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  • I can't focus I can't work I can't function

  • It's like the end of the world to me

  • I'm so sorry to hear that

  • Are you feeling better ?

  • Yeah I'm getting better but I'm just so forgetful now

  • Why?

  • Hi everyone welcome to MEnglish

  • Well First things first subscribe

  • Because you do care about health and beauty right

  • So simply subscribe subscribe subscribe

  • And all this presented to you by MEmedia

  • Do you easily forget things ?

  • like walked into the kitchen

  • but forgot what you were looking for

  • This could be neurocognitive disorder or dementia

  • and even at such a young age it's still very possible

  • But don't be afraid we'll be speaking to Dr. Wu today

  • who's here to help us

  • Let's welcome Dr. Wu

  • Hello everyone I'm Dr. Ana Wu

  • It's such a pleasure to be here

  • Dr. Wu I've heard that some people are just more forgetful

  • but is it possible to be getting dementia or the

  • neurocognitive disorder at such a young age ?

  • It is possible even though the risk is lower

  • but it is definitely a possibility

  • Wow you heard that

  • I think we need to find out more

  • What are you looking for ?

  • I'm looking for my phone Ana did you see it ?

  • Let's see oh wait I think it's over here

  • Thank you

  • I've been looking for it all day

  • What's going on ?

  • Well tell your a secret actually I broke up with my boyfriend last month

  • and since then I've been so absent-minded

  • I can't focus I can't work I can't function

  • It's like the end of the world to me

  • I'm so sorry to hear that

  • Are you feeling better ?

  • Yeah I'm getting better but I'm just so forgetful now

  • Why ?

  • Well sometimes when you're very stressed

  • or you're going through a lot you can

  • You can interfere with how your brain functions

  • But that's usually temporary and it goes away with time

  • What a relief to hear that !

  • You know I was so worried I even asked Dr. Amy

  • to please go to the hospital with me later for a checkup

  • You don't have to worry too much

  • Being forgetful and having dementia or neurocognitive disorder is quite different

  • Hi Dr. Wu we do see a number of cases

  • where young people are getting dementia

  • Can you briefly explain what is dementia

  • or the neurocognitive disorder ?

  • Sure so dementia is a collection of symptoms

  • that can be caused by a variety of different diseases

  • and so it interferes with how people think

  • how people remember how people see the world and

  • how people communicate

  • So it's not just being about being forgetful

  • It's a lot more than that

  • Wow so how can we tell if a person has this ?

  • That's a very good question

  • So basically we diagnose a person with dementia

  • when we see that there's a

  • significant cognitive decline in the same person

  • compared to how they were functioning before

  • And this impairment has to be in at least

  • one of six cognitive domains

  • and these domains are very different

  • So the first one is language and memory

  • which is the most relatable one

  • Everyone has bouts of forgetting things

  • so their memory changes can be very subtle in the beginning

  • For example they might forget phone numbers

  • or they might forget events that happened during the day

  • or just things they had for breakfast

  • So really a prominent in recent memory

  • But they will remember for example

  • who was their elementary school sweetheart

  • and they will remember um where they went to school

  • like long-term memory is preserved

  • So that's the first cognitive domain that's affected

  • But also language can become impaired

  • So some people have trouble understanding people

  • and some other people have some patients

  • have trouble communicating

  • what they're thinking to the outside world

  • So it's like a bidirectional thing

  • in terms of language

  • Wow this is quite complicated

  • So what are the worsening signs ?

  • Right so we mentioned two changes in cognitive domains

  • and the third one is called executive functioning

  • So that's like a set of mental skills

  • that allows us to plan our day and stay organized

  • So for example patients might start having trouble

  • planning what to do throughout the day

  • or they might have trouble planning a trip

  • or just even maintaining like a paycheck book

  • That's one of them

  • And then the fourth one is complex attention

  • So complex attention means that patients

  • are having trouble concentrating

  • They become easily distracted and

  • they might not be able to multitask

  • And the fifth dimension that's affected

  • it's called perceptual-motor

  • So what that means is that for example

  • you see a hairbrush

  • and you don't know what is it for

  • You know that it's something that looks familiar

  • but you don't know to pick it up and brush your hair

  • So basically means you don't know what you see

  • That's what a perceptual-motor means

  • And the sixth domain that's affected

  • it's called social cognition

  • So as grown-ups we know what's socially acceptable

  • and what's not

  • But this filter kind of becomes a little permeable

  • when you have dementia or

  • neurocognitive disorder

  • So the patients become very honest brutally honest

  • or they start doing things that are not so socially acceptable

  • And out of the six domains you just need one of them

  • at least one impairment in one area

  • and that's how dementia or

  • neurocognitive disorder is diagnosed

  • So which age group is the most vulnerable ?

  • Because we call this the alzheimer's disease

  • but we do see cases of young people

  • That's a very good question

  • So usually we associate neurocognitive disorder

  • with patients who are a little bit older

  • So usually it's above the age of 65 years old

  • But so there's cutoff and that's somewhat

  • arbitrary at the age of 45

  • So if you're diagnosed with dementia

  • or neurocognitive disorder before the age of 45

  • then we call that early onset dementia

  • Like 30 something years old

  • That's so young I mean we are just starting

  • a new chapter in our life

  • People are just getting married or having kids

  • Are there any preventions or how about treatments ?

  • That's a really good question too

  • So there are many treatment options available

  • in terms of drugs and pharmacotherapy

  • But what these drugs do is they slow the progression

  • of the disease without really curing it

  • or terminating it

  • So in my opinion the best way to approach

  • or tackle this problem is to prevent it

  • And in terms of prevention there are

  • a number of things that you can do

  • And they all have to do with like a healthy lifestyle

  • For example first you can eat a healthy diet

  • Every doctor says that right

  • Healthy diet

  • But that's very important because if you're

  • eating a lot of sugary foods or fried foods

  • or just foods that promote inflammation in the body

  • What it does is that your body goes into a

  • pro-inflammatory state

  • And that causes a lot of problems

  • because it gives you chronic medical conditions

  • like hypertension like blood sugar problems

  • diabetes or heart problems

  • And all of that can contribute to the development

  • of dementia or neurocognitive disorder

  • So eating healthy lots of green vegetables and

  • just leafy greens that's very important

  • The second thing that's very important is exercise

  • Yeah because exercise on the one hand

  • can help you de-stress

  • and stress is bad for you because again

  • it contributes to adding inflammation

  • and oxidative stress in our body

  • So you want to de-stress any way possible

  • exercise is a really good option

  • And the second part is that exercise also keeps

  • your blood vessels your circulatory system

  • very healthy

  • That's very important because if you have

  • like a good circulatory system

  • you can get rid of the toxins

  • that build up in your brain and that cause dementia

  • And the third thing that you can do is

  • you can get a good night's rest

  • That's super important as well

  • So what happens is that every day

  • we're building up lots of protein in our brain

  • and we call that amyloid plaques

  • And when that builds up a lot

  • you get dementia or neurocognitive disorder

  • So everybody builds up this protein

  • but the brain is very smart

  • and we have the system called the

  • glymphatic system

  • and it clears up this protein buildup

  • and it only does it during sleep

  • So if you're not getting enough hours of sleep

  • or you're not sleeping well

  • hen you're more prone to developing dementia

  • And the fourth one which I think is vital

  • and imperative is being open-minded

  • and willing to put yourself to learn more things

  • and being very flexible

  • So then the brain considers that

  • something very intellectually stimulating

  • But if you're very stubborn

  • and you're always doing the same things

  • you never learn things

  • Then the brain finds a very boring

  • and then it's easier for you to develop

  • symptoms of dementia or neurocognitive disorder

  • Wow sounds like a healthy eating

  • regular exercise is really necessary

  • Yeah you know I actually keep my brain really active

  • I read a lot of facebook

  • Oh well that's one way to go over here

  • How about you try this book and you

  • use a little bit less of a facebook

  • This can be very intellectually stimulating

  • for your brain

  • Thank you Ana let me start with this today

  • You're very welcome

  • dementia

  • dementia

  • neurocognitive disorder

  • neurocognitive disorder

  • executive functioning

  • executive functioning

  • memory

  • memory

  • emotions

  • emotions

  • social cognition

  • social cognition

  • stress

  • stress

  • To have a memory of a goldfish

  • This is an expression that refers to

  • people who are often forgetful

  • Well it's a great pleasure having Dr. Wu today

  • and thanks to her

  • Do you have one of these domains ?

  • Does that apply to you ?

  • Hopefully not

  • And if you have forgotten watch again

  • See you next time bye-bye

I can't focus I can't work I can't function

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B1 US dementia disorder wu memory dr brain

MEnglish×精神|小心!失智症不是老年人才會有 認知六大因素防止金魚腦上身 ft.精神科吳幼雯醫師【ME美醫誌】

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    ME美醫誌 posted on 2021/07/12
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