That Awful Wasteland of Alzheimer’s

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What is Alzheimer’s disease (AD)?

Alzheimer’s disease (AD) is an irreversible, progressive brain disease that slowly destroys memory and thinking skills and, eventually, the ability to carry out the simplest tasks of daily living. In most people with AD, symptoms first appear after age 60. AD is the most common cause of dementia among older people, but it is not a normal part of aging. Dementia refers to a decline in cognitive function that interferes with daily life and activities.

AD starts in a region of the brain that affects recent memory, then gradually spreads to other parts of the brain. Although treatment can slow the progression of AD and help manage its symptoms in some people, currently there is no cure for this devastating disease. AD is named after Dr. Alois Alzheimer, a German doctor. In 1906, Dr. Alzheimer described changes in the brain tissue of a woman who had died of an unusual mental illness. He found abnormal clumps (now called amyloid plaques) and tangled bundles of fibers (now called neurofibrillary tangles). alzheimers-brain

Today, these plaques and tangles in the brain are considered hallmarks of AD. The third main feature of AD is the gradual loss of connections between nerve cells (neurons) in the brain. This loss leads to diminished cell function and cell death. We don’t know what starts the AD process, but we do know that damage to the brain begins as many as 10 to 20 years before any obvious signs of forgetfulness appear. As nerve cells die throughout the brain, affected regions begin to shrink. By the final stage of AD, damage is widespread, and brain tissue has shrunk significantly.

How many Americans have AD?

According to recent estimates, as many as 2.4 million to 4.5 million Americans have AD. Unless the disease can be effectively treated or prevented, the number of people with AD will increase significantly if current population trends continue. That’s because the risk of AD increases with age, and the U.S. population is aging. The number of people age 65 and older is expected to grow from 39 million in 2008 to 72 million in 2030, and the number of people with AD doubles for every 5-year interval beyond age 65. In the years to come, AD is expected to pose physical and emotional challenges for more and more families and other caregivers, in addition to those with the disease. The growing number of people with AD and the costs associated with the disease also will put a heavy economic burden on society.

How long can a person live with AD?

AD is a slow disease that starts with mild memory problems and ends with severe brain damage. The time from diagnosis to death varies—as little as 3 or 4 years if the person is older than 80 when diagnosed to as long as 10 or more years if the person is younger. Other factors that affect how long a person will live with AD include the person’s sex, the presence of other health problems, and the severity of cognitive problems at diagnosis.

What is dementia?

Dementia is a general term that refers to a decline in cognitive function so extensive that it interferes with daily life and activities. This loss in the ability to think, remember, and reason is not a disease itself, but a group of symptoms that often accompanies a disease or condition. Many conditions and diseases cause dementia. Two of the most common causes of dementia in older people are AD and vascular dementia, which is caused by a series of strokes or changes in the brain’s blood supply. Other conditions that cause memory loss or dementia include:

•medication side effects

•chronic alcoholism

•certain tumors and infections in the brain

•blood clots in the brain

•vitamin B12 deficiency

•dehydration

•high fever

•some thyroid, kidney, or liver disorders

Many of these conditions are temporary and reversible, but they can be serious and should be treated by a doctor as soon as possible. Emotional problems, such as stress, anxiety, or depression, can make a person more forgetful and can be mistaken for dementia. Someone may feel sad, lonely, worried, or bored when facing retirement or coping with the death of a spouse, relative, or friend. Adapting to these changes leaves some people feeling confused or forgetful. Supportive friends and family or professional help from a doctor or counselor can help older adults adjust to big changes.

Source: National Institute of Aging, http://www.nia.nih.gov/

Nowhere Man

Meaninglessness

“The words of the Preacher, the son of David, king in Jerusalem.

Vanity of vanities, says the Preacher,
    vanity of vanities! All is vanity.”

Ecclesiastes 1:1-2

Sometimes it takes us a long time to learn what life is all about. Like a fish making the step to seeing the water, or the bird determining that air exists. Both fish and bird are in their element whether they have conscious awareness of these real things.

But we are different. We are driven to know why we exist, and how is it so. Some of us determine that there is nothing– a deep and compelling vacancy in our universe. Simply, there is no meaning to be found, anywhere. In October 1965, the Beatles recorded, “Nowhere Man” which captured the angst of that generation.

He’s a real nowhere man
Sitting in his nowhere land
Making all his nowhere plans for nobody

Doesn’t have a point of view
Knows not where he’s going to
Isn’t he a bit like you and me?

It’s funny, but we wrestle with the ‘spirit of this age’ as we are trying to learn the obvious. It seems that our most profound struggles have to do with what is real and what is true. We are compelled to find meaning somehow, and our frustration is often intensified by the passing of time.

Simply– we are running out of time, and we all know it. The dread we have is that we are wasting our lives. Every second that ticks by is irrevocably lost; wasted time is lost time. My generation has dealt with this in hedonistic ways. We often cover our lostness and anguish, with ‘sex, drugs, and rock-n-roll.’ Others go out and make as much money as they can, or seek power over others.

But our odd quest for meaning is often like putting a mere band-aid on a broken arm. It not remotely good enough. So much is clumsy and so ridiculous it begs the question, “Has the quest for the cure become just another way of self destruction.” Our hospitals and prisons are bursting, and our mental health industry is making billions of dollars.

But there are two keys that open every lock.
  1. There is a God.
  2. You are not Him.

You must start with a simple mental assent, then progress to faith in a very real God. We Christians believe Jesus Christ came and died for us, building a bridge to God. Since you really haven’t found meaning your way, won’t you try His?

“You have made us for yourself, O Lord, and our hearts are restless until they rest in you.”

St. Augustine

“There is a God-shaped vacuum in the heart of every person, and it can never be filled by any created thing. It can only be filled by God, made known through Jesus Christ.”

– Blaise Pascal, Pensees

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Training Your Spirit

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Through suffering, our bodies continue to share in the death of Jesus so that the life of Jesus may also be seen in our bodies.”

2 Corinthians 4:10, NLT

“Since he himself has gone through suffering and testing, he is able to help us when we are being tested.”

Hebrews 2:18

No book, no tutor will give us the education we need.  We must patiently go through seasons of difficulty and temptation before we can understand what our brother or sister is facing.  Furthermore, we must advance through different levels;  sickness, injury, loss and discouragement.  On top of this, we must be tutored in the language of affliction, till we speak it without an accent.

This is a ‘strange’ school.  We’re watched and observed very closely to see what we will do.  “Will he give $5 to the homeless man, or will he turn away like usual?” There are billions of these scenarios that we get placed in.  And often there are multiple layers of these ‘programs’ running simultaneously.

And yet we are always being evaluated in love.

It is very advantageous for you to pass this way, because it lets you speak the dialect of suffering, with its mixture of pain and joy.  Believers now have a common tongue which in we communicate.

When Lynn and I lost our daughter Elizabeth, it was a deep, dark valley.  But I came to see (understand) that in some obscure way now able to speak into the hearts of those who were lost in pain.  Death has a way of touching us deeply.

There are so many different classes in God’s ‘strange’ university.  You may be enrolled in Compassion 101, or Mercy 410.  Oh, and by the way there is a school counselor available to all students that request Him (the Holy Spirit).

Also, we will do remarkably better if we will befriend others who are also enrolled.  Worshipping and the Word are quite critical as we must keep our spirits clean and right.

“He suffered and endured every test and temptation, so that he can help us every time we pass through the ordeals of life.”

Hebrews 2:18, TPT

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Recalibrate Our Senses

“Produce fruit in keeping with repentance. “

Matt. 3:8, NIV

Do the things that show you really have changed your hearts and lives.

When we evaluate change, the Biblical definition is crisp and solid.  It has everything understood in results (or fruit) and less to with my posturing.  Just simple words or emotions aren’t enough when we consider authentic transformation.  We can’t relate to feelings, they need actions to become visible. You may feel ‘warm and fuzzy’ when you think about Jesus, and  yet somehow that’s not enough. Especially if you’re beating your wife.

Actions do matter.  Your actions will define what you believe about God.  What you decide to do, will delineate what is really real. Jesus made it clear to his congregation that their definition of repentance needed adjusting.

I struggle with many things, I seem to be a magnet for all things dark and lost.  So this proper way of evaluating reality will become a tremendous blessing those of us with ‘mood disorders.’  My feelings are definitely mercurial.  I really can’t trust them. So I won’t.

Thomas Merton once said that we’re so motivated to climb the ladder of success that when we finally get to the top we discover it’s leaning against the wrong wall all along! To waste your life to climb one more rung is incredibly tragic.

And yet, down deep, I do understand.  I don’t like it, but it truthfully seems oddly rational and real.  It seems to be something God would do to lovingly correct us. If I place my bets on what I think God wants, and behold, I discover am completely mistaken. He delights in confusing the proud in heart.

We need a basis on what is real, and important.  It may shake us, but the result is being able to realize what is the truth.  Our feelings, and idealistic ideas are like a bucket with many holes.  What we receive from Him can’t be maintained–it runs out almost as fast as it collects.

We must recalibrate our senses.  We need to rearrange many things, and completely reevaluate our momentum and focus.  These seem to be abstract and vague ways of making determinations like this, but if we get honest we realize that these things are critical.

“No one can sum up all God is able to accomplish through one solitary life, wholly yielded, adjusted, and obedient to Him.

–D.L.Moody