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Recent Diagnosis

I am 64 years old and was recently diagnosed with Early onset Alzeimers. I've got some memory issues and some cognitive deficits. I am still trying to wrap my head around this. I thought this was probably just aging and this diagnosis hit me like a ton of bricks. I'd love to talk to some of you about this.

Comments

  • Dneige89
    Dneige89 Member Posts: 34
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    it is difficult to receive a diagnosis for which there is no cure. However, there are treatments available and I encourage you to speak to your neurologist. I have found that our fellow travelers on this journey to be supportive, knowledgeable, and happy to share their experiences. I was diagnosed last December but I have chosen not to get infusions. I am 75 with other health conditions that make it more risky. I have a local neurologist and I had a consultation at the Mayo Clinic. Things to do: eat healthy, exercise, socialize, sleep, and do cognitive training such as puzzles, crosswords, etc. I wish you all the best🤗

  • GEH
    GEH Member Posts: 142
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    Hi jskswain,

    I am sorry to hear about your diagnosis. I was diagnosed with early onset Alzheimer's at around 63. I am now just a month way from 69. Having a diagnosis of Alzheimer's today is not the same as when my mother was diagnosed with it over 50 years ago. I my personal opinion, it is a disease that is manageable with meds and infusions and challenging of your brain every day. Do I have memory deficits, absolutely. However, I am able to live alone, feed myself and my cat. Pay my bills, drive everywhere and anywhere I want to go. I have traveled within the US, granted, not by myself but that went well. There are some limitations, but those are normally placed by the the person with Alzheimers themselves. I am on several drugs that help with symptoms and take biweekly infusions of a plaque removing drug called Leqembi. I am about to take my 22nd infusion. It has clearly helped. Cat scans and mri test have shown a reduction in the plaque that had built up in my brain. I feel I am more clear and alert since taking these infusions. It may take a bit for you to process your diagnosis after the shock wears off. Be kind to yourself. We are all here for you. Please share again when you feel ready.

  • plsalz252
    plsalz252 Member Posts: 2
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    jskswain I understand where you're coming from. I was diagnosed about six weeks ago. I was completely devastated. It's been a rollercoaster for sure, and probably the darkest time I've been through. I came here today for the same reason, I've got to talk to someone who understands how I'm feeling.

    GEH I am so happy to hear your story. I'm in the process of getting pre-authorized for Leqembi. It's so inspirational to hear you are still driving and living your life so well six years after diagnosis. I didn't think I could dare hope to be driving another five years. I am very hopeful.
  • GEH
    GEH Member Posts: 142
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    I am pleased I could share a bit of hope with you. Please let us all know how you are getting on.

    GE

  • Laurie Eckwahl
    Laurie Eckwahl Member Posts: 2
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    Hi to each of you! I'm 68 years old. I started seeing a neurologist for short term memory loss. It took two years for me to convince my doctor to test me for Alzheimer's. Until January this year, I was the executive assistant to our CEO and started to make too many mistakes for me to handle. I took a big step back on pay, but thankfully the company has given me a less stressful role. I'm "Grammy" to my four grandkids (5-11) that share my home (with their mom and dad too), and I work a part-time job at a bingo hall on Sunday nights. I reconcile the cash and inventory with pencil and paper at the end of the night (at midnight), but I also believe that made a difference in my ability to last this long.

    I also believe my intense memory job I was doing for the last 25 years kept the diagnosis hidden a longer time. I've been tested and show positive for P Tau 217, positive for Amyloid PET, and am APOe4/4. My company insurance will not pay for the Kisunla or Leqembi, so I'm ending my time with Cigna and will be starting Medicare in October.

    My neurologist is a generalist and seem like he isn't interested in honing his Alzhemier's knowledge, so I also have an appointment with a new neurologist at a Baylor Scott and White in October, so I'm hoping I can get more aggressive treatments. I am thinking Leqembi would be best because has a less chance of causing bleeding. I'm also interested in trials, if they let us do that while doing the infusions. I've seen some reports that they have show some the next steps of the treatments that are actually making new memories that stay around.

    I'm driven to do the best I can for my shared-home family, hoping I can hold it all together and not be too hard of a burden once the worst comes. I'm still figuring finances (from the increase in Medicare cost compared to company insurance) and starting wills and understanding the best ways to try to help my family once I'm gone. Our house is in my name. I also have an older son, and I am planning to leave him most of the cash that from my insurance policies, but would love for my grandkids to still be able to live in the only house they have ever lived in.

    It has taken me since January to now to start really thinking about how to move forward. As a single mom, I worked multiple jobs and spent all my time and effort into my family. They are terrific and plan to help me through this, but I don't how to do anything but work. I need to figure out how to get my body out there to move, to manage a healthier diet, and keep my brain moving forward instead of wallowing in feeling sorry for myself.

    I'd love to hear how this is all working out for you all and any good ideas to make these last years be the best as possible.

    Thanks for listening!!
    Laurie

  • Linda Scarantino
    Linda Scarantino Member Posts: 2
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    I was diagnosed two years ago. No assistance from neurologist on what I should be doing for treatments. I have found the most helpful interacting with others who are living with this disease.

    I walk every day, belong to library book club, joined senior citizen club, garden, etc. My advice KEEP BUSY. Do NOT sit home! Keep interacting with friends, families, clubs, etc! So important to keep ACTIVE!

  • whorne_73
    whorne_73 Member Posts: 8
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    Make sure you have a variety of the types of "brain games/activities." Easy choices don't exercise your thinking enough. I use an app called, ELEVATE. It has dozens of extreme and challenging brain exercises; hard puzzles, exercises in math, reading, written expression, memory games. Each category has hard and very challenging activities. I play 2-3 hours a day (in increments) and love it. There are also some exercises that are audible, which really exercise your brain's listening comprehension (this is an area that I have great difficulty with, when conversing with people, due to a new brain processing problem due to the Alzheimer's disease).

    ***I forgot, the game also shows how you stand with other players; everyone uses anonymous names, of course.I love gaining the points, while competing.

    My NeuroScience neurologist and my niece (R.N.) advise and follow my progress with my brain exercises.

  • GEH
    GEH Member Posts: 142
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    Hi Linda, Sounds like you are doing a lot of right things all on your own. Kudos!! However, f you neurologist is not aggressively working on your behalf on treatments and programs that he/she could steer you towards or refer to to, he needs to be fired and you need to find another one. Depending on where you live there maybe a Neurological Hospital like Barrows, or something similar. I know i was a bit overwhelmed when I was first diagnosed and it took me more than a minute to have the energy and wherewithal to do research for the best place to go to in my area. I might start with a simple Google search for hospitals or clinics in your area specializing in Alzheimer's. Hang in there, and please keep us all up to date on how you are doing. Best to you.

    GE

  • Dorse
    Dorse Member Posts: 93
    25 Care Reactions 10 Comments First Anniversary 5 Likes
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    I was diagnosed one year ago with Mild Alzheimers. I think I am doing well after one year. I try to stay healthy and keep a good attitude once I got over the shock of the diagnosis.

  • whorne_73
    whorne_73 Member Posts: 8
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    Me too 👍.

  • jskswain
    jskswain Member Posts: 4
    First Comment
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    Thank you for your message. I appreciate you.

  • Sue1408
    Sue1408 Member Posts: 2
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    Member
    Hi All, I was diagnosed 3 days ago, PET scan and blood work is positive. Family history so wanted to get ahead of this, with mild cognitive issues. I am 67. I will be starting Kisunla in a couple weeks as soon as authorization is complete.

    I have two big questions that I am struggling with.

    1. Do I have the right neurologist.
    2. What next….

    1. Many of you are taking Leqembi. My Dr is prescribing Kisunla. I believe his practice is more generalist, although he has a handful of ALZ patients. I’ve been wondering if I should seek a more involved neurologist. There are many studies/trials I can participate in locally however I would rather be on meds vs risking the control or placebo groups.

    2. Having negative thought in general. Watched my father, oldest sister decline and passed at ages 75 and 72, with another older sister (71) with significant decline and she is just now seeking testing. My thoughts, likely similarly to others, about not being here for XYZ event, not knowing loved ones, etc.

    Husband reminds me that I did the right thing to catch this early. We have already discussed a review of our wills, medical directives and POAs. I feel I am relatively active with crochet, reading and in person book clubs and about to start/lead a bookclub and crochet circle at an assisted living community.

    I don’t know how to tell my adult children or the siblings behind me. Feel like my brain is still intact and firing off like normal.

    Grateful to hear GEH that there can be life for many years after a diagnosis! I just need to find a way to get past dooms day thoughts.

    Gonna be reading a lot of these forums.

    Thanks for listening. Gonna download Elevate now.
  • whorne_73
    whorne_73 Member Posts: 8
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    I understand well, with a ten-month diagnosis. You do need a specialized neurologist to guide you through this experience. They are neurologists who work in the "neuroscience" area in medicine." I am currently taking LEQEMBI, for 9 months now and luckily no adverse side effects.

    The difference between KINSULA and LEQEMBI is; KINSULA reduces fewer amyloids (the protein clusters which damage our brains) from your brain and focuses more on improving the symptoms of AD…i.e., difficulty with word recall, slower brain processing when listening to a conversation; and other little memory lapses. LEQEMBI focuses on removing the amyloids, and can also detect future amyloids in our tissue. So, LEQEMBI destroys amyloids and improves the symptoms of the AD.

    After seeing a specialized neurologist, please GOOGLE and read information from reliable research articles and the pharmaceutical information on each infusion product, too. This forum will also have numerous commenters to give you even more information, So, keep on asking questions, someone will answer.

  • LBC83
    LBC83 Member Posts: 237
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    Generally a nice post, but your explanation of Leqembi & Kisunla is scientifically inaccurate. The Phase 3 trials for both drugs showed they work as advertised, reducing amyloid plaque levels. In general, these drugs do NOT "improve symptoms" of AD. Unfortunately, the cognitive decline associated with AD is seemingly primarily driven by tau tangles within neurons, not by amyloid plaque. Studies have shown that removing amyloid plaque tends to slow the increase in tau tangles, thus the slowing of cogntive decline. But again, these drugs generally do NOT improve symptoms.

    A key biological difference between Leqembi & Kisunla is the specific type of amyloid that is removed. Kisunla solely targets mature amyloid plaque for removal. In contrast, Leqembi targets both mature amyloid plaque, as well as amyloid protofibrils (which, as the name implies, are a precursor to amyloid plaque). Amyloid protofibrils are thought to also damage neurons. But the science behind the benefit of amyloid protofibril removal is still under development.

    This difference in amyloid targeting explains another difference between Kisunla & Leqembi. With Kisunla, treatments are stopped after amyloid clearance, as there is no point in continuing with infusions of a drug to remove amyloid if there isn't much amyloid left to remove. This would be sort of like vacuuming your carpeting an hour after you just vacuumed your carpet. What is the point of the second vacuuming?

    In contrast, as amyloid protofibrils continue to be formed after amyloid plaque clearance, Leqembi switches to maintenance dosing after amyloid clearance. The purpose of the maintenance dosing is to remove the newly formed amyloid protofibrils.

    Changing gears and returning to Kisunla, studies have shown there is a very slow rebound of amyloid plaque after achieving amyloid clearance with Kisunla and terminating infusions. Eli Lilly (the drug company responsible for Kisunla) is now conducting a study of an annual "booster" infusion of Kisunla after treatment has been terminated due to amyloid clearance. The idea is to maintain very low amyloid levels with the annual booster infusion.

Commonly Used Abbreviations


DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
Read more