Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 30,129 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke. DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain!trillions and trillions of neuronsthatDIEeach day because there areNOeffective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.
What this blog is for:
My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.
Friday, April 10, 2020
How ‘superagers’ stay sharp in their later years
I will need to work on my memory, with 19,000+ blog posts there are lots that I don't recall specifics on any more. Eg., why I started taking certain supplements. A friend's husband had a TBI and I didn't recall specifics about what I wrote about so it was all new to me again.
Started working on kenken puzzles along with Sudoku again.
I wonder if this 107 year old was a super-ager or just a high functioning drunk?
When
it comes to retirement, experts recommend that everyone do some hard
thinking. By this, they mean you should plan your finances responsibly,
consider carefully where to live, and decide what colour beach chair to
sit in all day as you sip strawberry daiquiris in the sun. But there’s
another reason to think hard about these details: hard thinking by
itself – a strenuous mental workout – is good for your ageing brain.
My collaborators and I at Massachusetts General hospital and Northeastern University in Boston study people over 65
who have incredible memories for their age, on a par with healthy
25-year-olds. Scientists call them “superagers” (a term coined by neurologist Marsel Mesulam
at Northwestern University in Chicago). While nobody knows exactly why
some people are superagers, we believe that one common factor is that
they engage in demanding mental exercise. They continually challenge
themselves to learn new things outside of their comfort zone.
Beginning
in middle age, research shows, many people take steps to avoid
unpleasantness: they quit their irritating jobs; take relaxing holidays
instead of vigorous ones; they pursue happiness. Scientists call this
phenomenon the “positivity effect”.
Nobody wants a life filled with stress, so it’s reasonable to indulge
the positivity effect and divest yourself of negative things. In fact,
stress that continues for a long time, a condition known as chronic
stress, is toxic to your brain – it literally eats away at critical
brain regions.
Not all stress is bad, however. Research suggests that you need some
amount of stress in your life if you want to stay mentally sharp – in
particular, the momentary stress that comes with hard work. Your nervous
system evolved so that occasional bouts of stress, where you tax your
body and brain for a short time, is necessary to keep your brain healthy
as you age.
To understand why this is the case, consider how your memoryworks.
Whenever you remember something, like where you left your car keys, you
aren’t retrieving a memory wholesale from some distinct crevice in your
brain; instead, you construct memories in the moment, out of bits and
pieces gathered from around your brain. This construction process is
launched by an ensemble of brain regions that, according to our
research, are thicker and better connected in superagers. Perhaps you’ve
heard of some of these regions, which include the hippocampus, the
anterior insula, the midcingulate cortex, and the medial prefrontal
cortex, among others.
The same “superager ensemble” of brain regions also assembles your
thoughts, emotions, decisions, dreams, sights, sounds, smells, and
everything else you perceive, using the same construction process that
makes your memories. Anytime you feel happy or afraid, for example, your brain constructs those emotions out of bits and pieces of your past experience in similar situations, led by your brain’s superager ensemble.
In addition, the superager ensemble performs the vital task of
regulating your organs, hormones and immune system. These brain regions
are responsible for predicting your body’s energy needs in advance, to
keep you alive and healthy. If you’re getting the idea that they are
hugely important, you’re right: they are major hubs that coordinate
communication throughout your brain. They show up in thousands of
neuroscience studies on diverse topics. I’m calling them the superager
ensemble only as a convenient shorthand.
French sculptor Louise Bourgeois in her studio in New
York in 1995 – she was in her early 80s. Photograph: Porter
Gifford/Corbis via Getty Images
All in all, when the key regions of your superager ensemble are thick
and well connected, your brain can regulate your body and construct
your experiences faster and more efficiently. But it’s not always easy
to keep these regions in good shape, because they also create the
stressful feelings that you have when exerting yourself. Thinking hard
can make you feel unpleasant in the moment, just as strenuous physical
exercise can make you ache for a time. These unpleasant feelings invite
you to stop working hard. Based on research in my lab, however, if you
want to realise the brain benefits of superageing, you must push past
the momentary discomfort. In many cases, the unpleasant feeling is a
false alarm, and you actually do have the mental or physical resources
to continue exerting yourself.
What enables superagers to persevere in the face of unpleasantness?
That’s an open question, but scientists have found that if they
electrically stimulate one of the regions of the superager ensemble –
the midcingulate cortex – subjects report a feeling of motivation to overcome difficult challenges. The psychologist and author Angela Duckworth calls this feeling “grit”.
In the past, some researchers have described grit as the ability to
regulate your emotions by thinking rationally. Modern neuroscience,
however, has established that the human brain has no dedicated areas for thinking versus feeling. Our research suggests that grit is not somuch
a grand battle between cognition and emotion; it’s more the ability to
use your unpleasant feelings as fuel rather than as a reason to apply
the brakes. Superagers, and other people who regularly cultivate grit,
treat their unpleasant feeling as a signal to keep going.
So, what can you do to increase your chances of being a superager? While there are no guarantees, here are some tips.
First, engage in strenuous mental activity on a regular basis, enough
to make you feel unpleasant in the moment. Pick a topic that has always
interested you, whether it’s chemistry or gardening or sports
statistics, and dive into it until your brain hurts. Take classes that
you find challenging, or work on a project that’s difficult. Learn to
play a musical instrument, or study a foreign language. If you fail at
your task, don’t fret, just try something else. The key is to push past
the discomfort that comes with learning a new subject or skill.
The head of my daughter’s karate school, Grandmaster Joe Esposito,
has a saying about pushing past discomfort, when he speaks to his
nervous students before their black belt test: “Make your butterflies
fly in formation.” I suspect that superagers keep their butterflies
exceptionally well trained.
JRR Tolkien was in his 60s when Lord of the Rings was first published.
Second,
if you aren’t exercising regularly, begin doing so if you can. Studies
show that vigorous physical effort, again past the point of
unpleasantness, may have similar effects on your brain as hard mental
effort. The mechanisms are not yet known, but demanding exercise appears
to improve the thickness and connectivity of the same brain regions.
For example, in one study, people who exercised regularly in their 60s were more likely to be mentally fit in their 90s.
(Of course, check with your GP before beginning any new programme of
physical exercise, especially if you’re near or past retirement age.
Superageing is much less satisfying when accompanied by pulled muscles
or broken bones.)
Third, eat healthy food and get enough sleep. Several studies have
shown that a Mediterranean diet, rich in vegetables, fruits, fish and
healthy fats like olive oil, is associated with better memory, less cognitive decline, and less brain atrophy in general. Sufficient sleep is known to be important for a healthy memory, and it even clears out certain “wastes” from your brain, known as beta-amyloid plaques, that are linked to dementia.
I’ll also offer some non-advice. You may hear that you can exercise
your brain by playing sudoku and visiting “brain game” websites. These
relatively mild activities are not likely
to increase your odds of becoming a superager, because the level of
difficulty is too low. You have to work hard enough to feel the strain
of effort.(I'm sure Platinum Blonde in Sudoku is difficult enough.)
Superageing is an area of ongoing research, with important,
unanswered questions. We cannot say definitively, for example, if
superagers are born or made. We also don’t know if some people have a
head start on superageing because their superager ensemble starts out
thicker or better connected than average. What we do know is that the
regions of the superager ensemble tend to be thinner in people who have
suffered adversity, particularly as a child or adolescent.
We also know that these regions are thicker for children and
adolescents who exercise regularly. Exercise improves memory and school
performance in children and also has an effect on brain structure,
although more research is necessary to determine the exact range of
effects.
Also, damage to the superager ensemble is associated with a long list
of serious disorders, including depression, schizophrenia, autism,
dyslexia, chronic pain, chronic stress, dementia, and Parkinson’s
disease.
In other words, it’s never too early to start attending to your
superager ensemble. Just as you should save money for retirement
beginning at a young age, you can also start preserving your memory
early. (Scientists call this your “cognitive reserve”.) Don’t wait until you’re old to start saving – your future health may depend on it.
Currently, my colleagues and I are exploring whether people who
regularly push past momentary discomfort are better protected against
dementia and depression. These disorders are associated with
beta-amyloid plaques, the wastes that accumulate in your brain as you
age, especially as you head past 65. We suspect that people who seek and
tolerate challenging tasks are helping to protect their memory, even if
they have these plaques.
Judi Dench, now in her 80s, is ‘still wowing audiences in
a field that requires lots of memorisation’. Photograph: Tristram
Kenton/The Guardian
History is full of people who flourished late in life, such as Julia Child, who published her first cookbook when she was nearly 50, and Teiichi Igarashi, who climbed Mount Fuji at 99. Tolkien published The Lord of the Rings in his 60s. Artists such as Mary Delany, who created 1,700 meticulously crafted paper flowers, and Louise Bourgeois, the sculptor of the giant metal spider Maman,
did their most skilled work in their 70s and 80s. I can’t say whether
these impressive individuals are superagers, because we haven’t tested
their memory in the lab, but I wouldn’t be surprised. Personally, I
would love to test Judi Dench,
who at 82 is still wowing audiences in a field that requires lots of
memorisation. (On the other hand, a certain 70-year-old president of the
United States, who seems to change his mind every 10 minutes, is almost
certainly not a superager.)
So, if you want to stay mentally healthy into old age, don’t just
retire: rewire. Help to build up your brain circuitry through regular
sessions of vigorous effort, whether physical or mental. Keep up the
hard work, push past momentary discomfort, and have a happy
“rewirement”. • Lisa Feldman Barrett (@LFeldmanBarrett) is a University Distinguished Professor of Psychology at Northeastern University and the author of How Emotions are Made: The Secret Life of the Brain. To order a copy for £16.14 go to bookshop.theguardian.com or call 0330 333 6846
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