October is Lewy Body Awareness month.
Please see attached educational opportunity for both medical professionals and families this Saturday morning on Zoom:
@drtfromkc
Girl dad x 3 πΈ | Dog dad x 2 πΆ| Cognitive & Behavioral Neurologist π§ | Program Director π¬| Leading clinical trials in AD, DLB, and FTD. π¨βπ¬π¬Unraveling the mysteries of the mind, one axon at a time.
October is Lewy Body Awareness month.
Please see attached educational opportunity for both medical professionals and families this Saturday morning on Zoom:
Smart! Raven loves winning Tic Tac Toe.
One in 4 people carry one copy of the APOE4 allele, the strongest known genetic risk factor for Alzheimer's disease. We've just learned how that risk is mediatedβthe immune system
erictopol.substack.com/p/our-braini...
FIRST ON CNN: Dramatic lifestyle changes can fight early-stage Alzheimerβs, study says. Hereβs how | CNN www.cnn.com/2025/07/...
What's the optimal number of steps of physical activity this is associated with multiple (9) favorable outcomes?
The largest, systematic review of 57 studies, 35 cohorts.
7,000 steps is clinically meaningful, benefit also seen for 4,000 steps cf 2,000 steps
thelancet.com/journals/lan...
I seriously think the Social Internet is 21st century cigarettes. Complete with secondary smoke causing a lot of harm in nonusers.
This fits with my theories here of dementia being a multiple hit hypothesis and structural changes over a decade before lay the groundwork for brain failure in the setting of cognitive/systemic stressors.
Amazing thread.
Trump has shown us on countless occasions that he has no shame.
Itβs more troublesome that there are enough like minded individuals he has surrounded himself with to propagate this metastatic hate.
βA society grows great when old men plant trees whose shade they know they shall never sit in.β
β Greek proverb
Interesting. I prefer the hypothesis that APOE4 has more CAA and disrupts BBB enough that more drug gets into the CNS than those without APOE4.
If we could accurately measure BBB integrity we could tweak doses to reduce side effects.
Or we just wait for the transferrin shuttle version :)
Timeline cleanser
Astrocytes have long been conceived as passive support player cells in the brain. But today @science.org (via 3 reports) they got a big upgrade for their active role in neuromodulation and control of brain function
www.science.org/doi/10.1126/...
Read our full statement calling on Sec. Kennedy to stop spreading harmful Alzheimerβs myths: bit.ly/43dRIKw. 4/4
π₯ Most important paper I've read all yearπ₯
π Injury/disease doesn't reliably predict pain
π Biomarkers alone can't explain pain
π PSYCHOSOCIAL factors reliably determine chronic pain
π Painful conditions can be predicted from the SYNERGY btwn bio + psychosocial factors
www.nature.com/articles/s41...
Exciting! I know uses/cost will vary for UK but we did put together two related CME pieces:
Biomarker training: kuadrc.org/bhb-training
For more comprehensive cognitive evals (putting ptau217 into greater context) see my series:
PCP training: kuadrc.org/pcpguidebook
I just really need everybody to understand that everything thatβs happening in and to the global economy now (and all the businesses and people in it) is the entirely predictable result of the intentional decisions of one guy who doesnβt understand how the global economy works.
Nightmare fuel
The gylmphatics of our brain, which clear waste products, interact with our immune system and are key to preserving brain health, modulating its aging process, and propensity for neurodegenerative diseases
A superb review @cp-immunity.bsky.social @jonykipnis.bsky.social
Catch probability? You wouldnβt believe me.
Deaths from heart disease down 75%, thatβs NIH.
Deaths from stroke down 75%, thatβs NIH.
HIV/AIDS no longer a death sentence, thatβs NIH.
99% of FDA approved drugs in the last decade, thatβs NIH.
Please show this video to anyone who doesnβt understand why the NIH is so important.
Almost every line of this story would have been simply unbelievable a few months ago:
βPioneering cancer researcher;
β*Arrested* at airport in Boston;
βNow indefinite ICE detention in Louisiana;
β"Crime": not declaring some frog-embryo samples for research.
Read it.
www.nbcnews.com/news/us-news...
Personally, I think it should be front page news for at least a month if a sitting US President is using falsified evidence to try and deny due process to a man who has committed no crime, but thatβs just me
We've seen videos like this before, but usually when you see a tearful wife pleading with the kidnappers who have taken her husband, she's not talking to the U.S. president
They arenβt looking hard enough π
The reluctance to diagnose DLB on its own, even when a patient meets full criteria, is baffling to me. I see it often as a 2nd/3rd opinion referral.
Board certified in neurology (ABPN) and BNNP certified - behavioral neurology and neuropsychiatry = wide gap!
Itβs diagnosed in our clinic:
1. Amnestic dementia with RBD and hallucinations +/- Parkinsonism
2. Multidomain dementia with DLB criteria and hippocampal atrophy
3. Biomarker positivity for AD/DLB
ICD10: major neurocognitive disorder d/t multiple pathologies. Then list AD and DLB underneath
βInside that tiny speck is an entire architecture like an exquisite forest..." π§ β€οΈ
#neuroskyence
www.theguardian.com/science/2025...
Lifestyle matters!!
KU has put together our LEAP (Lifestyle Enrichment for Alzheimerβs Prevention)
www.kumc.edu/research/alz...
The United States Government has no legal authority to snatch a person who is lawfully present in the United States off the street and remove him from the country without due process. The Government's contention otherwise, and its argument that the federal courts are powerless to intervene, are unconscionable.
The Fourth Circuit is famously succinct. storage.courtlistener.com/recap/gov.us...
#corgi focus
The penguins are globalists and rich liberal elitists. Just look how theyβre dressed.