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Ryan Townley

@drtfromkc

Girl dad x 3 πŸ‘Έ | Dog dad x 2 🐢| Cognitive & Behavioral Neurologist 🧠| Program Director 🎬| Leading clinical trials in AD, DLB, and FTD. πŸ‘¨β€πŸ”¬πŸ”¬Unraveling the mysteries of the mind, one axon at a time.

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14.11.2024
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Latest posts by Ryan Townley @drtfromkc

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October is Lewy Body Awareness month.

Please see attached educational opportunity for both medical professionals and families this Saturday morning on Zoom:

08.10.2025 13:39 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Smart! Raven loves winning Tic Tac Toe.

06.08.2025 15:46 πŸ‘ 18175 πŸ” 3017 πŸ’¬ 390 πŸ“Œ 288
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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 mediatedβ€”the immune system
erictopol.substack.com/p/our-braini...

04.08.2025 21:09 πŸ‘ 268 πŸ” 86 πŸ’¬ 5 πŸ“Œ 2
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FIRST ON CNN: Dramatic lifestyle changes can fight early-stage Alzheimer’s, study says. Here’s how | CNN Adopting intensive lifestyle changes can slow or stop progression of early-stage Alzheimer’s disease, according to a new study.

FIRST ON CNN: Dramatic lifestyle changes can fight early-stage Alzheimer’s, study says. Here’s how | CNN www.cnn.com/2025/07/...

30.07.2025 12:51 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Daily steps and health outcomes in adults: a systematic review and dose-response meta-analysis Although 10 000 steps per day can still be a viable target for those who are more active, 7000 steps per day is associated with clinically meaningful improvements in health outcomes and might be a mor...

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...

23.07.2025 22:34 πŸ‘ 404 πŸ” 109 πŸ’¬ 9 πŸ“Œ 6

I seriously think the Social Internet is 21st century cigarettes. Complete with secondary smoke causing a lot of harm in nonusers.

22.06.2025 14:48 πŸ‘ 4460 πŸ” 506 πŸ’¬ 101 πŸ“Œ 50

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.

19.06.2025 13:19 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Amazing thread.

Trump has shown us on countless occasions that he has no shame.

It’s more troublesome that there are enough like minded individuals he has surrounded himself with to propagate this metastatic hate.

16.06.2025 21:58 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

β€œA society grows great when old men plant trees whose shade they know they shall never sit in.”
β€” Greek proverb

04.06.2025 22:36 πŸ‘ 2618 πŸ” 389 πŸ’¬ 31 πŸ“Œ 12

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 :)

22.05.2025 12:16 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Timeline cleanser

15.05.2025 21:06 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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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/...

15.05.2025 18:49 πŸ‘ 263 πŸ” 71 πŸ’¬ 5 πŸ“Œ 8
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Contrary to Clear, Verifiable Facts, Secretary Kennedy Continues to Repeat Harmful Myths About Alzheimer’s and Dementia Research The Alzheimer's Association calls on HHS Secretary Kennedy to stop dangerous fabrications about the state of Alzheimer’s and dementia research.

Read our full statement calling on Sec. Kennedy to stop spreading harmful Alzheimer’s myths: bit.ly/43dRIKw. 4/4

15.05.2025 20:23 πŸ‘ 30 πŸ” 17 πŸ’¬ 1 πŸ“Œ 0
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Biological markers and psychosocial factors predict chronic pain conditions - Nature Human Behaviour Fillingim et al. show that biological and psychosocial factors jointly predict conditions associated with chronic pain.

πŸ”₯ Most important paper I've read all yearπŸ”₯
πŸ‘‰ Injury/disease doesn't reliably predict pain
πŸ‘‰ Biomarkers alone can't explain pain
πŸ‘‰ PSYCHOSOCIAL factors reliably determine chronic pain
πŸ‘‰ Painful conditions can be predicted from the SYNERGY btwn bio + psychosocial factors
www.nature.com/articles/s41...

14.05.2025 03:18 πŸ‘ 57 πŸ” 22 πŸ’¬ 3 πŸ“Œ 2
KU Primary Care Brain Health Program Empowering Pr

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

13.05.2025 19:26 πŸ‘ 2 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

I just really need everybody to understand that everything that’s 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 doesn’t understand how the global economy works.

10.05.2025 14:53 πŸ‘ 25623 πŸ” 5636 πŸ’¬ 844 πŸ“Œ 341

Nightmare fuel

10.05.2025 13:52 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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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

04.05.2025 15:39 πŸ‘ 222 πŸ” 50 πŸ’¬ 8 πŸ“Œ 2
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Catch probability? You wouldn’t believe me.

30.04.2025 00:27 πŸ‘ 693 πŸ” 95 πŸ’¬ 19 πŸ“Œ 26
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Deaths from heart disease down 75%, that’s NIH.

Deaths from stroke down 75%, that’s NIH.

HIV/AIDS no longer a death sentence, that’s NIH.

99% of FDA approved drugs in the last decade, that’s NIH.

Please show this video to anyone who doesn’t understand why the NIH is so important.

28.04.2025 17:20 πŸ‘ 5057 πŸ” 2389 πŸ’¬ 57 πŸ“Œ 72
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New images could change cancer diagnostics, but ICE detained the Harvard scientist who analyzes them Without scientist Kseniia Petrova’s expertise, no one can fully unlock the data’s potential, putting crucial advancements in early cancer detection at risk.

Almost every line of this story would have been simply unbelievable a few months ago:

β€”Pioneering cancer researcher;
β€”*Arrested* at airport in Boston;
β€”Now indefinite ICE detention in Louisiana;
β€”"Crime": not declaring some frog-embryo samples for research.

Read it.
www.nbcnews.com/news/us-news...

22.04.2025 01:32 πŸ‘ 29237 πŸ” 13601 πŸ’¬ 732 πŸ“Œ 848

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 that’s just me

19.04.2025 23:35 πŸ‘ 52109 πŸ” 11368 πŸ’¬ 788 πŸ“Œ 347

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

15.04.2025 20:06 πŸ‘ 19920 πŸ” 4880 πŸ’¬ 184 πŸ“Œ 61

They aren’t looking hard enough πŸ˜‚

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!

12.04.2025 12:20 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

It’s 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

12.04.2025 05:18 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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US scientists create most comprehensive circuit diagram of mammalian brain The 3D map of a cubic millimetre of mouse brain reveals half a billion synapses and 5.4km of neuronal wiring

β€œInside that tiny speck is an entire architecture like an exquisite forest..." 🧠❀️
#neuroskyence

www.theguardian.com/science/2025...

09.04.2025 21:43 πŸ‘ 30 πŸ” 8 πŸ’¬ 0 πŸ“Œ 1

Lifestyle matters!!

KU has put together our LEAP (Lifestyle Enrichment for Alzheimer’s Prevention)

www.kumc.edu/research/alz...

08.04.2025 18:49 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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 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...

07.04.2025 16:00 πŸ‘ 21706 πŸ” 5861 πŸ’¬ 302 πŸ“Œ 283
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#corgi focus

05.04.2025 13:48 πŸ‘ 6 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The penguins are globalists and rich liberal elitists. Just look how they’re dressed.

03.04.2025 18:04 πŸ‘ 1745 πŸ” 224 πŸ’¬ 103 πŸ“Œ 15