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Patients, families battle Alzheimer’s, difficult decisions together

Published: Friday, November 10, 2017 @ 9:19 AM


            Some people genetically have a higher chance of getting Alzheimer’s. People with first-degree relatives (an individual’s parents, full siblings or children) with Alzheimer’s increases an individual’s own risk of having Alzheimer’s. For more information and resources in support of this type of care, visit www.alzheimers.gov. (Courtesy photo)
Some people genetically have a higher chance of getting Alzheimer’s. People with first-degree relatives (an individual’s parents, full siblings or children) with Alzheimer’s increases an individual’s own risk of having Alzheimer’s. For more information and resources in support of this type of care, visit www.alzheimers.gov. (Courtesy photo)

When the news is given to a patient and their family members that their loved one has been diagnosed with Alzheimer’s, it can be devastating for some or motivating for others. Either way, Maj. (Dr.) Earl Banning, director of Neuropsychology at the Wright-Patterson Medical Center, stresses the importance of family members working together to deal with what lies ahead.

Some people genetically have a higher chance of getting Alzheimer’s. People with first-degree relatives (an individual’s parents, full siblings or children) with Alzheimer’s increases an individual’s own risk of having Alzheimer’s, according to Banning.

http://www.daytondailynews.com/news/division-helps-make-local-child-dream-reality/XereByI2ZD9oXIxiKSgKsI/

“Sometimes adult children are now coming in with their father and are worried about dementia. I’m delivering the news that this probably is Alzheimer’s. The children may remember what grandpa went through. They may remember grandpa’s decline and his later years in the nursing home when he didn’t recognize anybody. When they hear that news, it can be triggering to a lot of emotions, so family members may need therapy on their own just to process watching their parents go through this,” he said.

The decisions families have to make upon hearing this news are sometimes quite difficult, but Banning has a wealth of information he can provide them to help in dealing with the disease.

“For most of the people that come in, I’m telling them, ‘Let’s get all of your affairs in order. If you don’t have a will, let’s have a will. If you haven’t made decisions about property and things like that, let’s do that now because as people may lose cognitive functioning later on, you don’t want to be trying to make those decisions then.’”

After diagnosis, Banning also lets patients and their family members know it’s important to start making a long-term plan so that may mean going home, meeting with children and extended family members to understand the way ahead.

“If they have depression, I’ll refer them for counselling. Most of the older folks will be seen off-base typically, but getting them into therapy, putting them in touch with resources like the Alzheimer’s Association at www.alz.org, or the National Institute of Health website at www.nih.gov. These sites have resources about Alzheimer’s that explains it to people, as far as what it is, what the progression looks like, where their loved one is at.”

Some things Banning shares with patients may seem rather obvious, such as things parents tell kids to do, like eat right, sleep right, take care of yourself and exercise.

“Those are things that can help with that cognitive reserve and help to prolong people’s health. If you have uncontrolled diabetes, that will be a factor; if you have uncontrolled cardiovascular risk factors, high cholesterol, high blood pressure,” Banning said.

Taking care to make sure things are safe at home is another important step, he added.

“Some older folks live in older homes with multiple floor levels, which create falling hazards. Maybe it’s time for a one-level home. Head injuries can be a problem. If you’re already having some cognitive problems, the last thing you need is a head injury, so maybe we don’t need a bunch of steps in the house anymore. Moving furniture around so there are less things to trip over or fall on as you get older is important,” Banning said.

For some people, receiving the news of an Alzheimer’s diagnosis isn’t really a surprise.

“Family members are kind of prepared. We have the Internet now, which makes you always think you have health problems so family members read up about Alzheimer’s before the evaluation and they can probably tell you as much as I can about some of this stuff and are well aware of some of the recommendations,” Banning said.

He believes it’s important for the family to be involved and requests they come to the initial and feedback sessions to talk about the symptoms and what stage he thinks the person is in for Alzheimer’s. They discuss what to expect and Banning then points them in the direction of different resources such as support groups in the area that focus on provider fatigue.

“There’s a lot of issues that come along with taking care of a parent. Some people may have more resources than others. Sometimes it’s just a dad and a sibling – a son that lives in the area for instance. The wife has already passed away and there’s no other family to take on that care. Financial decisions, money, nursing homes, all those big things. Even if they’re not ready to go somewhere, and it may be a while – getting all those things worked out as a team now while the person has as much cognitive reserve as possible, rather than waiting until we see an alert for a lost adult,” said Banning.

“Sometimes it can be pretty devastating, for instance, something like a frontal temporal dementia looks very behavioral so the person may be acting manic and they may be doing things like buying a bunch of things online. For example, this one woman I worked with a while ago had these symptoms and had been diagnosed as bipolar and she and her husband came in to the neurology center to see me so that we could get an assessment battery. The hope was that if we could just get her meds right, she’s going to be OK,” Banning said.

However, the neuropsychology assessments revealed she had been misdiagnosed.

“You don’t get bipolar when you’re in your mid-60s. What was happening was that she had atrophy in her frontal lobe – she had frontal temporal dementia and that’s where your personality is. That’s where the breaks are. If you ever have like an impulsive thought, like maybe I can’t do that, maybe I can’t cut in front of the line. When the frontal lobe atrophies, those brakes don’t do that anymore so you have these behavior problems. I had to deliver the news to them that it’s a progressive disease, she has frontal temporal dementia, and she’s not coming back. It was pretty heart-wrenching for the family members,” he said.

Typically, that’s the case, Banning said, but for people in some variance of Alzheimer’s their awareness is pretty poor so they come in looking fine.

“They’re pretty happy when they come in,” said Banning. “I’ll ask them how they’re doing. They’ll say, ‘I’m doing OK.’ How’s your balance? ‘It’s fine.’ Well, you came in in a walker today. ‘Oh, I don’t need that thing.’ How’s home life? ‘It’s going great.’”

The older you get, the slower the decline will be.

“If you don’t get an Alzheimer’s diagnosis until well after 80, you’ll probably have a really slow decline and may die of other things before it really gets that bad,” Banning said.

Alzheimer’s disease is more likely to affect Americans as they grow older. Although genetics can play a part, age is the biggest risk factor. But Alzheimer’s touches many more individuals than just those who are diagnosed. Dedicated caregivers such as professionals, family members, or friends are also emotionally, physically and financially affected by the disease.

For more information and resources in support of this type of care, visit www.alzheimers.gov.

Editor’s note: This is the second in a series of articles during National Alzheimer’s Disease Awareness Month. For the first article, go to www.wpafb.af.mil/news.

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Motorcycle crash reported on US 35 in Dayton

Published: Sunday, June 17, 2018 @ 7:11 PM

Crash involving motorcycle reported in Dayton

A motorcycle was struck by a truck on U.S. 35 eastbound near Steve Whalen Blvd, Montgomery County Dispatch confirmed.

The driver of the truck was trapped, and a medic was called out.

Crews were dispatched at 6:37 p.m.

U.S. 35 eastbound is temporarily shut down, and vehicles can get off at the Keowee/Wayne Ave. exit ramp.

We have a crew on the way and will update this page when more information becomes available. 

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How 3 major retailers are reinventing to keep customers

Published: Sunday, June 17, 2018 @ 6:00 PM

Salon by InStyle opened inside JCPenney at Bridgewater Falls on Friday, June 15, 2018.

As struggling retailers strive to keep pace with online competitors, they’ve turned to reinventing various facets of their brick-and-mortar existence, or even partnering with new services to lure back digital shoppers.

MORE: 10 retailers closing stores in 2018 

Take JCPenney, for example, which unveiled its new Salon by InStyle location Friday at its Bridgewater Falls store. The revamped salon features a variety of servicesat the Fairfield Twp. store, which is the second in Ohio and one of the first of 100 locations nationwide to get the updated salon concept this year.

The partnership between JCPenney and InStyle magazine, saw the store remodel and expand its selection of salon products, according to salon field manager Katie Kansy.

“One of the things that InStyle does is it just really just kind of hits home with that modern client that we’re looking to capture,” Kansy said. “JCPenney salons have traditionally been the JCP Salon and that drives a variety of clientele.”

The location not only added services, but also four new stylists, giving it a staff of 23. It is looking to hire at least 10 more.

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JCPenney plans to remodel its Eastgate and Florence, Ky., salons in the next six weeks, according to Jason Bittner, JCPenney’s district manager.

“We listened to our customers and they definitely wanted those elevated services,” Bittner said. “We listened to all of the customer demand and kind of prioritized based on what the customer wants. This is something you can’t get online, so when you look at a competitive advantage standpoint, the salon business for us, this is one of our biggest competitive advantages in the marketplace.”

But it’s not just JCPenney looking to broaden its appeal by renovating space or adding goods and services.

MACY’S

Macy’s locations at Tri-County Mall and Dayton Mall this year added the retail giant’s Macy’s Backstage, a store-within-a-store shopping experience that features savings on apparel for men, women and children, as well as deals on housewares, home textiles and decor, cosmetics, hair and nail care, gifts, jewelry, shoes, designer handbags, accessories and activewear.

MORE: You see the top level of a parking garage. Hamilton sees its newest party location.

Frequent deliveries aim to give customers a new reason to come into the brick-and-mortar store and shop. Different buying teams for Backstage and for larger Macy’s help ensure the two entities have different items for sale. Backstage doesn’t use coupons or have sales, but is marketed as having prices that don’t require waiting for a sale.

There are more than 96 Macy’s Backstage locations nationwide. By the end of June, the state of Ohio will have a total of 6 Backstage locations in the following markets: Cleveland, Cincinnati, Columbus, Dayton and Toledo.

Macy’s has ambitious growth plans for Backstage and said earlier this year that it will open 100 more Backstage stores in 2018 and will backing up that growth with a dedicated distribution center in Columbus.

TARGET

Target last week expanded two of its time-saving new delivery and pickup services, Drive Up and Shipt, across the Midwest and Southeast, including in the Cincinnati area.

“We set out this year with an ambitious plan to bring Target guests nationwide more ways to shop on their terms,” said John Mulligan, Target’s chief operating officer. “Our guests are enjoying the convenience of these new delivery and pickup services as we’re working to redefine the Target Run and make Target America’s easiest place to shop.”

MORE: Tri-County Mall continues re-development efforts as another anchor retailer prepares to close

The expansion means tens of millions of Target guests can now get same-day delivery of groceries and more with Shipt, while also speeding up their Target Runs with Drive Up, a service where team members bring online orders out to guests’ vehicles, usually within a few minutes.

By the end of June, Target will offer Shipt in more than 135 markets allowing guests to shop our in-store assortment of groceries, essentials, electronics, home décor items and other products and have them all delivered the same day.

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Cardi B, Offset pose for risque Rolling Stone cover

Published: Sunday, June 17, 2018 @ 6:33 PM

NEW YORK, NY - FEBRUARY 11: Recording artists Cardi B and Offset attend the Prabal Gurung front row during New York Fashion Week: The Shows at Gallery I at Spring Studios on February 11, 2018 in New York City.  (Photo by Andrew Toth/Getty Images for New York Fashion Week: The Shows)
Andrew Toth
NEW YORK, NY - FEBRUARY 11: Recording artists Cardi B and Offset attend the Prabal Gurung front row during New York Fashion Week: The Shows at Gallery I at Spring Studios on February 11, 2018 in New York City. (Photo by Andrew Toth/Getty Images for New York Fashion Week: The Shows)(Andrew Toth)

In the year since “Bodak Yellow” arrived, Cardi B has escalated from projected one-hit wonder to ubiquitous charmer.

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Her frank talk and unapologetic attitude toward her past as a stripper have only bolstered her internet appeal; she’s landed everywhere from “Saturday Night Live” to Howard Stern’s SiriusXM radio show to the Grammy Awards (albeit as a collaborator with Bruno Mars).

Now Cardi, who will perform at the One Musicfest in September, is on the cover of Rolling Stone magazine for the second time in eight months (it’s technically the July issue).

The risqué photo, which Cardi released on her Instagram account after it apparently leaked elsewhere, immediately sparked the usual love it/hate it fervor on social media.

To complement a feature about her “love story” with Offset, of the Atlanta rap trio Migos, Cardi is posing bottom-less, her baby bump being kissed by her baby daddy as he slouches next to her in a bell-bottomed red suit.

“This cover is so special to me and means so much! Thank you to everyone who helped put this amazing cover together! …My daughter made it to the Rollin Stone cover !!!!,” she wrote on Instagram, also confirming the baby’s sex.

During her visit to Stern’s radio show in May, Cardi B mentioned that she and Offset are building a home in Atlanta for their new family. 

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Small earthquake detected in Mexico City after national team beats Germany 

Published: Sunday, June 17, 2018 @ 6:20 PM

MEXICO CITY, MEXICO - JUNE 17: Mexicans celebrate at the Angel of Independence after the Mexico National Team victory over Germany in the 2018 FIFA World Cup Russia on June 17, 2018 in Mexico City, Mexico. (Photo by Manuel Velasquez / Getty Images)
Manuel Velasquez/Getty Images
MEXICO CITY, MEXICO - JUNE 17: Mexicans celebrate at the Angel of Independence after the Mexico National Team victory over Germany in the 2018 FIFA World Cup Russia on June 17, 2018 in Mexico City, Mexico. (Photo by Manuel Velasquez / Getty Images)(Manuel Velasquez/Getty Images)

Fans cheering the national team’s win over Germany created an “artificial quake” that tipped the Richter scale, according to reports

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Seismologists at two monitoring stations in Mexico City picked up readings when Hirving Lozano scored 35 minutes into Mexico’s 1-0 upset over defending champion Germany Sunday, according to USA Today

Officials at the California Earthquake Center told USA Today the induced quake likely generated a 2 on the Richter scale and would have gone unnoticed by the public if it were a typical earthquake. 

Germany became the third defending champion to lose in its opening match in the last 16 years. Mexico next plays Korea Republic June 23. 

The Associated Press contributed to this report.

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