MasterclassEdition, already in progress.
Uh, number
two, difficulty remembering tests,remembering, performing regular tests.
It is normal to make, um, the wrongterm in the case of when driving, you
know, um, I'm driving, coming to church.
From Walnut and I'm thinking aboutsomething or listening to music,
(01:28):
and I is, I'm, I should haveturned right, but I turned left.
That that is not an illness,that is not a disease.
Um, that is, that is normal.
Uh, someone with dementiamight have regular difficulty
driving a familial route.
So if, if I'm driving to church and Iturn, um, I don't know, left on Walnut,
(01:48):
instead of turning right on walnut.
That's okay.
Um, uh, if I'm driving to church and,uh, uh, instead of turning on Walnut, I
keep straight and go all the way down toHacienda and turn, uh, by mistake, uh,
that may be a sign of early dementia.
Does that make sense?
Um, disorientation, noproblems with language.
(02:13):
Uh, many people occasionallyhave trouble remembering, um,
uh, finding the right words.
You ever been in a conversation where,where you want to say something,
but the word you're looking foris not on the tip of your tongue.
And so you said, well, you know, it's,it's so and so or you, you remember her
name, it was, you know, the little ladywho's blah, blah, blah, blah, blah.
(02:33):
And then somebody said, Mary.
Yeah, yeah, yeah, yeah, yeah.
Mary.
That's what I was trying to think.
That's normal.
That's normal.
Dementia, uh, would be, um, uh,sometimes with dementia one might
have difficulty, um, uh, starting aconversation, or may use the wrong words.
Now that's a whole different thing.
(02:54):
If I'm talking aboutMary, but I mentioned Joe.
So, but I thought you would tell meabout this lady, Joe's not a lady.
What do you say that thatcould be early dimension.
Uh, next example, um,disorientation of time and place.
It is normal to forget, uh, Itis normal to forget, um, uh, to,
(03:16):
um, be confused about the time ofday, of what, what is appropriate
to do, uh, on a particular day.
Dementia, on the other hand, iswhere you, you mix up a whole day.
Let me give you an example.
Uh, you're supposed to havea cheeseburger for lunch.
Uh, but you confuse lunch and dinner,you understand what I'm saying?
(03:38):
So you say, Oh, okay.
Oh, I got to have my cheeseburger.
And your wife said, but it'ssix o'clock at night, you
know, I'm, I'm fixing dinner.
So Oh, but I thought itwas noontime or whatever.
You can see the difference in the,in the, in the, in the understanding
about what, what, what it is.
A decrease of poor judgment.
Many people, um, Uh, poorly, uh, think,uh, make decisions, uh, but a person with
(04:04):
dementia might make a decision frequently,uh, and start paying attention.
Um, uh, in terms of, uh, makingpoor decisions, you start noticing
that the way they dress, is notappropriate for what they're supposed
to be doing, if that makes sense.
Um, it's Sunday morning and you, youthink about going to church, um, and they
(04:29):
normally wear X, Y, Z to church, but,but they, they, they don't remember that
they, they, they're dressing differently.
And that, that's just anothersuggestion about, uh, dementia.
Okay.
Other examples of dementia, we'restill talking about dementia.
Dementia.
is a, a, a abnormality or a dysfunction ofhow we think, you know, there's what you
(04:53):
believe, that's what you think, there'show you feel, and that's how you act.
So we got to go over in those,those, those four different areas.
So we're talking about how you think.
Okay.
With dementia, the short term memoryloss, There might be difficulty with
communication, um, difficulty inlogical reasoning, um, um, trouble in
(05:16):
performing familiar tasks, uh, difficultyin some voter function, depending on
how old you are, um, confused sense ofdirection, um, um, uh, impairment in
judgment and problem dealing with change.
One of the things about dementia alsois Many times there can be psychological
(05:38):
symptoms and you say, well, okay,well, what's the psychological symptom,
um, um, uh, dementia and a thinkingthing we've been talking about a
psychological symptom is how you feel.
That's how you think.
And then there's how you feel.
Okay.
So let's say I'm having a conversationwith my wife, uh, but I can't carry the
conversation that I want to carry onwith my wife cause I keep forgetting
(06:01):
stuff and it gets frustrating for me.
Right?
And, and, and the more frustrated,frustrated I get, I said, well,
I'm just not going to talk at all.
I just, you know, I just, thisjust drives me crazy or whatever.
And I get sad about it or Imay get sad and then ultimately
get depressed about it.
Depression is how Ifeel, not what I think.
(06:22):
So that's what you believe.
That's what you think.
That, that, that's what you, you feeland then that's how you act, okay?
And when I'm depressed, I'mgoing to act a way where I just
don't want to deal with anybody.
I just want, just leave mealone, let me sit in my room or
whatever, whatever, whatever, okay?
Yes?
(06:44):
Yeah, yeah, yeah, yeah, yeah.
But, yeah, it's, um, 180 plus?
Yes.
Yes.
Now, keep in mind, aging can be, canstart for some people at, at at 30, right?
(07:06):
Uh, because even, because remember Isaid everybody's a little different.
Uh, I choose 50 and older becausethat's easy to understand,
but it doesn't have to be 50.
They have 30 year olds whomay have some dementia.
They may have other, uh, medicalconditions that contribute to that.
But in general, what whatyou're saying is correct.
Yes.
Okay.
(07:27):
Okay.
Let's say a quick word aboutdepression, um, because again,
I want to make the distinction.
Remember, um, when I talk about dimension,talk about how we think, um, uh, and
when I talk about depression, I'mtalking about how we feel, how we feel,
um, one, one, uh, medical definitionof depression is hopeless, helpless,
(07:49):
worthless, hopeless, helpless, worthless.
Something happens.
Whatever it is.
And, um, there is no hope thatthat will ever get better.
Hope is lost.
Now remember, this, this is,this is what one may think.
It may not be true, but I'mtalking about what you think, okay?
(08:10):
Something, something bad happens,um, no one can help you in your,
in your opinion to make it better.
Hopeless, helpless.
Okay.
Something bad happens andyou think you deserve it.
Hopeless, helpless, worthless.
And this many times is, is thepattern we see with depression.
(08:32):
Um, so sometimes what Itry to, let me back up.
My, my profession was general surgeon.
I basically cut peoplefor a living, right?
So, and that was not brain surgery.
Alright.
So, but my, but my, my, my point is thatas a physician, I would have patients
who would come to me for everythingjust because they know me, you know, and
(08:54):
their whole thing was, well, if, if you,if you don't know what to do, you know
where to send me, which makes sense.
I know.
Okay.
I get it.
I get it.
I get it.
But my point is, um, I would say to thosepatients who I felt were getting into
that area of depression is that, uh, noneof us deserve bad stuff to happen to us.
(09:18):
Because a lot of times that stemsfrom people who believe that they're
not, they're not Um, Christian enough,they, they, you know, they, they,
they've done bad things in their lifeand they're now, they're now getting
a payback for those bad things.
I don't particularly believe that.
That's just me.
Um, so my point is that what Itell those patients before sending
(09:38):
them to the psychiatrist isthat, that there's always hope.
That's my belief.
There's always hope.
I don't care how, howdark the day may look.
There's always hope.
And so the point I want tomake with this slide is.
That frequently, depression can go alongwith, um, um, dementia and Alzheimer's.
(10:00):
Because this is aprofound change for folks.
Men and women, doesn't matter, andyou're accustomed to something most
of your life and now you change.
I'll, I'll use theexample of being a father.
You know, you're a father, you're the man,you're the, you know, blah, blah, blah.
Uh, and everybody sort of looked upto you and all that sort of thing.
(10:20):
But now, uh, you, you,you don't remember stuff.
You know, and, and, and it makes youfeel bad because you're accustomed
to always being in charge andalways being blah, blah, blah.
Um, and so my, my point is thatsometimes that can lead to a type of
depression or sadness, if you will.
(10:40):
Um, uh, but, and, and we'llgo into that a little more.
The important thing to remember,depression is always treatable.
In general, you can treat it.
There's medication that can treat it.
Many times just meeting with psychiatristscan do it, other types of things.
But just, just to keep that in mind, notgoing to spend a lot of time with this.
I mentioned that Alzheimer'swas a type of dementia.
(11:04):
These are some of the other types.
Um, you don't have toknow them or whatever.
Um, but just remember thatAlzheimer's is a type of dementia.
Dementia is the overall umbrella.
Alzheimer's is a part of that,but it's the most serious part.
It's the most serious part.
And we're going to talk about why that is.
So let's look briefly at Alzheimer's.
(11:26):
And again, remember on the upper leftpart of the brain, the Alzheimer's brain
is different from the healthy brain.
Because the Alzheimer'sbrain is degenerating.
It is, it is, it is sort of falling apart.
It is not doing what it'ssupposed to do, type thing.
So it ends up not being aseffective as it, as it normally is.
(11:48):
Um, people with Alzheimer's, uh, as, uh, agood way to think about it is Alzheimer's
is an extreme type of dementia.
It's, it's, uh, uh, anaccelerated type of dementia.
Confusion with time and place.
We talked about that, uh, in termsof where you are, where you're
going, and where you want to go.
Uh, trouble following conversations.
(12:10):
Uh, and so what happens is a lot oftimes, particularly people who talk a
lot and talk real fast, the person withdementia just doesn't say anything.
They just sort of sit there and listen.
At least you think they'relistening, but, but they don't have
a clue what you're talking about.
And what's my point?
My point is, if you have a parentor a family member or a friend, uh,
and you're one of the people, slowdown, slow down, ask questions.
(12:33):
So, so does that makesense what I'm saying?
Or what, however you wanna do it.
But, but don't, don't just bebusiness as usual because a lot of
times you aren't helping them andyou may even be making 'em feel bad.
Right?
Because they aren't going to say it.
They aren't going to say, I'msorry, I didn't understand anything
you said the last five minutes.
They aren't going to tell you that.
So, you're going to have to be super,super sensitive to them to be able
(12:57):
to help them, uh, and make sure thatthey're part of the conversation.
Um, memory loss we talked about andwe'll talk about that some more.
Um, I, I, I use the term and I, I, I usethis term when I gave a discussion about
a year ago about Alzheimer's and dementia.
Uh, we all forget things.
Keys.
(13:17):
Everybody in this room, I bet, hasforgotten their keys at one time.
I know I have.
I have.
And what I say, it is normal forus to forget our keys, you know.
I'll have my keys, I'll bring them in,then I have no idea where I left them.
Because I have to go and drive somewhere.
And what I do is I just go to mywife and she always finds them.
(13:37):
She's smarter than I am, but, butmy point is, if I forget my keys and
where I find them or where we findthem is on the counter, uh, on the
bed or in the bathroom, no problem.
That's probably justnormal, normal dementia.
Uh, if I forget my keys.
(13:59):
And we find them in therefrigerator, then that's an issue.
Get my point?
Because your keys shouldnot be in the refrigerator.
Think about it.
Think about it.
Okay?
So, so, so, Graphically, that, that sortof distinguishes between maybe a little
dementia and a lot of dementia, right?
(14:21):
Or a little dementia and maybeearly Alzheimer's, right?
Uh, so, because we, we, we knowwhat the normal process is, you
know, because we do it every day.
Uh, but when that process is really, off.
Then we know there's something goingon, or at least we can then more
notice that there's something going on.
(14:42):
And I'm just going to hit threestages of dementia from beginning to
end because again this is the mostserious Um, be worse, um, and I'm
sorry, not dementia, Alzheimer's andAlzheimer's can ultimately lead to death.
Um, first stage of mild Alzheimer'sis, you know, mood swings,
(15:05):
slow to, um, hear and react.
Um, you prefer the similar, uh, when,when the patient becomes aware of loss
of control, um, they become irritable,fearful, uh, restless, or depressed.
Normal.
Those are normal reactions with any of usif we no longer can do what we used to do.
(15:27):
And we don't know why.
You know, we don't even say,well, yesterday, I, I, I
knew where my things were.
Why is it I don't knowwhere they are today?
Thank you for listening to the Healthy,wealthy and Wise Podcast with Dr.
William t Choctaw, MDJD.
You can listen again to this inany of the previous episodes.
Leave a comment or pose questions tothe doctor by going to www.thwwp.com.
(15:53):
That's www.th wwp dot.
Com and you've got it.
It's also available whereveryou get your podcast.
Be sure to follow, like, share, andsubscribe if you haven't already.
Then tune in for the next episode of theHealthy, wealthy and Wise podcast with Dr.
William t Choctaw, MD jd, a productionof Change Makers Communications, LLC.
Coming up on this episode of thehealthy, wealthy, and wise podcast.
Let's say a quick word about depression.
Um, because again, I wantto make the distinction.
Remember, um, when I talk about dimension,talk about how we think, um, uh, and
when I talk about depression, I'mtalking about how we feel, how we feel.
(00:20):
Um, one, one, uh, medical, uh, definition
of depression is welcome to the healthy,wealthy, and wise podcast with Dr.
William T.
Choctaw, MD.
This podcast will provide you withtools and actionable information
you can use to help live a morehealthy, wealthy, and wise life.
It's powered by the over 50 years ofmedical experience of this Yale university
(00:44):
medical school trained surgeon, who isalso a Western state law school trained
attorney with executive experience beinga former mayor of Walnut, California,
as well as the current chairman ofthe nonprofit servants arms and.
And as president of ChoctawMedical Group, Incorporated.
(01:05):
This is the Leadership MasterclassEdition, already in progress.
Uh, number
two, difficulty remembering tests,remembering, performing regular tests.
It is normal to make, um, the wrongterm in the case of when driving, you
know, um, I'm driving, coming to church.
From Walnut and I'm thinking aboutsomething or listening to music,
(01:28):
and I is, I'm, I should haveturned right, but I turned left.
That that is not an illness,that is not a disease.
Um, that is, that is normal.
Uh, someone with dementiamight have regular difficulty
driving a familial route.
So if, if I'm driving to church and Iturn, um, I don't know, left on Walnut,
(01:48):
instead of turning right on walnut.
That's okay.
Um, uh, if I'm driving to church and,uh, uh, instead of turning on Walnut, I
keep straight and go all the way down toHacienda and turn, uh, by mistake, uh,
that may be a sign of early dementia.
Does that make sense?
Um, disorientation, noproblems with language.
(02:13):
Uh, many people occasionallyhave trouble remembering, um,
uh, finding the right words.
You ever been in a conversation where,where you want to say something,
but the word you're looking foris not on the tip of your tongue.
And so you said, well, you know, it's,it's so and so or you, you remember her
name, it was, you know, the little ladywho's blah, blah, blah, blah, blah.
(02:33):
And then somebody said, Mary.
Yeah, yeah, yeah, yeah, yeah.
Mary.
That's what I was trying to think.
That's normal.
That's normal.
Dementia, uh, would be, um, uh,sometimes with dementia one might
have difficulty, um, uh, starting aconversation, or may use the wrong words.
Now that's a whole different thing.
(02:54):
If I'm talking aboutMary, but I mentioned Joe.
So, but I thought you would tell meabout this lady, Joe's not a lady.
What do you say that thatcould be early dimension.
Uh, next example, um,disorientation of time and place.
It is normal to forget, uh, Itis normal to forget, um, uh, to,
(03:16):
um, be confused about the time ofday, of what, what is appropriate
to do, uh, on a particular day.
Dementia, on the other hand, iswhere you, you mix up a whole day.
Let me give you an example.
Uh, you're supposed to havea cheeseburger for lunch.
Uh, but you confuse lunch and dinner,you understand what I'm saying?
(03:38):
So you say, Oh, okay.
Oh, I got to have my cheeseburger.
And your wife said, but it'ssix o'clock at night, you
know, I'm, I'm fixing dinner.
So Oh, but I thought itwas noontime or whatever.
You can see the difference in the,in the, in the, in the understanding
about what, what, what it is.
A decrease of poor judgment.
Many people, um, Uh, poorly, uh, think,uh, make decisions, uh, but a person with
(04:04):
dementia might make a decision frequently,uh, and start paying attention.
Um, uh, in terms of, uh, makingpoor decisions, you start noticing
that the way they dress, is notappropriate for what they're supposed
to be doing, if that makes sense.
Um, it's Sunday morning and you, youthink about going to church, um, and they
(04:29):
normally wear X, Y, Z to church, but,but they, they, they don't remember that
they, they, they're dressing differently.
And that, that's just anothersuggestion about, uh, dementia.
Okay.
Other examples of dementia, we'restill talking about dementia.
Dementia.
is a, a, a abnormality or a dysfunction ofhow we think, you know, there's what you
(04:53):
believe, that's what you think, there'show you feel, and that's how you act.
So we got to go over in those,those, those four different areas.
So we're talking about how you think.
Okay.
With dementia, the short term memoryloss, There might be difficulty with
communication, um, difficulty inlogical reasoning, um, um, trouble in
(05:16):
performing familiar tasks, uh, difficultyin some voter function, depending on
how old you are, um, confused sense ofdirection, um, um, uh, impairment in
judgment and problem dealing with change.
One of the things about dementia alsois Many times there can be psychological
(05:38):
symptoms and you say, well, okay,well, what's the psychological symptom,
um, um, uh, dementia and a thinkingthing we've been talking about a
psychological symptom is how you feel.
That's how you think.
And then there's how you feel.
Okay.
So let's say I'm having a conversationwith my wife, uh, but I can't carry the
conversation that I want to carry onwith my wife cause I keep forgetting
(06:01):
stuff and it gets frustrating for me.
Right?
And, and, and the more frustrated,frustrated I get, I said, well,
I'm just not going to talk at all.
I just, you know, I just, thisjust drives me crazy or whatever.
And I get sad about it or Imay get sad and then ultimately
get depressed about it.
Depression is how Ifeel, not what I think.
(06:22):
So that's what you believe.
That's what you think.
That, that, that's what you, you feeland then that's how you act, okay?
And when I'm depressed, I'mgoing to act a way where I just
don't want to deal with anybody.
I just want, just leave mealone, let me sit in my room or
whatever, whatever, whatever, okay?
Yes?
(06:44):
Yeah, yeah, yeah, yeah, yeah.
But, yeah, it's, um, 180 plus?
Yes.
Yes.
Now, keep in mind, aging can be, canstart for some people at, at at 30, right?
(07:06):
Uh, because even, because remember Isaid everybody's a little different.
Uh, I choose 50 and older becausethat's easy to understand,
but it doesn't have to be 50.
They have 30 year olds whomay have some dementia.
They may have other, uh, medicalconditions that contribute to that.
But in general, what whatyou're saying is correct.
Yes.
Okay.
(07:27):
Okay.
Let's say a quick word aboutdepression, um, because again,
I want to make the distinction.
Remember, um, when I talk about dimension,talk about how we think, um, uh, and
when I talk about depression, I'mtalking about how we feel, how we feel,
um, one, one, uh, medical definitionof depression is hopeless, helpless,
(07:49):
worthless, hopeless, helpless, worthless.
Something happens.
Whatever it is.
And, um, there is no hope thatthat will ever get better.
Hope is lost.
Now remember, this, this is,this is what one may think.
It may not be true, but I'mtalking about what you think, okay?
(08:10):
Something, something bad happens,um, no one can help you in your,
in your opinion to make it better.
Hopeless, helpless.
Okay.
Something bad happens andyou think you deserve it.
Hopeless, helpless, worthless.
And this many times is, is thepattern we see with depression.
(08:32):
Um, so sometimes what Itry to, let me back up.
My, my profession was general surgeon.
I basically cut peoplefor a living, right?
So, and that was not brain surgery.
Alright.
So, but my, but my, my, my point is thatas a physician, I would have patients
who would come to me for everythingjust because they know me, you know, and
(08:54):
their whole thing was, well, if, if you,if you don't know what to do, you know
where to send me, which makes sense.
I know.
Okay.
I get it.
I get it.
I get it.
But my point is, um, I would say to thosepatients who I felt were getting into
that area of depression is that, uh, noneof us deserve bad stuff to happen to us.
(09:18):
Because a lot of times that stemsfrom people who believe that they're
not, they're not Um, Christian enough,they, they, you know, they, they,
they've done bad things in their lifeand they're now, they're now getting
a payback for those bad things.
I don't particularly believe that.
That's just me.
Um, so my point is that what Itell those patients before sending
(09:38):
them to the psychiatrist isthat, that there's always hope.
That's my belief.
There's always hope.
I don't care how, howdark the day may look.
There's always hope.
And so the point I want tomake with this slide is.
That frequently, depression can go alongwith, um, um, dementia and Alzheimer's.
(10:00):
Because this is aprofound change for folks.
Men and women, doesn't matter, andyou're accustomed to something most
of your life and now you change.
I'll, I'll use theexample of being a father.
You know, you're a father, you're the man,you're the, you know, blah, blah, blah.
Uh, and everybody sort of looked upto you and all that sort of thing.
(10:20):
But now, uh, you, you,you don't remember stuff.
You know, and, and, and it makes youfeel bad because you're accustomed
to always being in charge andalways being blah, blah, blah.
Um, and so my, my point is thatsometimes that can lead to a type of
depression or sadness, if you will.
(10:40):
Um, uh, but, and, and we'llgo into that a little more.
The important thing to remember,depression is always treatable.
In general, you can treat it.
There's medication that can treat it.
Many times just meeting with psychiatristscan do it, other types of things.
But just, just to keep that in mind, notgoing to spend a lot of time with this.
I mentioned that Alzheimer'swas a type of dementia.
(11:04):
These are some of the other types.
Um, you don't have toknow them or whatever.
Um, but just remember thatAlzheimer's is a type of dementia.
Dementia is the overall umbrella.
Alzheimer's is a part of that,but it's the most serious part.
It's the most serious part.
And we're going to talk about why that is.
So let's look briefly at Alzheimer's.
(11:26):
And again, remember on the upper leftpart of the brain, the Alzheimer's brain
is different from the healthy brain.
Because the Alzheimer'sbrain is degenerating.
It is, it is, it is sort of falling apart.
It is not doing what it'ssupposed to do, type thing.
So it ends up not being aseffective as it, as it normally is.
(11:48):
Um, people with Alzheimer's, uh, as, uh, agood way to think about it is Alzheimer's
is an extreme type of dementia.
It's, it's, uh, uh, anaccelerated type of dementia.
Confusion with time and place.
We talked about that, uh, in termsof where you are, where you're
going, and where you want to go.
Uh, trouble following conversations.
(12:10):
Uh, and so what happens is a lot oftimes, particularly people who talk a
lot and talk real fast, the person withdementia just doesn't say anything.
They just sort of sit there and listen.
At least you think they'relistening, but, but they don't have
a clue what you're talking about.
And what's my point?
My point is, if you have a parentor a family member or a friend, uh,
and you're one of the people, slowdown, slow down, ask questions.
(12:33):
So, so does that makesense what I'm saying?
Or what, however you wanna do it.
But, but don't, don't just bebusiness as usual because a lot of
times you aren't helping them andyou may even be making 'em feel bad.
Right?
Because they aren't going to say it.
They aren't going to say, I'msorry, I didn't understand anything
you said the last five minutes.
They aren't going to tell you that.
So, you're going to have to be super,super sensitive to them to be able
(12:57):
to help them, uh, and make sure thatthey're part of the conversation.
Um, memory loss we talked about andwe'll talk about that some more.
Um, I, I, I use the term and I, I, I usethis term when I gave a discussion about
a year ago about Alzheimer's and dementia.
Uh, we all forget things.
Keys.
(13:17):
Everybody in this room, I bet, hasforgotten their keys at one time.
I know I have.
I have.
And what I say, it is normal forus to forget our keys, you know.
I'll have my keys, I'll bring them in,then I have no idea where I left them.
Because I have to go and drive somewhere.
And what I do is I just go to mywife and she always finds them.
(13:37):
She's smarter than I am, but, butmy point is, if I forget my keys and
where I find them or where we findthem is on the counter, uh, on the
bed or in the bathroom, no problem.
That's probably justnormal, normal dementia.
Uh, if I forget my keys.
(13:59):
And we find them in therefrigerator, then that's an issue.
Get my point?
Because your keys shouldnot be in the refrigerator.
Think about it.
Think about it.
Okay?
So, so, so, Graphically, that, that sortof distinguishes between maybe a little
dementia and a lot of dementia, right?
(14:21):
Or a little dementia and maybeearly Alzheimer's, right?
Uh, so, because we, we, we knowwhat the normal process is, you
know, because we do it every day.
Uh, but when that process is really, off.
Then we know there's something goingon, or at least we can then more
notice that there's something going on.
(14:42):
And I'm just going to hit threestages of dementia from beginning to
end because again this is the mostserious Um, be worse, um, and I'm
sorry, not dementia, Alzheimer's andAlzheimer's can ultimately lead to death.
Um, first stage of mild Alzheimer'sis, you know, mood swings,
(15:05):
slow to, um, hear and react.
Um, you prefer the similar, uh, when,when the patient becomes aware of loss
of control, um, they become irritable,fearful, uh, restless, or depressed.
Normal.
Those are normal reactions with any of usif we no longer can do what we used to do.
(15:27):
And we don't know why.
You know, we don't even say,well, yesterday, I, I, I
knew where my things were.
Why is it I don't knowwhere they are today?
Thank you for listening to the Healthy,wealthy and Wise Podcast with Dr.
William t Choctaw, MDJD.
You can listen again to this inany of the previous episodes.
Leave a comment or pose questions tothe doctor by going to www.thwwp.com.
(15:53):
That's www.th wwp dot.
Com and you've got it.
It's also available whereveryou get your podcast.
Be sure to follow, like, share, andsubscribe if you haven't already.
Then tune in for the next episode of theHealthy, wealthy and Wise podcast with Dr.
William t Choctaw, MD jd, a productionof Change Makers Communications, LLC.
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