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Saturday, September 29, 2008

Puzzling Out the Signs of Senility

Signs of the progressive loss of cognitive ability may be differentiated from those of dementia, a problem that arises as a person ages. Insomnia, forgetfulness, loss of energy and comprehension, inability to concentrate, and forgetfulness in following conversations are attributes of senility, and do not qualify a person for a diagnosis of senile dementia.

I had been having problems that made it difficult for me to remember what I was doing, or needed, when I drove, so I asked our doctors to take a look. Last Thursday I found myself in the emergency room at the University of New Mexico Hospital, needing treatment for transient ischemic attack (TIA), which involves a brief period of sudden confusion and temporary loss of consciousness, followed by a return of normal cognitive function. TIA’s can happen with any stroke or heart attack, but can also be a symptom of a major cerebral event. I was just about to go home, when the doctors told me that they wanted to do some tests to determine if there was a problem.

Fortunately, my doctors are firm believers in preventive medicine, so I didn’t have to go on a waiting list for a month, or receive two separate appointments. After a few tests, they told me that I had an embolism in my brain, and that the arteries in my brain and neck were blocked. They did some tests to see if it was caused by a clot, or some other substance, like blood cells, and discovered a very small defect in the protective covering of my aorta, the largest artery in my body. The doctors said that there was a possibility that I could bleed out from the defect in the aorta, and that my heart could rupture if I continued living. They also said that they would like to repair the defect in my aorta if they could determine what the problem was, and left me a note to call them if I had any problems.

The following day, I called the doctors and explained to them

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