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Do patients with concussion, also known as mild TBI, receive adequate follow up care? No. Absolutely not.

About 3 million Americans have some symptoms due to concussion. Fewer than half of these patients are scheduled to receive follow up care. Even patients with multiple concussion do not receive adequate care, in part because the name “mild Traumatic Brain Injury” is misleading; there is nothing “mild” about having daily headaches, dizziness, nausea, difficulty doing simple tasks such as typing, cooking, or driving as well as not being able to read, understand, or manage your daily affairs.  But why is this?

Unfortunately, there are no guidelines on “standard of care” for concussion the same way we have standards on how to care for patients with diabetes, heart failure, multiple sclerosis, or hypertension. Moreover, physicians do not have any instructions on how to care for patients who often have multiple interacting symptoms such as irritability, insomnia, poor attention, and inability to organize their daily tasks. Those patients who do show up for regular follow-up care often get fragmented treatment by specialists who focus only one aspect of their symptoms (such as insomnia or attention – not taking full responsibility for all of their problems). 

Until we have standard guidelines and multi-disciplinary centers (such as our brain center) throughout the country, patients need to take an active role in caring for themselves. They need to appreciate that their lingering symptoms can be treated and should insist on getting effective interventions that will end their misery – even if this means seeing multiple specialists and multiple treatment program.  They should not accept their symptoms as their new “norm.” They should fight to get back to their usual self.

 

Majid Fotuhi, MD PhD

May 27, 2018

https://consumer.healthday.com/cognitive-health-information-26/traumatic-brain-injury-1002/little-follow-up-for-many-concussion-patients-734198.html

Can running 30 minutes a day improve your mood, sleep, focus, and memory? Yes. Absolutely.

Many recent studies have shown that running, by increasing blood flow and boosting levels of growth factors in your brain, can improve your mood, sleep, focus, and memory.  Running is the only way we know of to increase the number of your brain cells (neurogenesis) in the memory center of your brain (hippocampus). Even walking one mile a day can reduce your risk of Alzheimer’s disease by 48%.

 

Majid Fotuhi, MD PhD

May 27, 2018

 

Ref:

https://www.middletownpress.com/technology/businessinsider/article/The-amazing-benefits-running-has-for-your-body-12877764.php

Is it possible to grow new neurons in your brain even if you are old? Yes. Absolutely.

Here are some of the ways that you can increase the size of your brain, in part by growing new neurons and in part by growing new blood vessels, new connections, and new synapses:

  • Get fit — people who walk at least one mile a day reduce the risk of getting Alzheimer’s by 48 percent simply by increasing the amount of oxygen to their brain.
  • Eat a Mediterranean diet — rich in vegetables, fruits, whole grains, beans, nuts, olive oil and fish and low in red meat, processed foods, poultry and dairy, eating a Mediterranean diet will make your mind sharper in six months and less susceptible to Alzheimer’s.
  • Have a purpose in life; follow your passion — studies show that people who have a sense of purpose in life can harbor significant amounts of Alzheimer’s pathology in their brain without showing the symptoms.
  • Take omega-3 supplements — omega-3fatty acids are highly concentrated in the brain and are important for healthy cognitive and behavioral functions.
  • Learn new things — the process of learning and acquiring new information and experiences can stimulate new brain cell growth.
  • Sleep well — poor sleep is a risk factor for cognitive
  • Meditate — a general consensus concerning cognitive decline has led many scientists to search for new preventive strategies, with growing evidence that meditation can serve as a potential tool.

Majid Fotuhi, MD PhD

May 26, 2018

 

Ref:

Can You Grow Your Brain?

Does having the marker for Alzheimer’s disease (Amyloid) in your brain means you will definitely develop dementia? No. Absolutely not.

Finally we have an answer to what it means to have an Alzheimer’a marker in your brain, called Amyloid. Not much.
 
Mathematical models show that having amyloid in a brain of 90-year-old woman means she has a 8% risk of developing clinical signs of Alzheimer’s disease in her life. In other words, she there is 92% chance she will die without having dementia.
 
It turns out measuring Amyloid in the brain is not useful; it only creates unnecessary panic in patients who test positive for it – with the new highly marketed PET scans.
 
I am not sure if it is ethical to offer this test to people in their midlife or to encourage people to get tested for it. Dementia is a multi-factorial syndrome that consists of a soup of different anthologies, only one of which is amyloid.
 
Majid Fotuhi, MD PhD
May 23, 2018
 
Ref:
https://www.medpagetoday.com/neurology/alzheimersdisease/73046

Can being anxious in midlife make you prone to Alzheimer’s disease later in life? Yes

Stop worrying about little things (and big things) in life. 

New research, reviewing data from 30,000 people, suggests that being anxious in midlife increases your risk of developing Alzheimer’s disease later in life. So worrying about Alzheimer’s may actually make you more likely to get it. 

Majid Fotuhi, MD PhD

May 3, 2018

 

Ref:

http://bmjopen.bmj.com/content/8/4/e019399

https://reut.rs/2jmg1QN

Are you a left-brain person or a right-brain person? Which type is best for success in business and life?

While left-dominant brains focus on details and numbers, the right-dominant brains see more of the forest than the individual trees. To be successful in handling life’s challenges, business, and projects, you need to see the world from both a left-sided and right-sided angles. But you can’t be both left-dominant and right-dominant at the same time. Solution? If you are more of a lefty, then get a righty partner who can complement you. And vice-versa.

Majid Fotuhi, MD PhD

Ref:

Is The Ideal Entrepreneur Right Brain Or Left Brain? via @forbes https://www.forbes.com/sites/piasilva/2018/05/02/is-the-ideal-entrepreneur-right-brain-or-left-brain/#3ae36aa653df

Should we let kids play tackle football? No

It is time for us to say goodbye to tackle football for kids under 12.

Their brain are still developing and tackle football causes injuries that manifest as difficulty with mood or memory years later.

 

Majid Fotuhi, MD PhD

May 1, 2018

 

Ref:

https://www.washingtonpost.com/news/sports/wp/2018/04/30/new-study-tackle-football-before-age-12-could-result-in-earlier-cte-symptoms/?noredirect=on&utm_term=.17b1a9430736

https://www.bostonglobe.com/news/science/2018/04/30/study-raises-more-questions-about-youth-tackle-football/a7sKIMOoq1eZdCuDYBFe3N/story.html

Can we actually grow our brain so much so that its increased volume can be seen on a brain MRI? Yes. Here is how.

Can we actually grow our brain so much so that its increased volume can be seen on a brain MRI? Yes. Here is how.

There is no compelling evidence that we can indeed grow the size of our hippocampus, the memory part of our brain – so much so that it can be appreciated with naked eye on a brain MRI. I gave a lecture on this topic to about 1,000 CEO’s at the YPO conference.

 

Here is the video for my one-hour presentation:

2018 YPO EDGE – Defy Aging: How to Regrow Your Brain (in Three Months)

Majid Fotuhi, MD

April 28, 2018

Dr. Majid Fotuhi NeuroGrow Brain Fitness Center

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