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Charlotte Talks: Sue & Dr. Teaff
Alzheimer's Disease
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women's health center
Mike Collins: Well, historically it was whispered about in the 1950’s and 60’s and discussed on talk shows like this one. In your practice, when you became an endocrinologist and fertility specialist. What has been your patient’s attitude toward this as they approach it or as they discover the first symptoms of it.

Dr Teaff: I think women used to wait until they were flat out miserable before they cam into the doctor. Also, it was typical to headed out Premarin. It was the only estrogen that was available. "Take your premarin and you’ll be fine. And go away" And there wasn’t much attention towards the fact that women were going to live another half or third of their adult lives after menopause and we needed to prepare for this better. So, it used to be a more transient "fix my symptoms, make me feel better now" situation, whereas patients come in today really looking forward to living to ag 80 or beyond. They are very concerned about osteoporosis. If there’s Alzheimer’s disease in the family they are so concerned. They don’t want to get Alzheimer’s themselves, they’ll do anything to try to reduce that.

Mike Collins: Is that part of the menopausal situation?

Dr. Teaff: That’s part of aging. But several studies have shown that estrogen replace therapy reduces the incidence of Alzherimer’s disease in women by 40 to 50 percent and since it looks like after age 85 the risk of Alzheimer’s is about 50%. It’s not just a personal issue, but a societal issue. Can we really afford that many people in the fastest growing segment of our population (over age 85), who are debilitated with Alzheimer’s disease. Women are very concerned about their long life and quality of life.

Sue Spataro: Also, about memory and thinking, you talk about one extreme which is Alzheimer’s, which is a very real concern, but on a more immediate front, many women find themselves when they are perimenopause, that their memory and cognitive and thinking skills are not working as well as it previously was. What does that mean? Does it mean that forget where they put the keys? Yeah, but it can be much more severe than that ranging from forgetting the kids dental appointment, showing up at the right time to forgetting that something is in the oven.

Dr. Teaff: I have patients that work in high functioning jobs, where they literally say that they have difficulty with figures, like difficulty with. It is interesting, whereas hotflashes used to bring women to the doctor more often. It is more subtle in one respect but more important to the woman on the other hand.

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