Tag: Health

QUOTES

“The whole concept of anti-aging is somewhat misguided because aging is a biological process. It’s a bit like anti-breathing where we suddenly decided that it’s inconvenient to have to take 20 breaths a minute.” (Dr. Katz)

“Longevity is a laudable goal. A bounty of years and life. Vitality is perhaps an even more laudable goal. A bounty of life and years.” (Dr. Katz) 

“If we buy into the value proposition of anti-aging, it sort of invites a morbid fear of our own mortality.” (Dr. Katz) 

“There comes a day when you’re on the other side of the summit and starting to descend and you’ll never be better than you ever were before by some physical measure. But you know things that you didn’t know back then. You’ve experienced things.” (Dr. Katz)

“Experience comes with the passage of time, as does aging.” (Dr. Katz)

“I’m not going to be anti-aging. I want to embrace aging because it is imparting gifts on me. It exacts a toll, but it also imparts gifts. That give and take reorients us.” (Dr. Katz) 

“Imagine if our society had a whole slew of periodicals and magazines that are all about the reflections, storytelling, wisdom and life experience of older people. And we celebrate that the same way that we do the beauty of young actors and actresses.” (Dr. Katz) 

“Diet quality, measured objectively, is the single leading predictor in the United States today from all causes. In other words, if you could fix just one thing to decrease the likelihood that you’re going to die prematurely, it would be your diet quality.” (Dr. Katz) 

“The simple reality is, we’re not a very healthy nation. We have systematically neglected the fundamentals of health. Diet quality in the U.S. is poor – it’s the single leading predictor of death from all causes – we’re nearly as physically active as we should be. We have too much exposure to toxic substances. We don’t get enough sleep. We’re stressed out and we’re not good at mitigating stress and the internet and social media have interfered with our social connections with other people.” (Dr. Katz) 

“We can control ship and sail. We can be masterful captains of the ship of our medical destiny but we’ll never control wind and wave.” (Dr. Katz) 

“If we hope to deemphasize the role of big pharma in what gets marketed to elders, we need healthier elders. And in order to have healthier elders we need a healthier us. All of us. Because health begins early in life.” (Dr. Katz) 

NOTES

Dr. David Katz is a globally recognized expert in nutrition, wellness, and longevity. As the Founding Director of the Yale Prevention Research Center, he has dedicated his career to advancing lifestyle medicine and disease prevention. 

The Yale Prevention Research Center is dedicated to advancing disease prevention and public health through innovative research and community-based interventions. 

A prolific author and passionate advocate for public health, Dr. Katz has written extensively on how diet and lifestyle impact long-term well-being—including his thought-provoking article, “Rage at Aging.”

Dr. Katz’s work challenges conventional thinking about aging, urging people to prioritize health span over life span. With deep expertise and bold insights, Dr. Katz continues to shape the conversation on living better, longer. 

Dr. Katz discussed the challenge of getting older as it pertains to technology and other advancements, saying “Instead of being venerated in old age for our wisdom and experience, we’ll look around and say ‘What the hell is going on here?’”

This article is a guest post by Rebecca Evans of GeriatricNursing.org. As we approach Older American’s month, we thought it was an appropriate time to discuss one of the most challenging diseases that an aging adult might face – Parkinson’s. We thank Rebecca for her input and we hope you enjoy the piece!

I can hear you wondering: How is it hard to diagnose Parkinson’s Disease? After all, aren’t the characteristic symptoms rather distinctive?

Well…yes and no, unfortunately.

Yes, Parkinson’s disease symptoms are rather distinctive (for the most part, anyway; there are a few diseases and drug reactions that can mirror Parkinson’s symptoms)…but they take time to develop. In the early stages of the disease, in fact, it can be incredibly hard to diagnose.

After all, there are no precise tests for Parkinson’s. As often as not, it is mistaken in its early stages for another disease—which in turn delays appropriate treatment.

Most common diagnosis difficulties

For instance, there’s data that actually suggests that as many as 25% of Parkinson’s patients are misdiagnosed. That is, they may be receiving treatment for Parkinson’s, and not actually have Parkinson’s. Or they may be receiving treatment for something else, and actually have Parkinson’s disease.

A big part of this goes back to the fact that there is no precise test for Parkinson’s, and different diagnosing doctors treat different indicators differently. For instance, some of the most common tests given to potential Parkinson’s patients are CT scans, blood tests, urine samples, and more. None of these tests are definitive, however (remember, no precise test?), and so it is up to the doctors reviewing these tests to decide what to make of them.

For some doctors, inconclusive test results may cause them to lean toward a Parkinson’s diagnosis. For other doctors, those same inconclusive results may cause them to lean away.

So what are more accurate predictor tests?

In particular, because Parkinson’s is a neurological disorder, you probably want systematic neurological assessments to play a role in your diagnosis. For instance, neurologists familiar with Parkinson’s will know to test your reflexes, balance, muscular strength and responsiveness. Additionally, it is not uncommon for a neurologist looking at the possibility of Parkinson’s to say they aren’t yet sure. They want to run more tests, or want to run more tests in the future to see if your symptoms develop further. Parkinson’s is not an easy diagnosis to make. As such, neurologists familiar with the disease will likely not rush into such a diagnosis.

Similarly, there are a whole range of neurological disorders that can present many of the same symptoms as Parkinson’s. As a result, a neurologist may want to be careful to eliminate or rule out some of those other neurological disorders.

As a general rule, the more careful and thorough your neurologist is in testing you,  the more comfortable you can be in their diagnosis.

Please do note, however, that you can always get a second opinion from a neurologist you trust if you don’t feel comfortable with your original neurologist.

Why is appropriate and early diagnosis so important?

Quite simply, because it is the key to better treatment. When earlier caught, treatment can begin earlier, and adjustments can be made to help preserve independence and a high quality of life. This might mean developing an early exercise routine that works, finding the pharmaceutical regimen that gives best results, and determining what level of physical therapy works best for you and your current symptoms.

What diseases are most often confused with Parkinson’s disease?

In particular, if you suspect you or a loved one may have Parkinson’s disease, these are some of the other diseases that may regularly be confused with Parkinson’s. You will want your neurologist to rule them out in testing:

Benign essential tremor
Brain tumor
Huntington’s disease
Multiple sclerosis
Multiple system atrophy
Striato-Nigral degeneration
Supranuclear palsy

Other diseases may also be confused with Parkinson’s, obviously, but the above list is some of the most common.

So ask your neurologist to be thorough. It’s more important that you are appropriately diagnosed, so you can get the care you need, than that you are diagnosed quickly.

Multiple Sclerosis – An infographic by GeriatricNursing.org