Mitchell Clionsky, PhD, is a board-certified neuropsychologist who specializes in evaluating and treating patients with cognitive impairment, dementia, ADHD, and traumatic brain injury.
A husband-and-wife team, they have a combined 70 years of professional and clinical experience in medicine and neuropsychology and have treated 20,000 patients.
They partner at a private practice, Clionsky Neuro Systems, Inc., based in Springfield, Massachusetts. Their work can be found on their website which is : www.BRAINDOC.com
03:00 Dr Clionsky Background in Dementia and Brain Testing
- 10% chance in 60’s to get dementia, risk doubles in 70’s and in 80’s people can have a 40% risk
- He’s been thinking about how to help prevent dementia for a long time in his practice
06:00 Difference between Dementia and Alzheimers
- Alzheimers is a particular form of dementia, but not the only form.
- Vascular dementia’s stem from not have enough blood flow to the brain
- Being hit in the head too many times can also cause dementia
- Parkinson’s disease: about 25% of people with parkinsons will get dementia
- There are other dementia’s as well
- Current treatments are similar for all forms of dementia
12:20 Are All Functions Impacted With Dementia’s?
- Early signs of dementia are problems with short term memory
- Executive functions in the brain start to deteriorate quickly as well
15:00 How To Diagnose Early Signs of Dementia?
- It’s best to go to a doctor first
- Dr Clionsky wants to release his test that can be used at home
- Ask for a blood tests, brain scan or get referred to another practitioners
17:40 Is Dementia Genetic or is it Lifestyle Related?
- There is a certain genetic component, but its localized to people from certain small regions of the world
- But other genetic risk factors such as diabetes, high blood pressure, sleep apnea can all lead to dementia
- There is a gene called APOe4 that can increase risk of dementia
20:35 What Is The Dementia Prevention Checklist that Dr Clionsky has Come Up With?
- High blood pressure, high homocysteine, B9 and B12, vitamin D
- Cardiovascular risks: smoke cigarettes, hypertension, blood sugar, exercise, drinking
- Over the counter medications may be depleting acetylcholine in the brain
- Benzodiazepenes, valium, xanax can all increase risk of dementia
27:45 Is There A Blood Test To Detect Early Signs of Alzheimers?
- Dr Clionsky is not a big fan of this test
- It only tests for alzheimers
- Alzheimers is only 20-30% of all dementias
- The other problem is that some people with elevated amyloids that does not cause Alzheimers
30:40 How To Increase Blood Flow To Reduce Signs of Vascular Dementia?
- First test the carotid artery for plaque
- Then look at heart health including medications and exercise
- Diabetes can worsen blood flow
- Sleep apnea is a big reason for reduced blood flow
- Sleep apnea risk goes up with age: use CPAP’s
36:25 Where To Find Dr Clionsky’s Work?
- Go to BrainDoc.com
- Get the book on Amazon or library, or any other platform
- The book is called Dementia Prevention: Using Your Head To Save Your Brain