Podcasts about Lewy

Hoe betrouwbaar is een geheugentest als er tegelijk een hond blaft, de postbode aanbelt en het nieuws op tv staat? In deze tweede aflevering van de festivalserie loopt verslaggever Sander Nieuwenhuijsen op Lowlands Science een onderzoekscontainer binnen, met daarin een tot in detail nagebouwde huiskamer. Compleet met bankstel, planten en een keukentje met barretje.   "Wij hebben een ervaring voor bezoekers die uit twee delen bestaat: voorlichting over dementie, en digitale taken om het denkvermogen in kaart te brengen."  In Nederland hebben op dit moment naar schatting 300.000 mensen dementie. De ziekte van Alzheimer is de meest voorkomende vorm, maar er zijn ook andere varianten, zoals dementie met Lewy bodies en frontotemporale dementie.   Neuropsycholoog en onderzoeker Sietske Sikkes onderzoekt met The Digital Dementia Experience hoe betrouwbaar digitale geheugentests zijn wanneer ze thuis worden afgenomen. Een omgeving die, anders dan een rustige testkamer in het ziekenhuis, vol zit met afleiding.  Festivalbezoekers doorlopen een digitale geheugentest in een van vier condities: zonder afleiding, met geluid, met beeld of met een combinatie van beide. Sander loopt mee met een groepje proefpersonen en vraagt Sikkes wat deze aanpak straks kan betekenen voor de toekomst van dementiediagnostiek en welk gevaar er schuilt in te vroeg vertrouwen op dit soort nieuwe tests. 

Broadcast from KSQD, Santa Cruz on 9-03-2026: With CDC vaccine guidance politically contested, major medical societies (AAFP, AAP, ACOG, IDSA) issued their own recommendations through the Vaccine Integrity Project. Dr. Dawn recommends flu shots in October for peak Thanksgiving antibodies, high-dose flu vaccine (not adjuvanted) for frail seniors, and COVID/flu/RSV given at the same visit—except delay COVID vaccination four to six months after recent infection. Pregnant women should receive RSV vaccine at 32-36 weeks, and infants under eight months entering their first RSV season need vaccination if the mother wasn't vaccinated. RSV is one-time only for adults 75+, or for high-risk 50-74-year-olds. Measles is the most contagious human disease, transmissible through brief incidental contact (buses, taxis, carnival rides). Beyond acute mortality (one in 5,000 pre-vaccine), survivors face rare but catastrophic subacute sclerosing panencephalitis 10-40 years later—immune-mediated brain destruction comparable to Huntington's. Thirty percent of current outbreak cases are in adults reflecting decades of under-vaccination in certain communities, and pregnant unvaccinated mothers create a dangerous one-year window since the live vaccine cannot be given during pregnancy. Inlicitide (brand name Lipithandra) is the first oral PCSK9 inhibitor for LDL reduction, priced at $315/month versus $600 for the injectable version. Dr. Dawn positions it strictly as a treatment—not preventive—drug for patients who've had a heart attack or equivalent event and cannot achieve target LDL on statins alone, with prior authorization typically successful given documented disease. Updated cancer screening guidance from major societies: cervical cancer screening at 25 for HPV-vaccinated women (earlier if unvaccinated), annual mammograms from 45-54 then biennial, PSA screening starting at 50, and low-dose CT lung cancer screening at 50-80 for heavy smokers. Dr. Dawn pushes back on the 2018 Task Force downplaying of PSA screening, noting MRI-targeted transperineal biopsies have dramatically reduced false-positive complications. She also warns about rising male cancer diagnoses at later stages for stomach, lung, tongue, and throat cancers, and recommends the vinegar test for suspicious oral white spots. Parkinson's disease develops through a decades-long prodromal phase before motor symptoms appear—by tremor onset, at least half the substantia nigra neurons are dead. Four early warning signs: persistent loss of smell (90% of Parkinson's patients experience this up to 20 years before diagnosis; free scratch-and-sniff cards available from The Michael J. Fox Foundation), REM sleep behavior disorder (acting out dreams; 50-70% develop Parkinson's or Lewy body dementia within 5-10 years, 130-fold higher risk if over 50), chronic constipation (possibly linked to gut microbiome production of misfolded alpha-synuclein), and orthostatic hypotension. Available diagnostics include alpha-synuclein seed amplifier assay (CSF), skin biopsy, and DaTscan SPECT imaging (typically covered with "clinical uncertainty" documentation). A caller with insomnia asks about using vinegar to clean his new CPAP machine. Dr. Dawn recommends one part white vinegar to three parts warm water, then rinsing—or unscented Dr. Bronner's castile soap. She emphasizes avoiding bleach, alcohol, ammonia, scented soaps, and moisturizers, since mold prevention is the primary cleaning goal. Columbia University's STAR (Sperm Track and Recovery) AI system, inspired by astronomical star-detection algorithms, hunts vanishingly rare sperm in men with azoospermia by streaming semen through a hair-thin channel imaged 300 times per second. A robotic arm extracts flagged cells within milliseconds. Of 175 patients tested, 30% had recoverable sperm, and the system produced its first baby late last year for a couple with 20 years of infertility.

When someone with dementia knows they're struggling, they may start doing less and less. They might get frustrated, say things like "I can't do anything right," or stop doing things they used to enjoy. In this episode, I'm talking about why this can happen and, more importantly, how you can help. I'll share some simple ways to support their confidence and adapt activities as their abilities change. If you'd like to see this episode on video, you can hop on over to my YouTube channel here. → Learn about the Care Collective: https://tinyurl.com/podcast-cc    ⏱ CHAPTERS 0:00 - A Careblazer's question: is he losing motivation, or does he know he's struggling 1:23 - What anosognosia actually is, and why this is something different 3:10 - Practical ways to support someone who's aware they're struggling 3:42 - A real story: adapting a beloved hobby instead of giving it up 6:01 - What to watch for, and when to loop in the doctor   → My new book, The Dementia Care Toolkit is officially available for pre-order. ➡️ Preorder your copy here: https://careblazers.com/toolkit → Get free weekly tools and tips in my newsletter, The Dementia Dose: https://tinyurl.com/dementiadose-podcast    --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

Insomnia affects neurologic health, quality of life, and daily functioning, but effective treatments are available. In this episode, Dr. Brandon Peters-Mathews discusses a practical approach to evaluating chronic insomnia, highlights the importance of identifying contributing conditions such as sleep apnea and mood disorders, and reviews cognitive behavioral therapy for insomnia (CBT-I), the recommended first-line treatment. Learn how addressing sleep can improve outcomes across a wide range of neurologic disorders. In this episode, Katie Grouse, MD, FAAN, speaks with Brandon R. Peters-Mathews, MD, FAAN, FAASM, author of the article "Insomnia" in the Continuum® August 2026 Sleep Neurology issue. Dr. Grouse is a Continuum® Audio interviewer and a clinical assistant professor at the University of California, San Francisco in San Francisco, California. Dr. Peters-Mathews is the Section Head of Sleep Medicine at Virginia Mason Franciscan Health in Seattle, Washington. Additional Resources Read the article: Insomnia Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @BrandonPetersMD Full episode transcript available here Dr Grouse: Insomnia may be one of the most common medical issues experienced by patients, yet our knowledge about how to manage it remains limited. Today, I have the opportunity to speak with one of the world's leading experts on sleep disorders, Dr. Brandon Peters-Mathews, about the latest issue of Continuum on Neurology of Sleep.  Dr Jones: This is Dr. Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast.  Dr Grouse: This is Dr. Katie Grouse. Today, I'm interviewing Dr. Brandon Peters-Mathews about his article on insomnia. This article appears in the August 2026 Continuum issue on Neurology of Sleep. Welcome to the podcast, and please introduce yourself to our audience.  Dr Peters-Mathews: It's my pleasure to join you, and I'm happy to talk about this article. I think it's an interesting one for most folks. I am a board-certified sleep neurologist. I practice at Virginia Mason Franciscan Health in Seattle. I did my neurology training back at the University of Minnesota and my sleep training at Stanford University. I've been in practice for more than thirteen years at this point. It's hard to believe, but it's exciting to be able to speak with you today.  Dr Grouse: This is definitely an important topic for everybody. Certainly, sleep and the lack of it affects all of our patients, and I can't imagine there's a single clinical neurologist who doesn't have to answer questions and help evaluate patients with this problem, so very high-yield topic for everyone. Now, having read your article, I'm curious if you had to choose one key point that you want the readers of your article to take away after reading it, what would it be?  Dr Peters-Mathews: Emphasize for my patients that insomnia is a condition that we can work through and resolve, that if we really can understand the underlying contributing causes and resolve those issues, we can typically improve sleep. It's a process. It takes time. It takes some attention and, and sometimes even testing to figure out what's going on. But if we can dial into these root causes, we can typically help somebody to sleep much better. As part of that, we often employ a therapy called CBT-I, which we'll talk about here a little bit later. But that also helps us to identify some of these contributing factors that are leading to the poor sleep.  Dr Grouse: And I definitely want to talk more about CBT, it's such an important topic. But even before we get into that, I'd love it if you could just walk us through a hypothetical case of a patient with insomnia. I think the type of patient that I think we've all seen in our clinical practice and somebody who says, "You know, I've had poor sleep. I've had insomnia for many years. I've tried all of the things you're supposed to try. You know, I've tried sleep hygiene. I've tried this. I've tried that. I've tried medications. Nothing seems to work." Could you walk us through how you would evaluate a patient like this and start to consider what to recommend? Dr Peters-Mathews: So, some simple information that we can gather, would be information about when they're trying to go to bed, how long it's taking them to fall asleep initially. If they wake in the night and have trouble getting back to sleep, how often they wake in the night. If they're experiencing early morning awakenings, their final wake time, and when they actually get out of bed in the morning. That gives me a sense of the structure of their sleep pattern and whether or not they might be spending an excessive amount of time in bed for their own sleep need at their current age. The other factors that we might consider are sleep disorders, and typically, I would assess for other symptoms that would point me towards sleep apnea or restless legs and occasionally other disorders of sleep. We wanna make sure we're not missing comorbid conditions that might be affecting that person. These often include mood disorders. Sleep and mood walk hand in hand, and so anxiety and depression are important to identify and treat if present. We also want to make sure someone's not suffering from chronic pain or other conditions that might be impacting their sleep. So, I take a broad approach. I ask the same questions to each patient that comes to see me. I wanna make sure I'm not missing some of these details. And then some of these folks will require testing to further understand their sleep. Others may move on to a different therapy, and long-term may require even other interventions, including medications, to fully resolve their condition.  Dr Grouse: You mentioned in your article circadian rhythm sleep disorders. How often are these really a factor in patients with chronic insomnia? And do you think that's something that we as kind of first-line clinicians should be screening for as well?  Dr Peters-Mathews: So delayed sleep phase syndrome is the most common circadian disorder, and these are folks who are night owls by nature. They often develop their sleep patterns, as teenagers, if not before, and they may fade away in the working years but come back in retirement age. I would say that's a very common condition. It may affect as many as one in ten people. The other circadian disorders are pretty uncommon, so advanced sleep phase syndrome, where somebody is sleepy early and waking too early, that may only affect one in three hundred people. There are other conditions that affect specific populations, like non-twenty-four circadian pattern affects blind people. Typically, half of blind people have that condition. There are conditions that affect the regularity of sleep, so an irregular sleep-wake pattern that might occur more in folks with maybe an advanced dementia. So, there are populations where these conditions can be fairly common, but among the general population, that night owl tendency is by far the most common.  Dr Grouse: That's really helpful. And just taking a step back, why is insomnia bad for us? So, we worry about this in our patients. We know it can make neurologic issues worse. But in general, like, what are the reasons that having poor sleep can affect our health? Dr Peters-Mathews: Yeah, and it's not enough hours, certainly quantity, but also quality of sleep that matters. And I tell people that sleep is a pillar of health, just like nutrition and exercise. It's the other main contributor to our health and well-being. And so, it has its fingers in almost every aspect of our health. Insomnia on its own is a risk factor for other psychiatric conditions, including depression, anxiety, even disorders like bipolar and schizophrenia. Folks with insomnia are more likely to have alcohol or drug abuse issues and are at higher risk for things like chronic pain, suicide and, and social and occupational dysfunction. So, it's a disorder that has a really profound effect on how someone functions during the day, and again, may take a toll on their health over time.  Dr Grouse: That makes sense, and I would assume that there are certain populations within our neurology practices where we should really be attuned to the risk of insomnia. Are there specific populations you'd recommend really make it a habit of screening for insomnia?  Dr Peters-Mathews: I was joking with someone recently that anyone with a neurological nervous system can have issues, impacted by poor sleep. There are certain groups, so chronic headache patients are perhaps one that might warrant a further evaluation and management. Folks with multiple sclerosis or Parkinson's may have physical conditions that lead to more discomfort in sleep, fewer movements of their body in sleep, issues around nocturia that would disturb their sleep. Certainly, those with dementia, Alzheimer's disease and other dementias. Parkinson's and Lewy body dementia overlap a lot, as does multiple system atrophy. That can point us towards other conditions like REM sleep behavior disorder, but also insomnia can be an important feature of those disorders as well. And then folks with stroke often have disturbance to their sleep and may develop insomnia after experiencing a stroke. So those are specific populations where I think the yield is high to be looking for insomnia and other sleep disorders.  Dr Grouse: Yeah, that makes sense. I think a lot of us think of insomnia as almost like, make sure we're not missing this as sort of a mimic of the problem, when in fact it's probably just more part and parcel of the problem and something we need to be thinking about treating as part of their disorder. So helpful to think about it in that light, at least in my own mind. Now, I want to get a little bit back to some of the therapies you've recommended, and I think first just stopping again at sleep hygiene. Your article has a really great list, I think, of sort of like a checklist of actions that people should be taking to make sure that they are managing their sleep hygiene well. And I definitely recommend our listeners look to that. How often do you think that focusing on sleep hygiene helps when you get a patient who says, "Hey, I have got terrible sleep. You know, what do I do?"  Dr Peters-Mathews: It's pretty common for people to have access to this information through their own reading online, and most folks have worked through this by the time they've come to see me, and often a primary care provider or specialist may have given some of this guidance as well. It's pretty rare for them to not recognize something as obvious as having caffeine too late in the day by the time they're coming to my attention. The sleep hygiene generally is used as a control when we do research to look at how something like medication is working or CBT-I might be working. It's the comparative control. It's almost like the null intervention. So, it's not highly effective, and if folks are not finding it helpful, they've made those adjustments to their sleep environment or their habits, and they're continuing to have issues, there's typically more that needs to be done, and that's where CBT-I really comes in as a strong intervention for those people.  Dr Grouse: And then getting on the topic of CBT-I, so helpful. I'm really glad that your article spent a lot of time talking about it as really a truly high-yield, great intervention for insomnia. And I really felt that the question shouldn't be: When is cognitive behavior therapy for insomnia helpful? But like, when isn't it helpful? What are your thoughts about that?  Dr Peters-Mathews: Yeah. I always point out that the American College of Physicians has recommended CBT-I for adult patients as the initial treatment for chronic insomnia even before the use of a medication for nearly ten years. That recommendation came out in July of 2016. So, there are folks who may not be good candidates for it, who may be screened out because of other conditions that they have, and there certainly are folks who don't do as well with CBT-I. And adherence is important. Somebody needs to be able to follow the instructions and apply that to their lives. And certainly, there are a number of things that could interfere with that compliance. I would say untreated anxiety and pain are two things that often trip people up. It's like running a race with a broken leg. Despite their best efforts, if those are not addressed, they will continue to have issues around insomnia. And then one thing that often is unrecognized and may be missed is untreated sleep apnea. That is a common contributor to a chronic insomnia, especially in older folks, women beyond the age of menopause and men even starting in middle age, thirties and forties. We don't want to miss sleep apnea. Even insomnia that's, "I can't fall asleep at the beginning of night," that could still be sleep apnea, so that's something I really emphasize with my patients.  Dr Grouse: Really great reminder about sleep apnea for sure. Something that always is beneficial to make sure we are not missing. Oftentimes I'll bring up a CBT for insomnia, and what is that? Like, what would we actually do, and what is a high-level overview of what happens with CBT-I?  Dr Peters-Mathews: Yeah. So, I generally tell my patients that this is a six-week program. It's a structured program, almost like a boot camp for sleep, in which we are addressing underlying causes, recognizing what those are and, and working through those underlying causes. There is often tracking using a sleep log or sometimes wearable data.To guide decisions that are made in the program. It's very goal-directed, science-based therapy. We often introduce concepts around sleep drive, circadian rhythm dealing with a busy mind at night. There's concepts of mindfulness and relaxation training that are introduced. People often are able to taper or stop using sleeping pills as part of this therapy. And the nice thing is they walk away with a set of skills that they can apply the rest of their lives to sleep more normally. And so, there's good research that suggests even years after someone's completed a CBT-I course, they continue to sleep more normally. They have the tools that they need to sleep better even years beyond that education.  Dr Grouse: You know, this just sounds so great. It almost sounds like why wouldn't someone benefit from this? But of course, like I would imagine many institutions experience, I've definitely run into difficulties with access for my patients for CBT-I, and we have long wait lists. And I imagine there's many places where there just aren't even any specialists that patients can get to, to help with this. What are the resources that our listeners can take advantage of for their patients to get access to these types of therapies?  Dr Peters-Mathews: So, one thing I tried to really emphasize in the article is that there are resources that can be drawn in. I'll give you some examples. So, at our institution, we have three sleep specialists, full-time sleep specialists, who trained at Stanford to become CBT-I specialists, and so we have more resources than probably most institutions would have. We do shared medical appointment workshops so that we can manage the number of patients that we have to see. And, and unfortunately, not everybody has that opportunity. You might plug into resources in your community, and one of the resources I point to in the article is the International Directory that's managed by the University of Pennsylvania that has eight hundred and seventy-five CBT-I specialists listed with contact information, et cetera. And I think that's an amazing opportunity to access this therapy. Unfortunately, there are countries and certainly states that do not have a specialist, that there's no one in the state that provides this therapy. And then we need to extend other resources, and that could be online treatment programs that can be done independently, bibliotherapy, so accessing books that could guide people through the therapy, even accessing other apps and maybe even wearables that pair with an app that could provide some of this guidance. The Veterans Administration worked with Stanford and worked with the National Center for PTSD and developed an app called CBT-I Coach that is free and can be downloaded and, and gives, I think, good education, good guidance. So, there are resources that exist. It's somewhat finding what might work for your individual patient, how they're preferring to access this or their learning preferences. Do they want to read a book or not? And getting them into the right pathway.  Dr Grouse: And I think that gets me into a whole other Pandora's box of the fact that they're already out there in the world are tons of different apps, wearable devices, all sorts of things that promise that they can help us with sleep, some that may have more, I think, data and evidence behind them than others. Do any of these apps or wearables in your mind show promise in our patients helping our patients track and diagnose and manage their insomnia?  Dr Peters-Mathews: Yeah, there's a lot out there, and unfortunately, some of these devices actually can make sleep worse. People can develop a condition called orthosomnia or straight sleep, where they're trying to perfect their sleep and their sleep numbers, their metrics, and the wearables feeding them data that they continue to try to improve upon. And that fixation on those metrics can actually make their sleep quite a bit worse. A lot of these wearables and apps and other resources have not been well-studied. There's not research trials showing outcomes comparing to other standards of care. I would say the basic guidance of CBT-I, which many of these programs are based on, I think will be helpful to the majority of folks who are able to engage and complete that education. A lot of these are not dependent on that sort of framework or structure so that we may not actually be using the standards of CBT-I to try to improve sleep. They may be connecting you with other resources, like listen to this sleep story or this relaxation file or do some meditation, et cetera, which again, may be of some benefit, but it is not the same as a structured CBT-I experience. So, I think there are a few good resources that we highlight within the article, and I think there are probably others coming that may give individuals a more individualized, directed approach to managing their sleep issues. But it's almost like going to the App Store and there's thousands of apps. It's hard to know which one might be most based on science or the most beneficial to that individual.  Dr Grouse: Well, I really appreciate in your article that you did have a great list of apps and things along those lines to try, so I do encourage our listeners to check that out as well. Some really, really great resources there in the article in many different areas. Now, I wanted to turn the conversation to a slightly different thing, which is medications for insomnia. Now, when are medications appropriate for treating insomnia? When should we be thinking about turning to these for our patients?  Dr Peters-Mathews: So again, we would suggest that CBT-I would be first, and that failing improvement with CBT-I, that medications would be extended to a person affected by insomnia. And over-the-counter options as well as prescription medications might be used. Unfortunately, that's not how things unfold in the real world. Many people are jumping to medications first, whether that be an over-the-counter supplement or other medication, or they're seeing primary care and other specialists who's providing them a prescription for sleep aid. So there's data from the CDC going back to twenty twenty that suggests that about six point three percent of adults were taking a sleeping medication every day in the months prior to the survey. And women who were older than sixty five, white women, were more likely to be using a sleeping medication every day. That number was 13.5 percent of those surveyed. So, lots of folks are on medications, and certainly melatonin is widely used. Unfortunately, it's not regulated by the FDA in a sense that we don't have exact concentrations controlled. So, people can take melatonin that has no melatonin in it. They might take melatonin that's forty or more times the dose. There's variance within lots from the same manufacturer. There's a lot of trouble knowing exactly what you're getting when you try to take something like melatonin over the counter. Other sleep aids that we might reach to over the counter, like variants of diphenhydramine or doxylamine, and these are often the PM drugs that we think about. They have risks associated with population-based studies which suggest risk of dementia, risk of falling, risk of mortality with these drugs, especially in older populations. So again, that would give us potentially pause. The prescription medications that we go to, there are some that the American Academy of Sleep Medicine would recommend as more beneficial than harmful, and some are good for both initiating and maintaining sleep. Some have such a short half-life that they're really best as initiation drugs. And then others are better for maintenance of sleep, so reducing awakenings and wakefulness in the night. My own individual take, often people are coming to me on medications, typically over the counter, but often prescriptions, and have even tried and failed many of those medications before they finally come to see a specialist. And so, I don't often reach to medications until I've exhausted CBT-I, until we've completed a sleep test to make sure we're not missing something like sleep apnea, until we've ruled out some other potential contributing causes. But there are patients I have who really will not sleep without medication support and sometimes even multiple medications that work in complementary ways to try to normalize their sleep. And so, in some cases it is necessary, but it is not meant to be a first line for anyone.  Dr Grouse: Yeah, and I think all of our listeners can relate to the fact that we often see patients who've been on sleep medicines for many, many years and take them every night. It's good to know that there is sort of a procedure here to consider and perhaps again, back to the plug to CBT-I as being the right starting point to see if there's some that we can help get off of these meds, although, as you mentioned, maybe not always going to be successful. Well, I really appreciate our conversation about this. It's been really great to read this article about insomnia. Again, I encourage our listeners to check it out. Some really great resources for many different therapies, thinking about other alternative diagnoses and different medical conditions where insomnia really needs to be considered. And I really appreciate you writing this article. It's been a pleasure to talk with you today.  Dr Peters-Mathews: It's my pleasure to share this information with folks, and I hope that you find it useful in your clinical practice or even your personal life as the need arises.  Dr Grouse: Again today, I've been interviewing Dr. Brandon Peters-Mathews about his article on insomnia. This article appears in the August 2026 Continuum issue on Neurology of Sleep. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining today.  Dr Monteith: This is Dr. Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audiocme. Thank you for listening to Continuum Audio. 

Dr. Lulu Merle Johnson was the first Black woman to receive a Ph.D. from the University of Iowa and went on to build a distinguished career in higher education. In 2020, she was made the new namesake of Johnson County. We talk with her great-niece, Sonya Jackson, the lead consultant on the Dr. Lulu Merle Johnson project, and project historian Rebecca Conard. Then, poet and artist Dave Morice, known to many as Dr. Alphabet, died after a long battle with Lewy body dementia. We speak with his son Danny Maurice about the impact of his words and how he is being remembered in Iowa City.

Have you ever noticed your loved one with dementia is calm, nothing seems to be wrong, and then the moment you shift your attention to someone else they completely change? They get demanding, upset, anxious, or jealous that you are not there giving them attention. It can feel like they cannot stand not being the center of your attention, and understandably that leaves you feeling frustrated, resentful, and confused. It is not jealousy. It is not manipulation. In this episode I share two real life examples of this, explain what is happening in the brain that causes it, and walk you through what actually helps when your attention has to go somewhere else. If you'd like to see this episode on video, you can hop on over to my YouTube channel here. → Learn about the Care Collective: https://tinyurl.com/podcast-cc    ⏱ CHAPTERS 0:00 - When your attention shifts and everything changes 1:16 - Two real life examples from Careblazers 2:52 - Why this is attachment distress, not jealousy 5:07 - Why it feels so personal, and a reframe that helps 5:54 - What actually helps when you have to step away   → My new book, The Dementia Care Toolkit is officially available for pre-order. ➡️ Preorder your copy here: https://careblazers.com/toolkit → Get free weekly tools and tips in my newsletter, The Dementia Dose: https://tinyurl.com/dementiadose-podcast    --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

The 2026 AFL Fantasy season is complete! Heff is joined by Lewy for the final Keeper League Podcast episode of the year, reviewing Round 24 and wrapping up the season from a draft and keeper league perspective.Grand Finals have been run and won. Heff recaps his loss in the Shiva before speaking to both grand finalists from the home league. After years of near misses, did Kaes finally claim his first premiership - or did he walk away again as the bridesmaid?Sam Swadling finished the year with another huge performance, scoring 110 points from 32 disposals, six marks and a goal. After spending time across the wing and defence—and even taking a couple of kick-ins—does he have all the ingredients to become a genuine long-term fantasy option?Roan Steele continued his strong finish to the season with 87 points from 24 disposals, five marks and three tackles. He averaged almost 80 across his final three matches, but is his outside role enough to make him worth investing in ahead of 2027?Hugh Boxshall backed up last week's breakout performance with another tonne, finishing on 108 points from 17 disposals, nine tackles and three goals. With consecutive scores above 100 and an opportunity in St Kilda's midfield, is he shaping as one of the most intriguing young keeper prospects heading into next season?We also work through plenty of other names worth monitoring, including Beau Addinsall, Angus Anderson, Logan Morris, Billy Wilson, Harrison Petty, Joel Fitzgerald, Mitchell Edwards, Seth Campbell, Daniel Curtin, Will Setterfield, Jai Serong, James Rowbottom, Jesse Dattoli, Milan Murdock and more.As always, it's about working out what was real, what was role-driven, and which performances should influence your keeper decisions for 2027.Thanks to everyone who listened, followed, shared the show or became a member throughout the 2026 season. We'll see you again next year!Become a Keeper League Podcast member:https://keeperleaguepod.com.au/keeper-league-membership/Join our Discord:https://discord.gg/APjqvT22zePlay FootyNumbers:https://footynumbers.comPlay FootyHeads:https://footyheads.com

“No one is going to care about your project as much as you do.” Steven Weissman is Vice President and Head of CMC at Cognition Therapeutics, a small pharma company outside New York City developing CT1812, a neurodegeneration candidate now through three Phase 2 trials in Alzheimer's disease, Lewy body dementia, and dry AMD. He spent 18 years in the process chemistry groups at Merck before moving into the small pharma space, where he has managed CMC functions at Concert Pharmaceuticals, Lexicon, and now Cognition Therapeutics.In the latest PharmaSource podcast, Steven explains how small biotechs can build a manufacturing supply chain from scratch, why cost of goods is a lever most teams pull too late, and what working on drugs that made it to market, and some that didn't, taught him about when to invest in process development.Read the full article.

Caring for someone with dementia can feel overwhelming, especially when you're not sure where to turn for help. In this episode, I'm sharing several places dementia caregivers can go for support, guidance, and resources, plus one important step families often wait too long to think about. You do not have to wait until there's a crisis to start getting help.  The Dementia Care Toolkit is officially available for pre-order. This book was written for the real-life moments of dementia caregiving, the moments when you're overwhelmed, unsure what to do, and need something practical to reach for. ➡️ Preorder Your Copy Here: https://careblazers.com/toolkit  ⏱ CHAPTERS  0:00 - Two questions from a recent podcast interview 0:38 - Why you don't need to wait until you need help to ask for it 1:01 - Four places to turn for help after a dementia diagnosis 3:37 - What to do the very next day if your loved one was just diagnosed #dementia #dementiacaregiver #caregiverburnout #dementiacare --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

PODPOD Team NamesHolmesy - HolmesysheroesLewy - Hawk Tuah (Pittonet Thang)Harmey - Hirdy's HeroesSam - Mandaclawrian FCJordy - AIRJORDANPODPOD Challenge - Join the community!League code: JXR8EF6MAsk me on Qu Podpodafl has once again partnered with Qu platforms in 2026 to help answer your afl fantasy questions During the season - Selby and Holmesy will be recording a podcast late in the week to answer general questions and themes For a guaranteed answer and to help support the PODPOD, for a small fee you have the ability to have a personalised audio response to your afl fantasy questions There is the ability for full team reviews, questions on individual players and during the season there is the ability to ask trade questions, vc/c options and many more Head to https://askmeonqu.com/podpodafl now!The PODPOD is brought to you by Moreira's Magic in 2026. All Holmes Files episodes will be available exclusively as a part of the 2026 Season Guide. As well as the podcasts, the Season Guide will also include: Weekly pod with Selby and Xavier Ellis Thursday night pod with Holmesy and Selby after teams are released Player stats Team stats Market Share CBA analysis Much more!The guide is now live! A must have for any serious Fantasy coach head over to moreirasmagic.com.au/ to subscribe in-season now!Follow us on X:The PODPOD: @podpodAFLHolmesy: @HolmesysheroesLewy: @AFLewyHarmey: @jonharmeySam: @grillis03Jordy: @jordandsenaDossy: @HKdos

In this episode of Next Steps 4 Seniors: Conversations on Aging, we sit down with Erica Ancel of Next Steps 4 Seniors for an important conversation about the realities of caring for someone with dementia—and caring for yourself along the way.Caregiver stress is real, and it can take a toll mentally, physically, and emotionally. Erica shares practical guidance for navigating behavioral changes, sundowning, and the unpredictable nature of dementia, including Lewy body dementia, while remembering an important truth: the disease may change behaviors and memories, but the person you love still needs safety, connection, patience, and understanding.We explore ways caregivers can prevent burnout, build a support network, make time for meaningful respite, and focus on quality time—not just caregiving tasks. Erica also discusses the importance of hydration, movement, social connection, faith, and the power of simply being a calm, reassuring presence.Caregiving was never meant to be done alone. Give yourself permission to ask for help, take a break, and care for yourself, too.Above all, keep showing up with love.About Next Steps 4 Seniors: Conversations on AgingConversations on Aging brings together trusted experts, practical resources, and meaningful conversations to help seniors and their families navigate aging with greater confidence.Need help finding the right senior living or care options? Next Steps 4 Seniors provides personalized guidance and support to families at no cost.

If you have taken the car keys, stepped in on the checkbook, or said no to something your loved one with dementia badly wanted, you already know what comes next. They are hurt. They are angry. And they are angry at you. I want you to hear this first. Their unhappiness is not a report card on your caregiving. This is one of the hardest parts of dementia caregiving, because it does not just feel hard. It feels like proof you are getting it wrong. And that is exactly what it is not. In this episode I explain why trying to keep your loved one happy all the time puts their safety at risk, what it costs you on the days you have nothing left to give, and the one response almost every Careblazer skips, because we are so busy looking for the dementia response when what we really need is the human response. The Dementia Care Toolkit is officially available for pre-order. This book was written for the real-life moments of dementia caregiving, the moments when you're overwhelmed, unsure what to do, and need something practical to reach for. ➡️ Preorder the Dementia Care Toolkit Here: https://careblazers.com/toolkit  → Join the Care Collective: https://tinyurl.com/podcast-cc  → Get free weekly tools and tips in my newsletter, The Dementia Dose: https://tinyurl.com/dementiadose-podcast  ⏱ CHAPTERS 0:00 - Why them being upset with you does not mean you failed 1:27 - Reason one: the things you take away to keep them safe 3:36 - Reason two: what saying yes every time costs you 5:23 - Reason three: the human response we skip 8:03 - What it means when they are sad and you cannot fix it #dementia #dementiacaregiver #caregiverburnout #dementiacare --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

Obstructive sleep apnea affects approximately one in four adults and is especially common among patients with neurologic disorders, including stroke, Parkinson disease, dementia, epilepsy, and neuromuscular conditions. In this episode, Dr. Stephanie Stahl discusses why neurologists should routinely screen for OSA, highlights key symptoms and risk factors, reviews important considerations when interpreting sleep studies, and outlines current treatment options beyond CPAP. Learn how recognizing and treating sleep apnea can improve quality of life, optimize management of neurologic disease, and reduce long-term health risks. In this episode, Aaron L. Berkowitz, MD, PhD, FAAN, speaks with Stephanie M. Stahl, MD, FAASM, author of the article "Obstructive Sleep Apnea" in the Continuum® August 2026 Sleep Neurology issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology in the Department of Neurology at the University of California, San Francisco, in San Francisco, California. Dr. Stahl is an Associate Professor of Clinical Medicine and Sleep Medicine Fellowship Program Director at Indiana University School of Medicine in Indianapolis, Indiana, where she also serves as Sleep Laboratory Medical Director in the Division of Pulmonary, Critical Care, Sleep, and Occupational Medicine. Additional Resources Read the article: Obstructive Sleep Apnea Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @AaronLBerkowitz  Full episode transcript available here Dr Berkowitz: Obstructive sleep apnea is very common. It can cause or contribute to common neurologic symptoms, such as headache and impaired cognition, and it's a risk factor for stroke. And yet, if you're like me, you may not know too much more about sleep apnea than that. Today, I have the pleasure of talking to sleep expert Dr. Stephanie Stahl to learn what every neurologist should know about OSA.  Dr Jones:  This is Dr. Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast.  Dr Berkowitz: This is Dr. Aaron Berkowitz. Today I'm interviewing Dr. Stephanie Stahl about her article on obstructive sleep apnea. This article appears in the 2026 Continuum issue on Neurology of Sleep. Welcome to the podcast, Dr. Stahl, and could you please introduce yourself to our audience?  Dr Stahl: Yeah. Thank you for having me. I'm a sleep medicine physician and neurologist and medical director of the Indianapolis Sleep Lab at Indiana University Health. I serve as the director of the Sleep Medicine Fellowship program. I'm faculty advisor for our very first student interest group in sleep medicine at Indiana University School of Medicine. I'm also actively involved in some national leadership roles, including the incoming chair of the American Academy of Sleep Medicine's Education Committee and co-chair of the Academy's Inter-Scorer Reliability Gold Standard Panel. So, I really appreciate this opportunity. I look forward to our discussion.  Dr Berkowitz: Me too, and we appreciate the opportunity too to get to talk to you. You have so much expertise in this area, and I certainly encourage our listeners to look at your article, which is very comprehensive and up to date, and I learned a ton from it. I didn't get much exposure to sleep neurology as a trainee, and I've always worked in academic centers where we have a sleep group and we can refer patients there. So, I have to admit, sleep may probably be the area of neurology I know the least about, and felt like I was learning something new from pretty much every line of your article, and I know our readers will too. So, your article has a lot of excellent detail for our readers on the diagnosis and treatment of this very common condition. But I'd like to keep our interview relatively high level today and focus on the essentials for the practicing general neurologist. So, to start, can you just give us a sense of what obstructive sleep apnea is, and what every neurologist should know about it?  Dr Stahl: Yeah. So obstructive sleep apnea is characterized by either partial or full obstructions in the upper airway. That may sound pretty simple, but this leads to a whole bunch of issues. It leads to oxygen desaturations, arousals from sleep, leading to sleep fragmentation. This can then lead to sympathetic nervous system activation, cerebral hypoperfusion, leading to a whole bunch of symptoms or neurologic conditions.  Dr Berkowitz: Great. And you mentioned this in your article, but just to emphasize, how common is obstructive sleep apnea in the general population?  Dr Stahl: Yeah. So, about a quarter of the general population have obstructive sleep apnea. Much more common in many neurologic conditions.  Dr Berkowitz: Yeah, so very common disorder. We are seeing patients with it quite frequently, whether that's the reason they are seeing us in neurology or not. And this leads to my next question, which is what neurologic symptoms or presenting concerns of a patient should make us think about OSA and the differential diagnosis, and what factors based on the history or the exam or the context would make you suspicious for OSA as the cause of a neurologic symptom? In other words, the patient's presenting with classic symptoms of OSA, and that's why they're seeing a neurologist or seeing a primary care doctor, but is coming for evaluation of, say, headache or other symptoms. And what symptoms would make you think of wanting to consider OSA, and then what aspects of the history or otherwise would make you want to evaluate the patient for OSA?  Dr Stahl: I think a really important takeaway is for neurologists to know that obstructive sleep apnea is very common in neurologic conditions and has that potential to worsen a lot of these conditions or their associated symptoms. And so, it should be on our radar. There are certainly some basic questions and signs and symptoms that we can ask patients about or, or take a look at on exam. And so particular symptoms include snoring. Anybody that snores loudly or frequently, that's a strong risk factor for obstructive sleep apnea. If someone's seeing them stop breathing in their sleep, if they are waking up a lot throughout the night. There are some other symptoms that we may not necessarily attribute upfront to obstructive sleep apnea, such as nocturia, nocturnal reflux, night sweats. There are some daytime symptoms, of course, too, like unrefreshing sleep, daytime sleepiness, morning headaches, an important one in neurology. And then we take a look at the patient's exam. And so, some things that neurologists might want to be thinking about are people with obesity are certainly at a risk for obstructive sleep apnea. But it's also very important to know that someone does not need to have obesity in order to have obstructive sleep apnea. We look at neck size, other morphologic characteristics, such as how much that we can see in the back of their mouth. Can we see their uvula? Does their tongue size appear large in their mouth? And then some other risk factors too, such as male gender, older age, family history, post-menopausal state in women. All that being said, though, sometimes in neurologic conditions, we don't have all of those symptoms or risk factors to be thinking about. And so, in certain neurologic conditions such as stroke where obstructive sleep apnea is very common and has the potential to increase the risk of another stroke, we may need to be thinking about testing these patients even with minimal symptoms or other risk factors.  Dr Berkowitz: That's very helpful. So, you mentioned their headache might be the presenting symptom, right, to a neurologist, and we should certainly be thinking about obstructive sleep apnea as a potential diagnosis, even the cause of the patient's headache, particularly you said patients with morning headache. I often try to think about in patients presenting with, for memory loss, or other cognitive concerns, and that may be due more to inattention from poor sleep, so asking about sleep and symptoms of sleep apnea in those contexts. Are there any other presenting neurologic symptoms not particularly related to sleep? I'm thinking of headache, memory loss, other symptoms that would make you think, "Oh, I should actually screen this patient for sleep apnea also."  Dr Stahl: Yeah, other symptoms to think about in pediatrics, hyperactivity, people that have impaired vigilance, as you alluded to, that poor attention. Sometimes people get misdiagnosed with ADHD, and it's actually just a manifestation of obstructive sleep apnea.  Dr Berkowitz: You alluded to this, Dr. Stahl, that stroke, for example, patients are at higher risk of developing sleep apnea as a result of stroke, and it's also a risk factor for stroke. What other neurologic conditions, primary neurologic diseases, put patients at a higher risk of OSA? And again, similar to the last question I asked you, what are some clues that we should evaluate for? We might be following a patient for their post-stroke care over time and not necessarily thinking about diagnosing a separate condition in them since we're following them for their stroke or their degenerative disease. What are the conditions that put patients at a higher risk of OSA as a result of the condition, and then when would you think about screening them for it?  Dr Stahl: Some particular neurologic conditions where obstructive sleep apnea are very common, in addition to stroke and, and TIA, include Parkinson disease. It can worsen a lot of the motor, cognitive symptoms, sleep disruption that we can see in Parkinson disease. Very common in all causes of dementia, but in particular Alzheimer disease and Lewy body dementia. Very common in neuromuscular conditions. We should definitely have obstructive sleep apnea and all forms of sleep-disordered breathing high on our radar. In conditions like myotonic dystrophy. Charcot-Marie-Tooth is another one where obstructive sleep apnea is very common. Myasthenia gravis, it can worsen the symptoms of that. In particular, a pearl is if somebody has morning weakness in myasthenia gravis, obstructive sleep apnea should be high on your radar. And also, as you mentioned, any forms of headaches. There are some other things too. If somebody has poor seizure control, especially nocturnal seizures, you might have obstructive sleep apnea on your radar as well.  Dr Berkowitz: So, I think you've covered essentially every category of neurologic disease, right? We have cerebrovascular, movement, neurodegenerative, neuromuscular, epilepsy, all conditions where either the disorder itself, such as stroke or the, correct me if I'm wrong, the neurodegenerative disease puts the patient at risk. Or the patient may be at risk for exacerbations of their disease, as you mentioned in myasthenia. I love that pearl. Not fatiguable at the end of the day, but if the patient with myasthenia is telling you they're feeling weaker at the beginning of the day, then think about obstructive sleep apnea and that obstructive sleep apnea worsening control of epilepsy due to poor sleep. So really a lot of bidirectional interactions with this common condition. Okay, so if we're concerned about obstructive sleep apnea, again, myself, a general neurologist speaking perhaps on behalf of other general neurologists, we see a patient with headache or reporting memory loss that we find to be impaired attention, or we see exacerbation of their underlying primary neurologic disease. As you mentioned, we think, "Oh, I've listened to this podcast. I've read Dr. Stahl's article. I should probably be thinking about OSA in this patient, and I should order a sleep study." Now, I admit when I get the sleep study back, I scroll to the bottom, I see they do have obstructive sleep apnea, I'm going to send them over to a sleep specialist. But for the general neurologist, what are some high-yield pearls and some pitfalls to be aware of when we get sleep studies for obstructive sleep apnea, and we are looking at the results? Dr Stahl: The first thing is to understand that there are two main types of sleep studies: in-lab polysomnography and home sleep apnea test. In-lab studies are typically what we consider the more accurate type of study. Main reason for that is that we have EEG, so we can see if someone is awake versus asleep. Most home sleep apnea tests do not utilize EEG, and so when we're looking at respiratory events, apneas or hypopneas, we're looking at over the total recording time rather than the total sleep time. So, we know we're going to capture some time where a person is awake, where we don't have sleep apnea events, and that can be a big amount of time in people with insomnia, poor sleep efficiency. And as a result of that, it can lead to an underestimation of the apnea-hypopnea index. That's really important for people to understand that that means we can end up with a false negative home sleep apnea test, or it can put them in a category of lower severity than what they actually have. And so, if you get a home sleep study report back that's negative for sleep apnea and you remain concerned, you need to go on to do an in-lab study, where about twenty to fifty percent of people will go on to have a positive in-lab study. You can also get false positives with home sleep apnea tests too, and so ideally, we should only be doing home sleep apnea tests in people that are at high risk of having obstructive sleep apnea to decrease our chance of false positive study. When we get that sleep study report, what's important to take a look at? So the main number that we look at currently is the apnea-hypopnea index. The number of apneas, which are full obstructions in that upper airway, or hypopneas, partial obstructions in the upper airway where either there's an oxygen desaturation or an arousal associated with that. Less than five is considered to be normal. Anything five or more gives them a diagnosis of obstructive sleep apnea, and then we stratify them based on the AHI. But it's important to take a look at more than just the apnea-hypopnea index. And while my eyes too on various reports like echocardiograms want to jump to the impression, it is important to take a look at that full report, see what their oxygen levels averaged and what they dipped down to. The arousal index, which is how many times a patient may have woken up briefly throughout the night. Take a look at the histogram, usually an image at the bottom of their report that shows what sleep fragmentation may have been like so that you can take that all in and make that decision. How important are these study findings, and is this a person that would benefit from treatment?  Dr Berkowitz: That's a fantastic overview of sleep studies and some of the highlights to look out for, even if we won't be understanding every detail as you would to know most importantly the caveats about home sleep testing having a fairly high percentage of false negative and false positive results. So being wary if our suspicion is high, and that test is normal or inconclusive to get an in-lab sleep study. And if our suspicion is low or maybe we haven't ordered the test and the patient has had it done elsewhere, and the history doesn't really match up to know that there are false positives on the home studies as well, and again, an in-lab study to settle the diagnosis. Is that right?  Dr Stahl: Yes.  Dr Berkowitz: Okay. Now, for most neurologists, probably if we diagnose OSA, we will be referring the patient to a sleep specialist like yourself for treatment. I think we're all familiar with CPAP and patients being on CPAP. Your article mentions a number of treatment modalities I admit I have not heard of before or maybe heard of in passing, acknowledging most general neurologists are not going to be prescribing or knowing with the nuance that you do as an expert how to decide which treatment a patient would most benefit from or most qualify for. So, can you just give us a broad overview, again, for the general neurologist acknowledging we might see a patient whose past medical history says OSA being treated with fill in the blank. What are the different treatment modalities, and how do you think, just so we can learn from you in broad brush strokes, about particular treatments for particular patients?  Dr Stahl: As you mentioned, most people are familiar with positive airway pressure or PAP therapy, and that does remain our most efficacious treatment. The way I explain it to patients is why PAP therapy is the most effective treatment is it's the only treatment that can take all of the tissues of that upper airway and open them up. Whereas all of our other treatments, we're going to target smaller spaces of that upper airway. So, our first option is if we can get somebody on PAP therapy, we know that that's going to be the best option for the majority. PAP therapy works by basically acting as an air splint to open up the air tissues. Know that masks are not interchangeable. There are masks that cover the nose and go over the nose and mouth and under the nose. Full face masks that cover the nose and mouth, they do typically require higher pressures, also tend to be less comfortable for a lot of patients as well. In addition to different PAP masks, there's different modalities of positive airway pressure therapy too. There are machines that auto-adjust, some that provide fixed pressure, bi-level PAP that provides a higher inspiratory pressure, lower expiratory pressure. Then outside of PAP therapy, there are, as you alluded to, a lot of options and more, continuing to come down the pipeline as well. Mandibular advancement devices or a form of oral appliances has been around for a while. This is device that somebody wears in their mouth. It's preferably customized for their teeth and titratable, meaning that they can make adjustments that pulls their mandible forward in relation to the maxilla in order to pull those tongue tissues further away from the back of the upper airway. That's ideally managed by a qualified sleep dentist or someone that specializes in oral appliance management. Other treatments include surgical options, including hypoglossal nerve stimulation, which is an implanted device that causes the tongue to protrude repetitively throughout their sleep period to hopefully open up the airspace. There's some other surgical options too that open up various places of the upper airway. There's a daytime treatment of obstructive sleep apnea, transoral neuromuscular electrical stimulation that changes the muscle fiber type of the tongue. And then there's some adjunctive treatments that can be helpful too, such as positional therapy, oral facial myofunctional therapy that helps a person breathe better through their nose and may help train the upper airway muscles.  Dr Berkowitz: Great. Well, that's a very helpful overview, and again, I refer our listeners to your article, which talks about all of those modalities in very comprehensive detail. So, Dr. Stahl, as we wrap up our conversation, you have a captive audience of neurologists and neurology trainees here. What would you like to leave us with that every neurologist should know about obstructive sleep apnea?  Dr Stahl: The most important, again, is for neurologists to know that obstructive sleep apnea is so common in your patient population, and it can have a significant negative impact on quality of life and health, including many neurologic conditions. And at the same time, obstructive sleep apnea is very treatable. We have so many options nowadays that we can usually get someone onto adequate treatment. And treatment has that potential to improve several neurologic symptoms and disorders, even at times when you don't think that there's an opportunity to improve symptoms such as say in, headache. So, neurologists really should be screening for signs and symptoms of obstructive sleep apnea, as well as considering testing in high-risk, potentially asymptomatic or minimally symptomatic patients.  Dr Berkowitz: That's a fantastic overview of some of the many pearls that you shared with us today, as well as in your article. So, thank you so much again. Today, I've been interviewing Dr. Stephanie Stahl about her article on obstructive sleep apnea. This article appears in the August 2026 Continuum issue on neurology of sleep. Be sure to check out Continuum Audio episodes from this and other issues. And thank you so much to our listeners for joining today, and thank you again, Dr. Stahl.  Dr Stahl: Thank you again for having me.  Dr Monteith: This is Dr. Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.  

If you've ever felt like every appointment, every follow-up, and every ounce of attention goes to your loved one with dementia while nobody ever asks how you're doing, you're not imagining it. Dementia care as a system was built around the person with the diagnosis, not the person keeping them alive day after day. And it's not just that you get overlooked. Most of what we call dementia care is reactive, waiting for a crisis before it teaches you anything, and even the best behavior advice skips right over the grief you're carrying underneath it. In this episode I break down the three ways dementia care gets it completely backwards, and what actually changes the moment we stop waiting for things to get worse.  The Dementia Care Toolkit is officially available for pre-order. ➡️ Preorder the Dementia Care Toolkit Here: https://careblazers.com/toolkit This book was written for the real-life moments of dementia caregiving, the moments when you're overwhelmed, unsure what to do, and need something practical to reach for. ⏱ CHAPTERS 0:00 - The 3 ways dementia care gets it backwards  1:00 - Backwards #1: all the focus goes to your loved one, not you 2:20 - Backwards #2: the system waits for a crisis instead of preventing one  4:44 - Backwards #3: behavior advice skips the grief underneath it 7:13 - What changes when we stop waiting   → Join the Care Collective: https://tinyurl.com/podcast-cc  → Get free weekly tools and tips in my newsletter, The Dementia Dose: https://tinyurl.com/dementiadose-podcast    --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

It's time to dive deep into one of the most challenging and emotionally charged topics faced by families and caregivers: navigating the conversation around driving with dementia. Our guest, Robin Rountree, Director of Communications and Marketing for the Alzheimer's and Dementia Resource Center and host of the Informed Aging Podcast, shares her personal and professional journey inspired by her mother's battle with Lewy body dementia.We explore why driving is often the last vestige of independence for older adults and discuss the immense skills and mental load required for safe driving—skills often diminished by cognitive changes. Robin and our host unravel the emotional barriers families encounter, such as denial and guilt, and the complex balance between preserving dignity and ensuring safety for everyone on the road.With humor, vulnerability, and firsthand insights, this episode is a must-listen for anyone supporting an aging loved one through difficult decisions about independence and safety. Tune in for guidance on starting the conversation, protecting both your loved one and your peace of mind, and ensuring the well-being of everyone on the road.SeniorLivingGuide.com Podcast sponsored by LivDry & TerraBella Senior Living Join Robin on the Informed Aging Podcast The background music is written, performed and produced exclusively by purple-planet.com.https://www.purple-planet.com/*SeniorLivingGuide.com Webinars and Podcast represents the opinions and expertise of our guests. The content here is for informational and educational purposes. It does not necessarily represent the views, recommendations, opinions or advice of Fairfax Publishing/SeniorLivingGuide.com or its employees

Ryan Ashton, known online as @ryanashtonwashere, joins me for a remarkably honest conversation about losing his father to Lewy body dementia, the strange shape of anticipatory grief, and what happened when a deeply personal video took him from 300 to 39,000 followers overnight; now almost 150,000.We talk about the pressure to turn vulnerability into a business, protecting people's trust in a world full of grifters, and how yoga offered Ryan a presence of mind he hadn't found elsewhere—until filming it began to turn practice into performance. A moving, funny and refreshingly unpolished conversation about identity, loss, masculinity and learning to sit beside someone without trying to fix them.“You only get one shot at people's trust. Abuse it once and it's gone.”MAKE SURE YOU FOLLOW US@adamhusler - https://tr.ee/b8QKyF@centredstates - https://tr.ee/i1PXpTPERKS FOR YOU10% off Liforme yoga matswith code HUSLER10 10% off expert validated wellbeing brand at Healfvia this link10% off Colorful Standard clothingwith code ADAMHUSLERCS1020% offVivobarefoot shoeswith code ADAMHUSLER1515% off premium activewear brand Now You Live with code HUSLER15

The goals came. Robert Lewandowski scored his first goal for the Chicago Fire and then he added his second against Charlotte FC in their first home game since May. John and Tim talk about what went right for the Fire in the game that saw Lewy become the fourth Fire player to bag a brace in his home opener, adding to the list that Frank Klopas started in 1998.Surprisingly, it's John who decides that it can't be all sunshine and rainbows in Fire land, questioning how good the win was. That gets Tim to dig into into what Berhalter changed up and what it did to make everyone from Lewandowski to Djé D'Avilla look a lot better than they did last week at Yankee Stadium.

You made the hardest decision of your life and moved your loved one with dementia into memory care. Then you waited for the relief you were promised. It never fully came. You still feel completely wiped out after visits, even good ones, and no one has explained why. Placement changes the physical work of caregiving, but it does not turn off your nervous system, your grief, or the recovery your body still needs. In this episode I break down the three real reasons your exhaustion continues after a memory care placement, and what to actually do about it. If you'd like to see this episode on video, you can hop on over to my YouTube channel here. The Dementia Care Toolkit is officially available for pre-order. This book was written for the real-life moments of dementia caregiving, the moments when you're overwhelmed, unsure what to do, and need something practical to reach for. ➡️ Preorder the Dementia Care Toolkit Here: https://careblazers.com/toolkit ⏱ CHAPTERS 0:00 - Why the exhaustion hits even after a good visit 1:32 - The misconception that memory care makes things easier 2:34 - Why your nervous system stays on high alert 5:05 - The grief of losing someone who is still alive 8:59 - Three ways to support your own recovery → Join the Care Collective: https://tinyurl.com/podcast-cc  → Get free weekly tools and tips in my newsletter, The Dementia Dose: https://tinyurl.com/dementiadose-podcast    --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

You've probably seen the headlines about Ozempic and other GLP-1 drugs and Alzheimer's disease. One week it sounds like a breakthrough. The next, not so much.   A large study found a much lower rate of Alzheimer's diagnoses in people taking these medications. Then a major clinical trial published this year found something very different.   Neither one is wrong. And understanding why matters, especially if you're the one trying to make sense of it for your family.   In this video I walk you through what the research on Ozempic and other GLP-1 drugs actually found, the meaningful difference between preventing this disease and treating it once it's already there, and what this means whether your loved one already has Alzheimer's or you're a caregiver thinking about your own brain health. If you'd like to see this episode on video, you can hop on over to my YouTube channel here. → Join the Care Collective: https://tinyurl.com/podcast-cc  → Get free weekly tools and tips in my newsletter, The Dementia Dose: https://tinyurl.com/dementiadose-podcast    ⏱ CHAPTERS 0:00 - The Ozempic and Alzheimer's headlines everyone's seen 0:51 - The study that found a 40 to 70% lower Alzheimer's risk 2:09 - Why a diabetes drug could protect the brain 4:16 - The 2026 clinical trial that changed the picture 5:26 - Prevention vs. treatment: what the research actually means   #dementia #dementiacaregiver #ozempic #alzheimers #dementiaresearch   --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

We love to hear from our listeners. Send us a message. On this week's episode of the Business of Biotech, Matt Winton, Ph.D., Chief Commercial and Business Officer at CervoMed, talks about preparing for the late-stage development of neflamapimod in dementia with Lewy bodies (DLB) and commercial planning for an anticipated launch. Winton talks about CMC and manufacturing scale-up, partnership, communicating with regulators and the benefits of global regulatory alignment on protocols for the Phase 3 trial. He also talks about building value through HEOR and payer engagement in parallel with clinical development, and pricing in the context of policy changes and shifting global launch dynamics.           Access this and hundreds of episodes of the Business of Biotech videocast under the Business of Biotech tab at lifescienceleader.com.  Subscribe to our monthly Business of Biotech newsletter. Get in touch with guest and topic suggestions: ben.comer@lifescienceleader.comFind Ben Comer on LinkedIn: https://www.linkedin.com/in/bencomer/

If you're a dementia caregiver who barely recognizes yourself anymore, I want you to hear this before anything else: you are not broken, and you have not become a different person. Years of pouring everything into someone else can quietly erase the parts of you that existed before caregiving ever started. This isn't a personality change. It's what sustained, nonstop caregiving does to a nervous system. There is an actual name for what's happening to you, and once you understand it, it becomes something you can work with instead of something to fear.  In this episode I explain what's really going on in your brain after years of dementia caregiving, and I share four specific ways to start feeling like yourself again. If you'd like to see this episode on video, you can hop on over to my YouTube channel here. → Join the Care Collective: https://tinyurl.com/podcast-cc  → Get free weekly tools and tips in my newsletter, The Dementia Dose: https://tinyurl.com/dementiadose-podcast  ⏱ CHAPTERS 0:00 - Why dementia caregivers stop feeling like themselves 1:44 - The psychological term for losing your sense of self 2:47 - How suppressing your emotions changes your brain 4:40 - Four ways to start feeling like yourself again #dementia #dementiacaregiver #dementiacaregiving #caregiverburnout #selfcare   --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

Lewy is here! In Chicago! We have photographic proof! John and Tim are joined by special guest Andrew Claussen from Backheeled. The duo pick Andrew's tactical brain as they talk about hopes — and fears — for the Fire's biggest signing in history ahead of his all-but-certain debut on Thursday, along with what made Spain so good at strangling France's potent attack in a World Cup semifinal.Oh — and a game on Thursday! Andrew gets John and Tim to join in a chorus of saying complimenting Vancouver — and Andrew, unbidden, sneaks in a complement to the Fire in doing so. They talk about why this feels like a must-win even though with both teams at or near the top of their conferences, it isn't.

Are the books and magazines in your lobby designed for the brains you actually serve—or for the people who picked them out years ago?In this episode of Tips from Trestle, Aaron talks with Mindful Libraries co-creators Nikki Jardin and Laurette Klier to explore how dementia-friendly reading can transform resident engagement in senior living communities. They share the deeply personal stories behind Mirador Magazine and Nana's Books, born from caring for loved ones with young onset Alzheimer's and Lewy body dementia who suddenly lost access to the magazines, newspapers, and novels they once loved.You'll hear how accessible design, Atkinson Hyperlegible fonts, thick paper, and thoughtfully curated images make it possible for people living with dementia and mild cognitive impairment to enjoy reading again. Nikki and Laurette describe the Mindful Library concept: a beautiful, always-available reading nook that shifts activity programming from “doing” to “being,” creating organic, heart-centered connections over coffee, charcuterie, and conversation. They also share what it meant to see their publications used as teaching tools at Teepa Snow's Positive Approach to Care training, validating the impact Mindful Libraries can have for operators, caregivers, and families.If you're a senior living operator, activity professional, dementia caregiver, or public librarian looking to enhance engagement, this episode offers practical ideas for building inclusive, resident-centered reading experiences that feel like homeTips from Trestle is sponsored by:WiseOx: https://bit.ly/TFT_WiseOxDining With Dementia: https://bit.ly/TFT_DwD100% Leader: https://bit.ly/TFT_100#TFT520 #SeniorLiving #DementiaCare #AlzheimersAwareness #CognitiveWellbeing #ResidentExperience #MemoryCare #PositiveApproachToCare #EdenAlternative #AgingWithDignity #CaregiverSupport #InclusiveDesign #ReminiscenceTherapy #EngagedAging #DementiaFriendly #SeniorLivingFoodAndHospitality #TipsFromTrestle #ElevateTheExperience

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter Gayatri Devi is a nationally recognized neurologist specializing in memory disorders, including Alzheimer's disease and related dementias. In this episode, Gayatri explains how to think about dementia as a spectrum—including Alzheimer's disease, vascular dementia, Lewy body dementia, and mixed presentations—while exploring the evolving biology of amyloid, tau, and neuroinflammation and why brain pathology does not always correlate with symptoms. She discusses her approach to detecting subtle cognitive decline in high-functioning individuals, the role of biomarkers and APOE4 testing in asymptomatic patients, the benefits and risks of anti-amyloid therapies such as lecanemab and donanemab, and strategies for minimizing treatment-related complications. Gayatri also examines why some patients may stabilize or even improve with individualized care, the overlap among different dementia syndromes, and the relationship between menopause, estrogen, and cognition—including her concept of menopause-related cognitive impairment. Finally, she discusses how advances in early detection, AI-assisted monitoring, targeted therapies, and precision medicine are reshaping the future of dementia care. We discuss: Gayatri's training and clinical focus, why dementia is a spectrum disease, and how personalized treatment is changing Alzheimer's care [3:45]; How Alzheimer's disease fits within the broader spectrum of dementia: diagnosis, biomarkers, and early pathophysiology [7:15]; The emerging role of neuroinflammation and viral infections in Alzheimer's disease [13:30]; Gayatri's comprehensive approach to evaluating cognitive decline in high-functioning patients [17:45]; Why forgetting names is usually normal and when word-finding problems become concerning [29:00]; Why women are at higher risk for Alzheimer's disease and how menopause influences cognition [33:45]; The promise and limitations of blood-based biomarkers for diagnosing Alzheimer's disease [40:15]; When preclinical Alzheimer's screening is appropriate and how to interpret positive biomarker results [45:00]; Case study: early Alzheimer's prevention in a highly-functional woman in her 50s with two copies of APOE4 [47:15]; Anti-amyloid therapies: balancing clinical benefit with ARIA risk using slow titration [51:45]; The aducanumab controversy, why it was discontinued, and why Gayatri would still choose it [1:00:00]; How anti-amyloid therapies cause ARIA, strategies for detecting and managing these complications, and how future therapies may improve safety and accessibility [1:03:30]; Two patient examples of exceptional responses to anti-amyloid therapy [1:12:30]; A multimodal approach to Alzheimer's treatment: combination therapy, MRI-guided TMS, GLP-1 receptor agonists, and more [1:15:00]; Vascular dementia, Lewy body dementia, and the overlap with Alzheimer's disease [1:21:00]; Lewy body dementia and Parkinson's disease: distinguishing two alpha-synuclein disorders [1:26:45]; Risk factors for Lewy body dementia and what remains unknown [1:36:15]; Treating menopause-related cognitive impairment: hormone therapy, brain rehabilitation, and balancing breast cancer risk [1:38:45]; How biomarkers changed Gayatri's perspective on the potential for Alzheimer's patients to improve [1:47:15]; The future of Alzheimer's care: AI, precision medicine, and personalized treatment [1:49:30]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

Explore how deuterium may drive neurodegeneration—and how Lewy bodies and misfolded proteins act as your body's last defense. #DeuteriumDamage #LewyBodies #ParkinsonsLink #HealthTalks

Dementia caregiving asks you to carry things nobody prepares you for, and some of the hardest parts are never said out loud. This video isn't based on research. It's based on what I've learned from working with thousands of caregivers over the past 17 years as a geropsychologist. If caregiving still hurts even though you're doing everything right, if people question your decisions, if you can't stop replaying every hard moment in your head, I want you to hear this first: none of that means you're failing. In this episode I walk you through five truths about dementia caregiving I wish every caregiver knew, the ones that can make this whole journey feel a little more possible to live.  If you'd like to see this episode on video, you can hop on over to my YouTube channel here. → Join the Care Collective: https://tinyurl.com/podcast-cc  → Get free weekly tools and tips in my newsletter, The Dementia Dose: https://tinyurl.com/dementiadose-podcast  ⏱ CHAPTERS 0:00 - Why this caregiving journey always involves pain 2:40 - Why you can't control how others feel about your caregiving decisions 5:00 - Why you can't take away your loved one's emotional pain 6:50 - Catching the harsh things you say to yourself 7:49 - Why no caregiver has all the answers, and why that's okay #dementia #dementiacaregiver #dementiacaregiving #caregiversupport #alzheimers   --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

If your loved one with dementia has asked you the same question five, ten, or forty times in the last hour, you know the kind of patience it takes to keep answering. And you probably know the guilt that follows when you finally run out of it. What most caregivers don't realize is that something very specific is happening inside the brain to drive this. Understanding it changes both how you respond and how hard you are on yourself afterward. In this episode I walk you through why someone with dementia repeats the same questions and stories, what's actually going on neurologically, and five strategies that can help, including one proactive approach that rarely gets talked about. ⏱ CHAPTERS 0:00 - When the same question comes up again and again 1:40 - Why the brain stops storing your answers 3:00 - Why feelings outlast the facts 4:50 - When repetition is really anxiety 9:12 - Five strategies that actually help #dementia #dementiacaregiver #dementiacare #alzheimerscaregiving Get free weekly tools and tips in my newsletter, The Dementia Dose: https://tinyurl.com/dementiadose-podcast  Join the Care Collective: https://tinyurl.com/podcast-cc  #dementia #dementiacaregiver #shadowing #alzheimers #caregiversupport --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

#płatnawspółpraca | Zapraszamy na wtorkowe "Onet Rano.", w którym gośćmi Mikołaja Kunicy będą: Krzysztof Szczucki, Prawo i Sprawiedliwość; Dr Paula Kukołowicz, Kierowniczka zespołu analiz procesów społecznych PIE; Radosław Majdan, Przegląd Sportowy Onet; Dawid Karpiuk, wokalista, Newsweek. W części "Onet Rano. #WIEM" gościem Magdaleny Rigamonti będzie: Bartosz Arłukowicz, Koalicja Obywatelska.

Special guest Tom Bogert — now an official friend of the pod — joins John and Tim as Robert Lewandowski's move to the Chicago Fire moves frum rumor to official. Tom and Tim talk about what they know — with a deal all but confirmed but no ink on paper as of the time of recording.The trio then discuss what Lewandowski's signing would mean for the Fire, both on and off the pitch: What does Lewy's arrival mean for Hugo Cuypers, the Fire's Golden Boot-leading striker? Will two prove to be a dynamic duo, or will Hugo find himself in a new uniform before the end of the season? Tom then talks about his reporting with Paul Tenorio about the Fire's continued pursuit of German midfielder Leon Goretzka, confirmed to be moving on from Bayern and currently with the German National Team as they seek to advance in the World Cup.Speaking of — for the first time ever, two Chicago Fire players met on opposing sides of a World Cup match, as Joel Waterman's CanMNT teammates arranged for the World Cup exit for Mbekezeli Mbokazi and Bafana Bafana.

Shadowing in dementia is one of the most exhausting behaviors caregivers face, and almost no one warns you about it. You can't walk to the bathroom alone anymore. The moment you stand up, they stand up. You step into the kitchen for five minutes and there they are in the doorway, watching you. The private phone calls are gone, the personal space is gone, and then comes the guilt for even wanting a moment to yourself. In this episode I explain what is actually happening in the brain that drives shadowing, why your presence has become the only thing that makes them feel safe, and four things that genuinely help. Get free weekly tools and tips in my newsletter, The Dementia Dose: https://tinyurl.com/dementiadose-podcast  Join the Care Collective: https://tinyurl.com/podcast-cc  ⏱ CHAPTERS 0:00 - What shadowing looks like 1:54 - The many forms shadowing can take 2:55 - Reason one: the brain can't self-regulate fear 5:01 - Reason two: losing object permanence 5:51 - Reason three: the gap between now and later 7:08 - Four things that actually help 9:16 - The guilt of wanting space, and what it really means   #dementia #dementiacaregiver #shadowing #alzheimers #caregiversupport --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

In this episode, we will discuss autonomic dysfunction in Lewy body dementia, a symptom that often surprises caregivers. We delve into how disruptions in the autonomic nervous system can affect involuntary bodily functions.‍This episode will cover: — An overview of autonomic dysfunction in Lewy body dementia.— Key symptoms and their impact on daily life.— Guidance on seeking professional support.— Additional resources for further exploration.RELATED CONTENT:Caregiver Strategies for Autonomic Dysfunction in Lewy Body Dementia | www.letsbambu.com/post/caregiver-strategies-for-autonomic-dysfunction-in-lewy-body-dementiaEpisode 42 | Lewy Body Dementia — Those Darn Lewy Bodies!REFERENCES: Autonomic (Involuntary Function) Changes in Lewy Body Disease by Alzheimer's AustraliaCONNECT, GET RESOURCES, LEARN MORE, + SIMPLIFY YOUR CARE JOURNEY:LinkTree | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.letsbambu.com/b/linktree⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠MUSIC CREDIT: Listen To SpillageVillage - Tropical Landing Pop Songs At Looperman.com DISCLAIMER: The information contained in Bambu Care LLC's website, blog, emails, programs, services and/or products is for educational and informational purposes only. While we draw on our prior professional expertise and background in other areas, you acknowledge that we are supporting you in our role exclusively as a Dementia Care Consultant. By participating in Bambu Care, LLC's website, blog, emails, programs, services and/or products, you acknowledge that we are not a licensed psychologist, professional counselor, or medical doctor. We in no way, diagnose, treat, or cure any illnesses or diseases. Dementia Care Consulting is in no way to be construed or substituted as psychological counseling or any other type of therapy or medical advice. The information provided by Bambu Care, LLC also does not constitute legal or financial advice nor is intended to be. Dementia Care Consulting is not a substitute for the services of a CPA or attorney.

Dr. Norihito Uemura joins Prof. Tiago Outeiro to discuss perampanel, an AMPA receptor antagonist, and how it has been shown to block alpha-synuclein propagation and neurodegeneration in a mouse model of Lewy body disease. Dr. Uemura explains the mechanistic findings of transsynaptic propagation and the study limitations pertaining to mouse behavior. They also discuss perampanel's established therapeutic ranges in epilepsy, review limited prior Parkinson's data, and outline next steps including a potential clinical trial in Parkinson's disease patients. Read article. Journal CME is available until June 5, 2027.

Before the memory problems, confusion, and obvious dementia symptoms, many families notice something else first: money problems. Missed bill payments, unusual purchases, giving money away, falling for scams, or struggling to manage finances can sometimes be among the earliest signs of dementia. Research now shows these financial changes may appear years before a dementia diagnosis is ever made. In this episode, I explain why money management is often one of the first cognitive skills affected by dementia, what the research says about financial warning signs appearing up to six years before diagnosis, and what caregivers can do to help protect a loved one's financial security. Whether you're concerned about early signs of dementia, supporting someone with Alzheimer's disease, or already navigating the challenges of caregiving, this episode will help you understand what may be happening and what steps to take next. ⏱ CHAPTERS 0:00 - Did the money warning come before the memory problems? 2:10 - What financial warning signs actually look like 4:00 - Why managing money is the brain's first stress test 8:01 - Why these signs are so easy to miss 10:43 - Practical steps to take now #dementia #dementiacaregiver #dementiasigns #alzheimers #caregiving Get free weekly tools and tips in my newsletter, The Dementia Dose: https://tinyurl.com/dementiadose-podcast  Join the Care Collective: https://tinyurl.com/podcast-cc  --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

If your loved one with Alzheimer's disease is on one of the new treatment drugs, or you have been weighing whether to try them, the headlines from this spring may have stopped you cold. A major review from one of the most respected research organizations in the world concluded these drugs show no meaningful benefit. Researchers immediately fired back. And you are in the middle of all of it, as a caregiver trying to make real decisions for a real person. Your confusion is completely warranted. This is not a simple story. One headline says breakthrough. The next says it does nothing. But the full picture is more complicated than either side is telling you. In this episode I walk you through what the Cochrane review actually found, why experts are so divided on it, and the three questions you can bring to your loved one's neurologist to make a more informed decision for your specific family. Cochrane Collaboration Review (Full Study): https://www.cochrane.org/about-us/news/anti-amyloid-alzheimers-drugs-show-no-clinically-meaningful-effect  Get free weekly tools and tips in my newsletter, The Dementia Dose: https://tinyurl.com/dementiadose-podcast  Join the Care Collective: https://tinyurl.com/podcast-cc  ⏱ CHAPTERS  0:00 - The headlines that stopped caregivers  1:46 - Who these drugs are actually designed for  2:56 - What the Cochrane review found  5:26 - Why researchers are pushing back  7:50 - 3 questions to ask your loved one's doctor #dementia #dementiacaregiver #alzheimers #caregiving #alzheimersresearch --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

Navigating senior care be easier when you have the right support system by your side. In this heartfelt episode, host Wendy Jones welcomes longtime friend Kristi Kirschmann and Spiritual Support team leader Roz Burns to discuss the journey families face when caring for aging loved ones and the importance of supporting seniors both physically and spiritually. The conversation explores the mission of the Next Steps for Seniors Foundation and its Spiritual Support Team, which provides companionship, prayer, encouragement, and comfort to seniors after they move into care communities. Through powerful stories of faith, connection, and compassion, Wendy, Kristi, and Roz highlight the profound impact that emotional and spiritual support can have on seniors during life's later chapters. Whether you're caring for an aging parent, exploring senior living options, or looking for meaningful ways to serve your community, this episode offers hope, practical guidance, and inspiration. Key Highlights in this Episode: Navigating Dementia Care:Kristi shares the challenges her family faced as her mother's Lewy body dementia progressed and how professional placement guidance helped them make informed decisions. The Value of Senior Placement Services:Learn how placement specialists help families identify the right senior living communities based on care needs, finances, location, and personal preferences—at no cost to the family. Support Beyond the Move:The conversation emphasizes that care doesn't end once a senior moves into a community. Ongoing guidance and advocacy help families navigate changing care needs over time. The Spiritual Support Team:Roz explains how trained volunteers visit seniors, offer companionship, prayer, and meaningful conversations, helping reduce feelings of loneliness and isolation. The Blanket Ministry:Hear touching stories about the Foundation's gift blankets, which provide comfort, connection, and a tangible reminder that seniors are cared for and valued. Finding Peace and Purpose:The team discusses the importance of helping seniors explore spiritual questions, strengthen their faith, and find assurance and comfort during later stages of life. Volunteer Opportunities:Learn how churches and community members can partner with the Next Steps for Seniors Foundation to serve seniors and make a lasting impact. Resources & How to Contact Next Steps for Seniors: Website: nextsteps4seniors.com Podcast Schedule: Tune in to Next Steps for Seniors with new episodes dropping twice a week at 7:00 AM! Every Tuesday: Educational and insightful content to help you navigate the practical steps of aging. Every Friday: Spiritual and emotional support to encourage your heart and mind. Be sure to subscribe on Apple, Spotify, IHeart Podcasts so you never miss an episode, and if you enjoyed today's show, please leave us a rating and review!Learn more : https://omny.fm/shows/next-steps-4-seniors-with-wendy-jonesSee omnystudio.com/listener for privacy information.

189 Cumulus: Reimagining Digital Memorials and Legacy with Architect-Founder Alexander Josephson Host Marie Betcher, a registered nurse and former hospice nurse, interviews Alexander Josephson, creator of Cumulus, a Toronto/New York-based digital memorial platform designed as an immersive "memory cloud" where families can store and experience photos, videos, notes, and other legacy content in VR-accessible spaces, with mapping for gravesites or ash scatterings. Josephson shares how repeated family encounters with death—his grandparents' passing, his grandmother's Lewy body dementia, and his father's cancer, chemotherapy, and near-fatal COVID ICU stay—inspired him to build a trusted digital "place" for remembrance beyond gravestones or genealogy. He explains collaboration features, admin controls, next-of-kin account transfer, pricing tiers, and plans for a perpetuity trust, noting current users and rollout to funeral homes and cemeteries. He closes with: "Love, love hard." 00:00 Welcome and Disclaimer 00:42 Meet Alex and Cumulus 02:38 Why Digital Memorials Matter 04:36 Family Losses and Inspiration 07:48 Dad the Doctor and ICU Journey 10:15 Near Death Visions and MAID 13:17 How Cumulus Works 16:08 Legacy Beyond Family Trees 17:42 Plans Pricing and Growth 21:38 Grief Message and Meaning 22:47 Sci Fi Comparisons 24:23 Find Cumulus and Final Words 25:43 Podcast Closing   https://www.cumulus.world/ If you want to help, you can donate to help support Hospice Explained at the Buy me a Coffee link   https://www.buymeacoffee.com/Hospice  Hospice Explained Affiliates & Contact Information Buying from these Affilite links will help support this Podcast.  Maire introduces a partnership with Suzanne Mayer RN inventor of the  cloud9caresystem.com,  When patients remain in the same position for extended periods, they are at high risk of developing pressure injuries, commonly known as bedsores. One of the biggest challenges caregivers face is the tendency for pillows and repositioning inserts to easily dislodge during care.(Suzanne is a former guest on Episode #119) When you order with Cloud 9 care system, please tell them you heard about them from Hospice Explained.(Thank You) Marie's Contact Marie@HospiceExplained.com www.HospiceExplained.com   Finding a Hospice Agency 1. You can use Medicare.gov to help find a hospice agency, 2. choose Find provider 3. Choose Hospice 4. then add your zip code This should be a list of Hospice Agencies local to you or your loved one.

Have you noticed your loved one with dementia seems like a completely different person every evening? The confusion, the agitation, the restlessness — and then the nights when they're up convinced it's morning — it's exhausting in a way that's hard to put into words. It is not something you caused or something you missed. New research published in December 2025 finally gives us a neurological explanation for why dementia gets worse in the evening, and it has nothing to do with what you are doing. In this episode I walk you through what the science reveals, what actually helps, and what tends to make it harder. Get free weekly tools and tips in my newsletter, The Dementia Dose: https://tinyurl.com/dementiadose-podcast  ⏱ CHAPTERS  0:00 - What evenings look like for many dementia caregivers 1:45 - What sundowning actually is 3:18 - New brain research: what's happening inside the brain 5:22 - 5 things that can help 8:11 - What tends to make it harder #dementia #dementiacare #alzheimers #dementiacaregiver --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

The June 2026 Recall highlights four previously posted episodes on parkinsonian disorders. The episode begins with Dr. Valtteri Kaasinen discussing the clinical challenges of diagnosing Parkinson disease and how that diagnosis can evolve over time. The discussion continues with Dr. YuHong Fu, who addresses the importance of differentiating between dementia with Lewy bodies and Parkinson disease dementia. The third episode features Dr. Daniel Weintraub discussing clinical considerations and strategies for effective communication when addressing cognitive concerns in patients with Parkinson disease. The episode concludes with Prof. Franziska Hopfner discussing the frequency and disease trajectory of MSA patients who do not experience dysautonomia, compared with those who have autonomic involvement. Podcast links:  Stability and Accuracy of a Diagnosis of Parkinson Disease Over 10 Years  Dementia with Lewy Bodies and Parkinson Disease Dementia Clinical Approach to Dementia Risk in Patients with Parkinson Disease  Multiple System Atrophy Without Dysautonomia  Article links:  Stability and Accuracy of a Diagnosis of Parkinson Disease Over 10 Years  Dementia with Lewy bodies and Parkinson Disease Dementia — The Same or Different and is it Important?  Long-Term Dementia Risk in Parkinson Disease  Multiple System Atrophy Without Dysautonomia: An Autopsy-Confirmed Study Disclosures can be found at Neurology.org. 

Making caregiving decisions is hard in a way most people around you won't understand. The stakes are real. The information is incomplete. And somewhere in the back of your mind, you're already afraid of being wrong. If you've been circling a decision for weeks — or months — and still can't seem to make a move, your brain isn't broken. There are five specific thought patterns that make caregiving decisions feel nearly impossible, and once you can name them, something shifts. In this video I walk you through all five and what to actually do about them. Ready to work through a real decision you've been dreading? Join me here: https://tinyurl.com/difficult-decisions-pod  ⏱ CHAPTERS 0:00 - The decision you've been avoiding 2:05 - Why not deciding still costs you 2:50 - The 5 thought patterns keeping you stuck 9:50 - What to do before this video ends 11:30 - The Difficult Decisions live class #dementia #dementiacare #alzheimers #dementiacaregiver --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

Prodromal autonomic dysfunction has emerged as an important area of research in understanding Lewy body diseases, including Parkinson's disease, and dementia with Lewy bodies. Dr. Michelle Matarazzo sits down with three experts in the field, Dr. Abhimanyu Mahajan, Dr. Alison Yarnall, and Dr. David Goldstein to discuss the current evidence behind various disturbances and how they may precede classic motor and cognitive symptoms, such as cardiovascular, gastrointestinal, urinary, and thermoregulatory disturbances. Together they discuss how these early non-motor manifestations may be considered integral features of the disease process. Read the Scientific Issue on this topic.

Being accused of stealing by the person you are giving everything to is one of the most quietly devastating things that happens in dementia caregiving. It does not just feel unfair. It strikes at your identity, your dignity, and the relationship you had before all of this. And because it can happen over and over, with no memory that it happened before, many caregivers absorb these accusations alone, without ever really being told why it happens or what they can actually do. There is a neurological reason for this. And it has nothing to do with how your loved one truly feels about you. In this episode I walk you through what is happening in the dementia brain that causes stealing accusations, why the instinct to defend yourself almost always backfires, and four specific things you can try the next time it happens. If you'd like to see this episode on video, you can hop on over to my YouTube channel here. Get free weekly tools and tips in my newsletter, The Dementia Dose: https://tinyurl.com/dementiadose-podcast  ⏱ CHAPTERS 0:00 - You are not alone: naming the experience 1:40 - The many ways stealing accusations show up 2:45 - Three things happening in the dementia brain 6:30 - Responses that unintentionally make things worse 9:00 - Four strategies that actually help   #dementia #dementiacare #alzheimers #dementiacaregiver --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

Hantavirus: les mesures préconisées par lʹOMS Les brèves du jour L'altération accélérée des roches: une pratique pour lutter contre le réchauffement climatique Ce qu'un génome raconte du vivant La maladie à corps de Lewy, difficile à diagnostiquer assez tôt

The EEOC is suing the New York Times, alleging the paper violated the Civil Rights Act by passing over a white male employee for a promotion because of his race and sex - employment attorney James Fett weighs in. President Trump's endorsed candidates scored major wins in Indiana, defeating several Republican state senators who opposed his redistricting push. Commerce Secretary Howard Lutnick faced closed-door questioning on Capitol Hill over newly released Epstein files that appear to contradict his past claims about when he last had contact with Jeffrey Epstein. Ted Turner, the billionaire media pioneer who founded CNN and helped reshape cable television, has died at 87 after a years-long battle with Lewy body dementia.   Pure Talk: Dial #250 and say keyword MEGYN KELLY to switch to Pure Talk and get unlimited data for just $34.99 a month!   Done with Debt: https://www.DoneWithDebt.com & tell them Megyn Kelly sent you! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

When your family doesn't believe the dementia diagnosis, it can feel like you are grieving two losses at once. Family denial is one of the most painful and isolating experiences a dementia caregiver can go through. In this episode, I'm going to explain why it happens and what you can actually do about it. If you'd like to see this episode on video, you can hop on over to my YouTube channel here. Get free weekly tools and tips in my newsletter, The Dementia Dose: https://tinyurl.com/dementiadose-podcast  Chapters: 0:00 When family doesn't believe the diagnosis 2:13 Why this feels so isolating 4:04 Reason 1: Denial is protective 5:00 Reason 2: Visiting isn't caregiving 6:27 Reason 3: Anosognosia 7:30 You didn't cause this 8:00 Why convincing them backfires 10:00 What actually helps 12:26 What you're allowed to feel   #dementia #dementiacare #alzheimers #dementiacaregiver --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

A new Alzheimer's blood test was just approved by the FDA and it changes everything about how families get answers. For years, confirming Alzheimer's disease meant expensive brain scans or invasive procedures most people couldn't access. Now a simple blood draw can detect Alzheimer's markers in the body... up to 3 to 4 years before symptoms even begin. In this episode I break down what the Alzheimer's blood test actually measures, how accurate it is, and what you can ask your doctor right now. If you'd like to see this episode on video, you can hop on over to my YouTube channel here. Get free weekly tools and tips in my newsletter, The Dementia Dose: https://tinyurl.com/dementiadose-podcast  CHAPTERS 00:00 You are not imagining this 01:18 Why an Alzheimer's diagnosis has always been so hard to get 03:30 What doctors were working with before 05:00 The new blood test: what it measures and how it works 07:15 How accurate is it? 08:30 What this means for you right now 11:00 What can still make this harder #dementia #dementiacare #alzheimers #dementiacaregiver --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

If your loved one used to fix things, run the household, stay busy and now they just sit there, you're probably wondering what happened. Are they depressed? Have they given up? Do they even care anymore? They do. And what's happening is not what it looks like. In this episode, I'm breaking down why someone with dementia withdraws from daily life, why their brain learns to stop trying, and why nothing you say seems to change it.  If you'd like to see this episode on video, you can hop on over to my YouTube channel here. → Join the Care Collective: https://tinyurl.com/re-sales-podcast  Get free weekly tools and tips in my newsletter, The Dementia Dose: https://tinyurl.com/dementiadose-podcast    Chapters: 00:00 Intro 01:30 Why ability declines faster than awareness 03:30 How the brain learns to avoid what feels bad 04:35 Three neurological shifts behind the withdrawal 07:00 Why reassurance stops working  08:15 When to talk to their doctor   #dementia #dementiacare #alzheimers #dementiacaregiver --- Hi, I'm Dr. Natali Edmonds, a board-certified geropsychologist specializing in dementia care. Whether your loved one has Alzheimer's, frontotemporal, Lewy body, vascular, or mixed dementia, we believe that to create a dementia-friendly world, we must first create a caregiver-friendly world. This content is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for medical guidance.

Various Types of Dementia This week on PodcastDX, we're stepping into the complex world of dementia—not as a single diagnosis, but as a family of conditions that affect memory, thinking, behavior, and independence in different ways. We'll introduce the most common types of dementia, including Alzheimer's disease, vascular dementia, Lewy body dementia, frontotemporal dementia, and mixed dementia, where more than one process—often Alzheimer's plus vascular changes—are happening in the brain at the same time. We'll also touch on less common causes, such as dementia related to Parkinson's disease, normal pressure hydrocephalus, repeated head injury, and certain infections or genetic conditions, and talk about why getting the right type matters for treatment, planning, and support. ​ Key Takeaways Dementia is an umbrella term, not just Alzheimer's. The "big five" you'll hear about are Alzheimer's, vascular, Lewy body, frontotemporal, and mixed dementia. Understanding the type of dementia can guide better care, expectations, and resources for families.

183 Creating Digital Legacies with Reflekta AI (with Grief Specialist Dawn DeLaloye) Hospice Explained host and former hospice nurse Marie Betcher interviews grief specialist Dawn DeLaloye about Reflekta AI, an intergenerational storytelling platform that helps people create a "reflection" of themselves or loved ones—living or deceased—by adding photos, voice recordings, and memories guided by an AI biographer. Dawn explains it takes about 20 minutes to start, has launched seven months ago, and already includes about 15,000 stories; listeners can try it by talking with sample elders Virginia and Arthur. She describes how reflections can preserve details beyond photo captions, support hospice and terminally ill patients by affirming they are more than a diagnosis, and may be healing for grief, sharing her experience creating a reflection of her father who had Lewy body dementia. Dawn outlines sharing and subscription access, and how voice can be preserved using recordings or a close relative's voice. 00:00 Podcast Disclaimer 00:29 Meet Your Host 00:42 Introducing Dawn DeLaloye 02:02 What Is Reflekta AI 03:42 Early Traction 04:04 Try Talking to Elders 05:23 Why It Was Founded 07:05 Legacy for Hospice 07:34 Creating After Death 10:21 Setup Time and Prompts 11:50 Healing Through Story 13:53 Everyone Has a Story 16:13 Sharing and Subscription 18:07 Meaning at End of Life 22:11 Preserving a Loved Voice 24:49 Final Thoughts and Wrap https://reflekta.ai/   If you want to help, you can donate to help support Hospice Explained at the Buy me a Coffee link   https://www.buymeacoffee.com/Hospice  Hospice Explained Affiliates & Contact Information Buying from these Affilite links will help support this Podcast.  Maire introduces a partnership with Suzanne Mayer RN inventor of the  cloud9caresystem.com,  When patients remain in the same position for extended periods, they are at high risk of developing pressure injuries, commonly known as bedsores. One of the biggest challenges caregivers face is the tendency for pillows and repositioning inserts to easily dislodge during care.(Suzanne is a former guest on Episode #119) When you order with Cloud 9 care system, please tell them you heard about them from Hospice Explained.(Thank You) Marie's Contact Marie@HospiceExplained.com www.HospiceExplained.com   Finding a Hospice Agency 1. You can use Medicare.gov to help find a hospice agency, 2. choose Find provider 3. Choose Hospice 4. then add your zip code This should be a list of Hospice Agencies local to you or your loved one.

RESOURCES- Step into your next level of growth and join me inside Lotus Rising Premium Coaching at danettecoaching.com - Join my 3-Day Abundance Challenge and get step-by-step coaching to manifest financial, spiritual, and relational abundance. Sign up now at danetteabundance.com- Struggling with hair shedding or slow growth? Try Liposomal Hair Renewal with AnaGain Nu for fuller, healthier-looking hair. Exclusive offer for The Danette May Show listeners at renewyourhair.com/danettemay CONNECT WITH DANETTEInstagram: @thedanettemayFacebook: Danette MayTikTok: @thedanettemayNEW TV Show on Youtube: @TheDanetteMayListen to The Danette May ShowRead my book: danettemay.com/embraceabundancebookGet The Rise book: therisebook.comWork with Danette: danettemay.comIn this deeply moving episode of The Danette May Show, I sit down with my friend Scott as he shares the raw, unfiltered journey of losing his father. From childhood wounds and unresolved resentment to the final 12 days spent fully present, this conversation explores what it truly means to face grief, forgive the past, and show up when it matters most. If you have ever struggled with how to navigate the passing of a loved one or feared not having closure, this episode will meet you right where you are.We talk about the realities of caregiving, the emotional weight of Lewy Body dementia, and the powerful shift from avoidance to presence that changed everything for Scott and his family. You will hear about the final moments, the unexpected gifts, and the signs that love continues beyond this life. This episode is a reminder to slow down, open your heart, and choose connection, because in the end it is not about perfection, it is about love, forgiveness, and being there.IN THIS EPISODE:(0:00) Anger before loss and anticipatory grief(0:37) Why this conversation matters right now(4:03) Meet Scott and why his story will impact you(6:55) Childhood memories and father relationship(8:34) Letting go of resentment and reframing the past(9:56) Lewy body dementia and haunting nightmares(11:06) Signs of decline and the reality of caregiving(14:26) Fear of being forgotten and emotional avoidance(17:44) Therapy breakthrough and emotional release(20:57) Choosing to fully show up in the hardest moments(25:07) Taking time off and the final hug(26:29) The urgency to be there before it is too late(27:16) Final gifts and meaningful last moments(29:31) Family unity, faith, and coming together(31:21) How to truly be present with a loved one(32:44) Slowing down to not miss what matters(35:00) What the final hours in hospice are really like(39:20) After death, goodbye, and the feeling of absence(43:23) Signs from the other side and spiritual connection(46:42) Gratitude, healing, and letting go(51:07) Final reflections and takeawaysYou can connect with Scott at sdmccabe0711@gmail.com

Matt delves into the world of REM Sleep Behavior Disorder (RBD), a condition at the frontiers of sleep science. Normally, the brain dreams while atonia paralyzes the body in a neural magic act that is managed by brainstem nuclei activating inhibitory "brakes" in the spinal cord. When this circuit fails, the motor system remains active, enacting nightmares in real-time.RBD is hazardous - 10% of patients sustain injuries requiring medical intervention or hospitalization. It is a prodromal synucleinopathy where misfolded proteins erode the brain's architecture and 50% of patients develop Parkinson's or Lewy body dementia within a decade. Matt concludes by noting that new skin biopsy biomarkers like Syn-One now offer hope for early detection.Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.One of today's sponsors, LMNT, offers a science-based electrolyte drink with no sugar or artificial ingredients. Try their new limited-time Lemonade Salt flavor! Get eight free sample packs with any order at drinklmnt.com/mattwalker. Stock up on this summer flavor while it lasts!In a supplement industry where trust is critical, Matt uses podcast supporter Puori. Their protein powders are free from hormones, GMOs, and pesticides, with every single batch third-party tested for over 200 contaminants. For protein you can trust, save 20% at puori.com/mattwalker.As always, if you have thoughts or feedback you'd like to share, please reach out:Matt: Instagram @drmattwalker, X @sleepdiplomat, YouTube https://www.youtube.com/@sleepdiplomat