Globe Syndicate

 

For release Friday February 24, 2006

 

 

The Sandwich Generation . . . Helping Your Aging Parents

 

by Carol Abaya, M.A.

 

 

CERTAIN DRUGS MAY INCREASE DEMENTIA

 

Question:  My mother, 78, has been diagnosed with dementia.  The doctor gave her some medicine, which he said should help slow down the deterioration.  In two weeks, she became so bad she couldn’t do anything for herself.  The doctor said to continue the medicine.

 

Answer:  I’m not a doctor.  But when such dramatic negative change occurs so soon after taking a new medicine, I think you should immediately stop that medicine.

            I also have a lot of questions as you didn’t say what tests were used to determine the dementia diagnosis.  There are dozens of causes of dementia, most of which can be reversed.  Ask the doctor to explain how he arrived at his conclusion.

            In reference to the specific medicine, you didn’t name it.  However, according to a study in last year’s “British Medical Journal,” a frequently used and popular drug Seroquel accelerates dementia.  In one study, there was a marked decline in cognitive functions -- both memory and higher brain functions.  In some cases as much as a 50% deterioration.

 

Question:  My parents, early 80s, stayed with us for two weeks over the holidays.  My mother constantly complained of pain -- rarely in the same place.  My father, usually very outgoing, seems to be in a stupor.   They take all kinds of drugs, both prescription and OTCs.  Should I intervene and talk with their doctors?

 

Answer:  When health is involved, sandwich generationers need to be very pro-active and aggressively ask a lot of questions.  So, YES, talk with their doctors and establish an on-going relationship. 

            It is very difficult to identify the cause of traveling pain.  Often pain radiates from the pain center to other parts of the body.  My mother complained of severe pain in her left side.  At that time, 15 years ago, technology was not as sophisticated as it is today.  It took seven months before one doctor diagnosed the problem -- her right hip bone had deteriorated, and the pain radiated to her left side.  After hip replacement surgery at age 86, she was back driving and selling real estate.

            Today various tests or a combination of tests can help identify the pain center:  a neurological exam, x-rays, a MRI and EMG.

            Caution is urged in reference to taking a lot of pain medicine.  Even Tylenol has serious risk factors.  At the same time, some doctors are very reluctant to prescribe strong drugs because of side effects.  My own feeling -- and studies confirm this -- is that too many people suffer needlessly.

            In reference to your father, ALL medicines need to be evaluated.  Does he really need all of them?  What is each one for?  And what are possible side effects and negative interactions?  Negative reactions can slow down people, make them depressed, mentally confused, and cause physical imbalance problems leading to falls and injury.  Again, you need to ask a lot of questions.

            In both cases, a second opinion might be warranted.

 

 

Are you juggling doing errands for your aging parents, your children, yourself and working at the same time?  Are you tired, stressed out and upset that your once vibrant parent is now frail and needy?

 

Do you feel alone?  Rest assured you are not alone!  The Sandwich Generation is dedicated to the 50 million Americans who may have elder/parent care concerns and/or responsibilities.

 

 

 

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Do you have a question? Send it in. Although letters cannot be answered individually, appropriate letters will be answered in this column whenever possible. Letters may be edited. Send letters to Ms. Carol Abaya, mail direct to her at PO Box 132, Wickatunk, NJ 07765-0132 or contact her through her web site: thesandwichgeneration.com.

 

Carol Abaya is an international-award-winning journalist and creator of the unique magazine The Sandwich Generation: You & Your Aging Parents.

 

NOTES TO EDITORS: text = 558 words; other material = 160 words

 

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