Sunday News

Stop fretting, get tested

- DR TOM MULHOLLAND

If you want to manage it, you need to measure it’’. That’s one of my wellbeing mantras. Recently a few of my friends seem to have been having a midlife wellbeing crisis. They are worried they are losing their memory. The recall isn’t as good as it used to be, names that were once sharp as a tack are stored deep in the hard drive and their Google brain is slowing down.

Memory storage and retrieval is a complicate­d, fascinatin­g process beyond the word limitation­s of this article. Losing your memory and processing power can be frightenin­g so the trick is to work out if it is pathologic­al or not. Your first step should be to make an appointmen­t with your family doctor to get some simple tests.

There are a number of causes of memory loss, such as medication­s, alcoholism, minor head injury, vitamin B12 deficiency, mood disorders and low thyroid.

Your doctor can confirm or rule out a number of these. Brain diseases such as dementia are certainly top of most people’s minds when you mention memory loss, and Alzheimer’s is the dreaded word for good reason.

There are several causes of dementia; Alzheimer’s is just one of them. One of the more common, but lesser known, is Multi-infarct dementia. That’s just a flash word for lots of small strokes that gradually rob you of your brain’s hardware. This may be diagnosed by tests such as a brain MRI. It’s the usual suspects of smoking, diabetes, high blood pressure and high cholestero­l that cause the narrowing of arteries and clots in your brain’s plumbing.

Parts of your brain die through a series of events you may not notice.

So, what’s the point of measuring your mental wellbeing? The simple answer is so you can find out what the problem is and fix it. Chances are, your anxiety may be the problem and most perception of memory loss is not actually a pathologic­al problem.

In the unlikely event you or your loved ones do have a disease process affecting your memory you want to find out if it’s reversible, or if you at least can slow the process down. The longer you leave it the more chance it won’t be reversible or be able to be slowed down.

Alzheimer’s is a classic example of this. When you or someone you know or love suspects Alzheimer’s disease, get to your doctor for some screening tests. If you don’t it’s like noticing your house is on fire and not calling the fire brigade. Don’t whisper the word behind the loved one’s back. Face up, front up and get on with it. There is no one test yet for Alzheimer’s so if the screening tests show some memory or cognitive problems you will need further investigat­ion.

While it may not be the diagnosis you want, once it’s 123RF made you will need to embrace it – because it won’t go away. Medication­s can slow the process down so you maintain a quality of life before the avalanche comes. These meds may also slow the process down until a cure is found. Unless you measure it, you can’t manage it.

 ??  ?? Maybe the fact that your recall isn’t as good as it used to be is one of the things making you anxious.
Maybe the fact that your recall isn’t as good as it used to be is one of the things making you anxious.
 ??  ??

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