I am a physician with long-standing interests in health policy, medical ethics and free-market economics. I am the co-founder of Freedom and Individual Rights in Medicine (FIRM). I graduated from University of Michigan Medical School and completed my residency in diagnostic radiology at the Washington University School of Medicine in St.
10% of American adults age 65 and older have dementiathat,"People with dementias may stop recognizing the person who is caring for them, can have trouble sharing their desires and feelings, and may become completely dependent upon their caregiver for daily activities such as eating, using the restroom, and bathing."
There is no known cure for several kinds of dementia, including Alzheimer's disease . However, recent research suggests that as many as 13% of older patients currently diagnosed with dementia. They found that 13% had an elevated Fibrosis-4 score for cirrhosis, which is calculated based on blood tests. Liver diseases such as cirrhosis can cause a condition known as hepatic encephalopathy that can closely mimic dementia. According to Dr. Bajaj,".
Given the importance of diagnosing treatable causes of cognitive impairment, I feel even more strongly than ever that state legislators should refrain from passing laws that encourage patients to hide symptoms of dementia from their physicians. As I wrote in, some states such as California require physicians to report suspected dementia in older drivers to the Department of Motor Vehicles. Although such laws may be driven by the desire to keep impaired drivers off the roads, Dr.
In particular, they found that physicians in states with mandatory reporting requirements were 59% more likely to underdiagnose dementia compared to physicians in states without such mandates. One possible explanation is that patients with early dementia may choose to"conceal their symptoms or refuse further assessments" so as to not lose their driver's licenses.
It is still true that most forms of dementia have no cure. But if even a significant fraction of dementia patients have a treatable cause that can be detected with simple blood tests, the more widely available this knowledge is disseminated to health care professionals and lawmakers, the better.Our community is about connecting people through open and thoughtful conversations. We want our readers to share their views and exchange ideas and facts in a safe space.
Alzheimers Hepatic Encephalopathy FIB-4 Fibrosis-4
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