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PDF Editor FAQ

What is moderate cognitive impairment?

Moderate cognitive impairment is not often used as a term, however, mild cognitive impairment is. Mild cognitive is thought to be a state that is between normal cognitive aging and and more serious disease processes (i.e., dementias). When it is mild, the cognitive impairment has not affected your daily functioning yet. An example of more serious cognitive memory impairment is forgetting where you are and getting lost in an area that is well known to you. If you think someone you care about has this, a good place to start would be your M.D., he/she might give a mini-mental status exam, refer you to a psychoneurologist for testing and rule out other disease processes that could be effecting your memory.Diagnosis - Mayo Clinic

What do professional doctors on Quora think of Donald Trump health report?

What specific neurocognitive testing did the president undergo? Was it a mini mental status exam? Did he have a good SLUMS score? Is Dr. Jackson trained sufficiently as a geriatrician and able to detect subtle signs of neurocognitive impairment?If he has such good mental faculties, why does he lie all the time? He clearly can remember all the things that he says.Since the White House is releasing (and probably editing) the health report, and the president lies repeatedly, how can any of us trust the veracity of the report?The president is reportedly 6 ft 3 in and 239 pounds. Is this an accurate weight? He is 1 pound away from being classified as obese according to du Bois calculation of BMI. Admittedly, this is a rather inexact calculation. A water displacement test gives a much more accurate measurement of body density, and by extension, percentage of body fat. I would expect the president to have a 15-25% body fat percentage based on his physical appearance on the golf course, and Dr. Jackson’s recommendation for diet and exercise. To put things in perspective, Arnold Schwarzenegger’s height and weight is reportedly 6 ft 2 in and 249 pounds. He is clearly not obese, although his calculated BMI would raise concerns. At his physical peak in his late 20s, he had an estimated body fat percentage of 7%. Clearly not obese.I heard reference to high coronary calcium scores. This is a proxy for increased cardiovascular risk, as atherosclerotic plaques tend to have increased quantities of calcium. Again, it’s not a perfect test, but it does raise questions about his cardiovascular health.Does the president have sleep apnea? He tweets weird messages at odd hours. Maybe he is sleep tweeting? Maybe his famous slurred speech moment was due to apnea? Maybe his irritability at negative press is due to poor sleep hygiene?Did he get an MRI to rule out stroke? Perhaps his slurred speech episode was due to a TIA? I heard nothing in the bits of his physical that addressed this issue.I question the authenticity of the data being released. The president is within his rights to order his physician to not share his health record, as it is health information protected by HIPAA from disclosure, and then craft a completely false report and release it. This report made very blustery statements, such as the president’s “astonishingly good genes” and the overall excellence of the president’s health.

How can you quantify whether dementia is getting worse?

By using tests such as Mini-mental Status ( Saint Louis University Mental Status (SLUMS) Exam or Tests for diagnosing dementia ) or gauging functional abilities on a set basis (weekly, monthly, yearly). Over time, the decrease in cognitive abilities can be tracked, seen.A SLUMS test can show dramatic decrease in abilities within a few weeks of each testing; I’ve seen it happen as someone slipped from early to mid-stage dementia. The first SLUMS showed a decrease, but the person was attempting to mask the deficit- making jokes, trying different ways to figure out answers; the second SLUMS, six weeks later, and the mask has slipped off and disappeared, the person will frankly say, “I don’t know” or “I don’t remember”, or not answer, at all. It’s a decent test to gauge abilities.But, over time, an observant caregiver can see the decline without needing tests.

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