2012年9月29日 星期六

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Mayo Clinic experts blog about various health topics. // via fulltextrssfeed.com
New book guides women with breast cancer
Sep 29th 2012, 05:00


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  • Living with cancer blog

  • Sept. 29, 2012

    New book guides women with breast cancer

    By Sheryl M. Ness, R.N.

If you are a woman with breast cancer, you may want to check out our new book.

"The Mayo Clinic Breast Cancer Book" is a trusted resource designed to help you understand breast cancer, make informed decisions about your care, and cope with the emotional and physical effects of diagnosis and treatment.

I know that many readers look for good resources and trusted information. This is one of the resources I use on a regular basis when working with women diagnosed with breast cancer.

The book is designed to demystify breast cancer and give you step by step, practical guidance and tools for what to do if you have a diagnosis of breast cancer.

The book's medical co-editors are renowned experts Charles L. Loprinzi, M.D., a breast cancer and oncology specialist, and Lynn C. Hartmann, M.D., a breast oncologist and researcher — both from the Mayo Clinic Cancer Center.

Weaving in personal stories from breast cancer patients and survivors, "The Mayo Clinic Breast Cancer Book" is organized into three parts:

  • Part 1 includes an overview of cancer in general: What it is, how it develops and how it spreads.
  • Part 2 looks specifically at breast cancer and provides a broad discussion of the disease, from risk and prevention to the latest technologies in diagnosis and treatment. Included in this section are decision guides to help decide on the best treatment option based on your circumstances.
  • Part 3 focuses on strategies for dealing with the emotional, social, spiritual and physical challenges that accompany cancer treatment and survivorship.

The Mayo Clinic Breast Cancer Book ($22.95/softcover, 432 pages) is available wherever books are sold, beginning on Oct. 1, 2012. If you order from the Mayo Clinic Store (http://www.store.mayoclinic.com/) you can get a discount of 20 percent by entering the code SAVE20 when you check out. Mayo Clinic's proceeds from the book will support medical education and research at Mayo.

Follow me on Twitter at @SherylNess1. Join the discussion at #livingwithcancer.

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Your 6 hourly digest for BBC News - Health

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thumbnail VIDEO: Alzheimer's patients tracked
Sep 29th 2012, 19:23

A council in London is trying out a new way of helping people with dementia.

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thumbnail AUDIO: Bodybuilder, 93, explains the benefits
Sep 29th 2012, 08:23

Charles Eugster on how building muscle boosts people's love lives and makes them more attractive.

thumbnail VIDEO: Pregnancy jab for whooping cough
Sep 28th 2012, 13:05

Hundreds of thousands of pregnant women across the UK are to be offered a whooping cough vaccine to protect babies from an escalating outbreak of the disease.

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2012年9月28日 星期五

Your 8 hourly digest for Blogs - All topics

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Mayo Clinic experts blog about various health topics. // via fulltextrssfeed.com
What's your birth story?
Sep 28th 2012, 05:00

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  • With Mayo Clinic certified nurse-midwife

    Mary M. Murry, R.N., C.N.M.

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  • Pregnancy and you blog

  • Sept. 28, 2012

    What's your birth story?

    By Mary M. Murry, R.N., C.N.M.

I was helping with a labor and birth several years ago. I'll call the couple Adam and Eve. They were working well together. Labor was advancing and the contractions were getting stronger.

It was part of Eve's birth plan to use an epidural for pain management. Between contractions, Eve let me know that she still wanted an epidural — but not quite yet.

Adam was puzzled and asked Eve why she didn't get the epidural now since she knew she wanted it. Eve and I looked at each other and I finally told Adam that he really wouldn't be able to understand it.

Eve had set a goal for herself about when she would get the epidural. She might not have shared that goal with anyone. It was her personal target — what she wanted to achieve during this labor and birth. It was important to her for a reason that she couldn't put into words.

Eve will carry this birth story for the rest of her life. You'll carry your birth story, too. It'll shape you in ways you might not have imagined.

Your birth story will also earn you positive strokes from other women, from grandmothers and aunts to friends and strangers. You'll experience a certain amount of admiration when you describe the 10-pound baby born without an epidural — and an equal amount of sympathy when you tell the tale of the 36-hour labor with an epidural that didn't work followed by a C-section or stitches out the wazoo. And believe me, other women know where the wazoo is!

If you've given birth, you're likely to have an understanding of those things that are unsaid during labor — such as why Eve wanted to wait for her epidural. I don't say this to disrespect men. I believe that sharing in the birth process changes them, too. I'm afraid I just understand women better.

Do you have a birth story you'd like to share? Please tell!

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thumbnail AUDIO: Cannabis-like drug to be tested
Sep 28th 2012, 12:11

5 live Morning Reports heard about the drug similar to cannabis that will be tested on patients with advanced cancer.

thumbnail AUDIO: New vaccine for pregnant women
Sep 28th 2012, 07:34

Director of Immunisation for the Department for Health Professor David Salisbury talks about the benefits of the whooping cough vaccine during pregnancy.

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thumbnail VIDEO: Mother on whooping cough scare
Sep 28th 2012, 07:01

Gemma Price talks about her how her daughter Zoe caught whooping cough at the age of four weeks and was then in hospital for a month.

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2012年9月27日 星期四

Your 6 hourly digest for BBC News - Health

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thumbnail VIDEO: NHS chief: "Service on high alert'
Sep 27th 2012, 16:40

The head of the NHS Sir David Nicholson has said the whole service is on "high alert" as it prepares for massive re-organisation.

thumbnail VIDEO: Controversy over private NHS practices
Sep 27th 2012, 15:31

The government's health service reforms in England have provoked huge controversy, particularly over the role of private companies.

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thumbnail VIDEO: NHS reform: Shake-up for hospitals
Sep 27th 2012, 06:18

Trafford General, Manchester's very first NHS hospital, must make some very tough choices if it is to survive.

thumbnail VIDEO: How NHS changes will affect GPs
Sep 27th 2012, 06:14

In sweeping NHS changes, GPs are being asked to group together, form a constitution for their area, and manage not just the care, but the budget for their community.

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2012年9月26日 星期三

Your 8 hourly digest for Blogs - All topics

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Mayo Clinic experts blog about various health topics. // via fulltextrssfeed.com
Don't go against the grain — Go whole grain
Sep 26th 2012, 05:00

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  • With Mayo Clinic nutritionists

    Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

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  • Nutrition-wise blog

  • Sept. 26, 2012

    Don't go against the grain — Go whole grain

    By Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

Did you know that at least half of the grains in your diet should be whole grains? For many adults, this means three to five servings of whole grains daily. (For children, make that two to three servings daily.)

And yet the average American eats less than one serving of whole grains a day. In fact, the Dietary Guidelines for Americans reports that:

  • Most Americans eat enough total grains, but the majority are refined rather than whole. And refined-grain foods tend to have more solid fats and added sugars.
  • Less than 5 percent of Americans get the recommended minimum of three servings a day of whole grains. A serving is 1 slice bread; 1/2 cup cooked rice, pasta or cereal; 1 tortilla (6-inch diameter); 1 pancake (5-inch diameter) or 1 cup cereal flakes.

This month is Whole Grains Month and the theme is "Whole grains at every meal." If you follow this theme, you'll meet the minimum recommendations.

The best way to increase whole-grain intake is by replacing refined grains with whole grains. Here are some ideas for mealtime selections.

Breakfast

  • Choose whole-grain versions for your toast, bagel or muffin.
  • Make whole-grain pancakes or waffles.
  • Have a bowl of oatmeal, whole-oat cold cereals or those made with kamut, buckwheat or spelt.
  • Add oats to yogurt or look for yogurts that have whole grains already added.

Lunch

  • Choose whole-grain breads or whole-wheat or stoneground corn tortillas for your sandwich or wrap.
  • At the salad bar, look for brown or wild rice, wheat berries, kasha or whole-grain pasta.
  • Choose whole-grain crackers with a soup that has barley, brown or wild rice.

Dinner

  • Make sure that one-quarter of your plate contains a whole grain such as barley, rice (brown or wild), whole-wheat pasta, or stuffing made from whole-grain bread.
  • Add variety by adding corn, which is considered a whole grain.
  • Get exotic and try a pilaf made with quinoa, teff or millet.

There's good evidence that diets emphasizing whole grains lead to improvements in blood pressure and gastrointestinal health, and lower risk of cardiovascular disease, prediabetes and type 2 diabetes, and metabolic syndrome. An added benefit is that whole grains taste great.

What are you doing to go with the whole grain? Are you having at least one serving at each meal? Share your favorites.

- Jennifer

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References
  1. 2012 National Health Observances. U.S. Department of Health and Human Services. http://healthfinder.gov/nho/nho.asp#m9. Accessed Sept. 24, 2012.
  2. Dietary Guidelines for Americans, 2010. U.S. Department of Health and Human Services. http://www.cnpp.usda.gov/DGAs2010-PolicyDocument.htm. Accessed Sept. 24, 2012.
  3. Jonnalagadda SS, et. al. Putting the whole grain puzzle together: Health benefits associated with whole grains. Summary of American Society for Nutrition 2010 Satellite Symposium. Journal of Nutrition. 2011;141:1011S.
  4. What is the relationship between whole or refined grain intake and metabolic outcomes in persons with prediabetes? American Dietetic. http://andevidencelibrary.com/conclusion.cfm?conclusion_statement_id=251772&highlight=whole%20grains&home=1. Accessed Sept. 24, 2012.

Dispatch distractions by living in the moment
Sep 26th 2012, 05:00

If the stress in your life is more than you can cope with, get help right away.

  • National Suicide Prevention Lifeline
    1-800-273-TALK (8255)
  • Go to the nearest hospital or emergency room
  • Call your physician, health provider or clergy
  • National Alliance on Mental Illness
    www.nami.org
    1-800-950-NAMI (6264)

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thumbnail AUDIO: Right-to-die man 'may starve'
Sep 26th 2012, 11:59

Exclusively on 5 live, the wife of man with locked-in syndrome told Tony Nicklinson's wife he was considering starvation

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2012年9月25日 星期二

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thumbnail AUDIO: 'Starvation was way to hate myself'
Sep 25th 2012, 16:54

BBC Radio 5 live's Shelagh Fogarty has learnt that men are increasingly suffering from eating disorders.

thumbnail AUDIO: Carluccio speaks out on depression
Sep 25th 2012, 15:51

Carluccio told 5 live's Richard Bacon about his battle with depression after his brother drowned in a lake as a child.

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2012年9月24日 星期一

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thumbnail VIDEO: 'I thought surgery would fix it'
Sep 24th 2012, 09:10

The British Heart Foundation has launched the Mending Broken Hearts Appeal to raise awareness and fund research into heart failure treatment.

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2012年9月22日 星期六

Your 8 hourly digest for Blogs - All topics

Blogs - All topics
Mayo Clinic experts blog about various health topics. // via fulltextrssfeed.com
Event highlights latest updates on pancreatic cancer
Sep 22nd 2012, 05:00


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  • Living with cancer blog

  • Sept. 22, 2012

    Event highlights latest updates on pancreatic cancer

    By Sheryl M. Ness, R.N.

On Saturday, Nov. 3, 2012, the Mayo Clinic Cancer Education Program will host a public event with a focus on pancreatic and islet cell cancers.

It will be from 8:30 a.m. - 5 p.m. in Rochester, Minn., in Phillips Hall of the Siebens Building on the downtown campus. It's for patients, families and anyone interested in hearing the latest updates on the diagnosis, treatment and care of pancreatic cancer.

The event will highlight:

  • Innovative treatment strategies
  • Side effect management
  • Nutritional strategies
  • Genetic links
  • Promising research updates

Mayo Clinic experts will provide updates on emerging therapies for people diagnosed with pancreatic cancer. Attendees will have the opportunity to hear from pancreatic cancer survivors and caregivers with their messages of hope and inspiration.

It will also feature a research poster exhibit where you can interact with cancer researchers as they explain the latest findings in research.

The cost of the program is $15 per person or $25 for a party of two (for registration up to Oct. 26). For more information and to register, call 507-538-6001 or email: canceredprog@mayo.edu.

Support for the event is provided by the Mayo Clinic Stephen and Barbara Slaggie Innovation in Cancer Education Fund.

Follow me on Twitter at @SherylNess1. Join the discussion at #livingwithcancer.

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thumbnail VIDEO: Cubans raise Alzheimer awareness
Sep 22nd 2012, 10:21

Senior citizens in Cuba who have been diagnosed with early onset Alzheimer's disease have taken to the catwalk to help promote awareness of the condition.

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2012年9月21日 星期五

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Artificial pancreas: Research continues
Sep 21st 2012, 05:00

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  • With Mayo Clinic diabetes educators

    Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.

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  • Living with diabetes blog

  • Sept. 21, 2012

    Artificial pancreas: Research continues

    By Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.

I recently had the privilege of meeting Dr. Francine Kaufman — a distinguished professor emerita of pediatrics and communications at the Keck School of Medicine and past president of the American Diabetes Association — at a Mayo Clinic endocrine lecture program. The focus of Dr. Kaufman's talk was on current and future technology in diabetes. As part of her presentation, Dr. Kaufman discussed artificial pancreas research and what must happen before the artificial pancreas can become a reality.  

As you may know, the pancreas is an amazing, complex organ. The three components of the artificial pancreas — or closed loop system — are the insulin pump, the continuous glucose sensor and mathematical equations called algorithms. Algorithms determine how much insulin should be given minute-by-minute to keep the blood glucose in a healthy target range.

Many artificial pancreas research questions still need to be answered. These include:

  • What's the best algorithm? The race is on. Many researchers are working on this question. Mayo Clinic is currently conducting a study to learn if sugar metabolism after meals changes with the time of day or from day to day.
  • Is delivering only insulin sufficient? Does an artificial pancreas truly have to mimic pancreas function by giving glucagon to prevent low blood glucose and also release gastrointestinal hormones related to meal blood glucose excursions? This could mean two separate pumps may be needed.
  • Is the insulin now used good enough? The current rapid insulins act slower than actual human insulin released from a pancreas. Ultra-rapid insulins are presently in development.
  • Is one sensor good enough? What about lag time?

The development of the artificial pancreas will more than likely be implemented in steps. One existing insulin pump and sensor alerts the wearer of an oncoming event, automatically stopping the insulin pump if the person doesn't act on the warning. The system is available in much of the world, but the manufacturer is still awaiting Food and Drug Administration (FDA) approval in the United States. Two other major companies are also awaiting FDA approval for integration of their insulin pump and glucose monitor products.

The future looks good for the artificial pancreas, or closed loop system. We just have to let researchers sort through the remaining questions — I'm hoping that will be sooner than later.

Regards,

Nancy

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thumbnail VIDEO: Tackling deadly mosquito virus in US
Sep 21st 2012, 09:52

Scientists in the US say people may eventually acquire immunity through exposure to the deadly West Nile Virus but it could take several decades.

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thumbnail VIDEO: Dementia patients enjoy past times
Sep 21st 2012, 06:57

A care home in Bristol has found a novel method of helping patients with dementia - the construction of a 1950s village.

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2012年9月20日 星期四

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thumbnail VIDEO: Can football clubs help men's health?
Sep 20th 2012, 18:15

Big name football clubs could hold the key to improving men's health, according to research seen exclusively by the BBC.

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thumbnail VIDEO: Man continues right to die battle
Sep 20th 2012, 06:52

The wife of a man who's paralysed with 'locked-in' syndrome has told BBC News of his determination to continue his battle for a right to die.

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2012年9月19日 星期三

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Mayo Clinic experts blog about various health topics. // via fulltextrssfeed.com
Eggs and heart disease — still controversial
Sep 19th 2012, 05:00

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  • With Mayo Clinic nutritionists

    Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

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  • Nutrition-wise blog

  • Sept. 19, 2012

    Eggs and heart disease — still controversial

    By Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

If you're like most people, you're not too concerned about the cholesterol in your diet and your risk of heart disease. However, some researchers suggest it's time to reopen the discussion on eggs and heart disease. A recent study published in the medical journal "Atherosclerosis" found that egg yolk consumption appears to damage and thicken the arteries, almost to the same degree as smoking.

The study looked at egg yolk consumption in about 1,200 people with a history of transient ischemic attacks (small strokes where symptoms disappear). It found that those who ate three or more yolks a week had significant amounts of plaque build-up compared with those who ate two or fewer yolks a week.

Narrowing of the arteries was on average about two-thirds of that seen in studies of heavy smokers — a finding that both eggs and smoking accelerate plaque build-up. These findings remained after adjusting for other coronary risk factors such as of gender, blood cholesterol levels, blood pressure, body mass index, diabetes and smoking.

Although three or more yolks a week significantly increased plaque build-up in people already at risk for heart disease in this study, other studies have shown that eggs (specifically the cholesterol in yolks) do not have adverse effect on blood lipids and that yolks contain antioxidants which may be protective.

What is my take?

  • The yolk of one large egg has about 185 milligrams (mg) cholesterol — one of the most concentrated sources of cholesterol.
  • Current recommendations from the American Heart Association are that Americans eat less that 300 mg daily to help maintain normal cholesterol levels. Consuming less than 200 mg of cholesterol daily can further help individuals at high risk of cardiovascular disease.
  • The Dietary Guidelines for Americans found that the average cholesterol intake among men is about 350 mg a day and among women it's 240 mg a day.
  • The Dietary Guidelines also state that egg and egg dishes contribute a whopping 25 percent of our cholesterol intake.

What's the take-home message? Although eggs don't seem to be associated with heart disease risk in healthy people, the same is not true for people already at risk of heart disease. You should know your risk for heart disease. If you're at risk, you're better off eating fewer yolks. If you're not at risk, you should still be sensible about cholesterol intake, especially when there are so many healthy food choices available.

Opinions are welcome!

- Jennifer

blog index
References
  1. Spence JD, et al. Egg yolk consumption and carotid plaque. Atherosclerosis. 2012. In press. Accessed Sept. 17, 2012.
  2. Zampelas A. Still questioning the association between egg consumption and the risk of cardiovascular diseases. Atherosclerosis. 2012. In press. Accessed Sept. 17, 2012.
  3. USDA National Nutrient Database for Standard Reference, Release 24. U.S. Department of Agriculture, Agricultural Research Service. http://ndb.nal.usda.gov. Accessed Sept. 17, 2012.
  4. Dietary Guidelines for Americans, 2010. U.S. Department of Health and Human Services. http://www.cnpp.usda.gov/DGAs2010-PolicyDocument.htm. Accessed Sept. 17, 2012.
  5. Diet and lifestyle recommendations. American Heart Association. http://www.heart.org/HEARTORG/GettingHealthy/Diet-and-Lifestyle-Recommendations_UCM_305855_Article.jsp. Accessed Sept. 18, 2012.

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2012年9月18日 星期二

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You can help change the stigma of Alzheimer's
Sep 18th 2012, 05:00

  • Alzheimer's blog

  • Sept. 18, 2012

    By Angela Lunde

"The Alzheimer's epidemic is no longer emerging, it is here."

Those are the words of my colleague, Dr. Ronald Petersen, director of the Mayo Clinic Alzheimer's Disease Research Center and chairman of NAPA (National Alzheimer's Project Act).

NAPA is a national health plan signed earlier this year by President Obama intended to ensure strategic planning and coordination in the fight against Alzheimer's across the entire nation. Despite this epidemic, awareness of Alzheimer's isn't where it should be.

This month is World Alzheimer's Month and a time when some of you may choose to raise your voice in an effort to increase awareness.  I invited Carla Zbacnik, from the Alzheimer's Association Minnesota-North Dakota Chapter to share some thoughts with you.

"Alzheimer's disease is an international epidemic impacting a growing number of families around the world. Yet, it is often misunderstood, preventing people from seeking medical treatment and securing desperately needed support. The stigma behind Alzheimer's is huge. Gigantic. Think back to when cancer was the whispered "c" word. That's what we are dealing with. People who don't want to talk about a disease that is impacting 1 in 8 adults over the age of 65 and nearly 50 percent of people over 85.

But there's hope. There are people like Julie Allen, who was diagnosed at the age of 58 and spoke openly and honestly about living with the Alzheimer's at the Alzheimer's Association and Mayo Clinic's Meeting of the Minds Dementia Conference. Julie doesn't whisper about having Alzheimer's — she commands the attention of 1,200 people and before our eyes changes the stigma.

You can too. Every time someone whispers Alzheimer's or ignores the signs of dementia — speak up. September is World Alzheimer's Month and a time where we ask communities across the globe to join us in the fight against Alzheimer's.

Recently, the Alzheimer's Association National Early-Stage Advisory Group comprised of men and women from across the country who provide their unique insight on the needs of people living with Alzheimer's and their caregiver, developed and released the following tips on how to combat stigma based on their personal experiences:

  • Communicate the facts about dementia. Accurate information helps clear up misconceptions about the disease.
  • Seek out friends and foster a positive way of communicating, explaining to others what it's like to have the disease, how you are coping and what projects you have planned for the future.
  • Be open and direct about the diagnosis and engage the person in a discussion about Alzheimer's disease and the need for methods of prevention, treatment and a cure.
  • Denial of the disease by others is "about them" and not about you. There are those who may be quick to think people living with Alzheimer's are simply going through the normal aging process. This is a perfect time to educate them.
  • There are a lot of people who do and will support you and keep you involved in their activities. Stay connected to them and focus on what you can still do. This is where you need to be. Connect and seek support from other individuals who are also living with the disease or are caregivers.
  • There is no shame in having Alzheimer's — it's a disease. Talk openly about it.
  • Advocate for self and be a part of the solution by speaking out and educating others.
  • Give others a link to information or booklets so they can understand Alzheimer's has various stages.

Tell your story. Tell their story. Help us change the stigma of Alzheimer's in your community. The end of Alzheimer's starts with us."

(The Alzheimer's Association is the world's leading voluntary health organization in Alzheimer's care, support and research. Our mission is to eliminate Alzheimer's disease through the advancement of research, to provide and enhance care and support for all affected, and to reduce the risk of dementia through the promotion of brain health. Our vision is a world without Alzheimer's. To learn more about Alzheimer's disease and overcoming stigma, call 1-800-272-3900 or visit www.alz.org.

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