Author: practis

Types of Headaches

37 million people worldwide are affected by migraine or another severe headache disorder. Although migraine may be the most well-known type of headache disorder, clinicians have identified more than 150 diagnostic categories for headaches resulting from a wide range causes. Initially, headaches are classified as either primary headache disorders or secondary headache disorders, depending on the cause of the headache. 

We sat down with Attending Neurologist and Headache Specialist at DENT, Dr. Shivang Joshi, who explained a few of the many types of headache disorders.  

Types of Headaches

Primary headaches occur independently and are not caused by an underlying medical condition.

Types of primary headaches include:

  • Migraine
  • Cluster
  • Tension-Type

Secondary headaches result from another medical condition such as hormone imbalances, injury or tumor.

Secondary headaches can be caused by underlying conditions including, but not limited to:

  • Fever
  • Infection
  • Medication overuse
  • Stress or emotional conflict
  • High blood pressure
  • Psychiatric disorders
  • Head injury or trauma
  • Stroke
  • Tumors
  • Nerve disorders

Migraine vs. Headache

Migraine is a type of headache disorder with specific symptoms, like throbbing pain, which can be moderate to severe in intensity and is typically located on one side of the head. According to the American Migraine Foundation, clinically, migraine is defined as “if within an individual’s lifetime there have occurred 5 or more attacks of unprovoked headache lasting 4-72 hours, severe enough to markedly restrict or even prohibit routine daily activity and accompanied by nausea or light/ sound sensitivity.”

“Most persons with migraines prefer to lie down and not move. Sometimes, migraine can also be associated with visual symptoms such as squiggly lines, flashes of lights with different colors this phenomenon is commonly referred to as migraine aura,” said Joshi.

Although migraine is the most common headache disorder, you can still be treated for headaches even you do not have migraine!

“You may have tension type headaches or another type of headaches. Treatment of headaches usually involves, identifying triggers, dietary or lifestyle medications, medications for prevention of headache as well as medications that are taken at the onset of headache,” said Joshi.

When Should I Consult a Doctor about My Headaches?

According to the Mayo Clinic, you should see a doctor if you experience headaches that:

  • Occur more often than usual
  • Are more severe than usual
  • Worsen or don’t improve with appropriate use of over-the-counter drugs
  • Keep you from working, sleeping or participating in normal activities
  • Cause you distress, and you would like to find treatment options that enable you to control them better

“Generally, when there is a change in quality, character or frequency of your headache you may want to seek medical evaluation,” said Dr. Joshi.

“Other factors include new onset headaches after the age 40, or headaches associated with neurological symptoms or other systemic illness.”

The content of this post is intended for general educational and informational purposes only; it does not constitute medical advice.  Readers should always consult with a licensed healthcare professional for diagnosis and treatment.

What is Parkinson’s Disease?

What is Parkinson’s Disease?

Parkinson’s Disease (PD) is a chronic, neurodegenerative disorder that affects 10 million people worldwide, with 60,000 Americans diagnosed each year. The average age of onset is 60, with incidences of the disease increasing with age. 

Although the cause of PD is unknown, symptoms result from a loss of cells in the brain, particularly in a region called the substantia nigra, where cells produce dopamine. Dopamine is a neurotransmitter that regulates movement and emotion. According to the Parkinson’s Foundation, most people begin experiencing symptoms later in the disease’s progression because at that point a significant amount of the substantia nigra neurons have been lost, resulting in the low levels of dopamine that affect a person’s movement. 

Symptoms

“Early signs of Parkinson’s disease include tremor, slowed movement and stiffness, as well as balance problems. Some people may notice that their handwriting has become smaller or that they have a “masked face,” making them look more serious or depressed,” said Dr. Anupama Kale, Attending Neurologist and Parkinson’s Disease Specialist in DENT Neurologic Institute’s Movement Disorders Clinic.

As the disease progresses, symptoms can include:

  • Tremor
  • Limb Rigidity
  • Gait and Balance Problems 

According to the Parkinson’s Foundation, in addition to movement-related or “motor” symptoms, Parkinson’s symptoms may be unrelated to movement or “non-motor”.

Non-motor symptoms can include: apathy, depression, constipation, sleep behavior disorders, loss of sense of smell and cognitive impairment.

Prognosis

“PD is a chronic disease that is managed over time, with treatment tailored to each individual based on his or her symptoms. Most people with Parkinson’s disease can lead productive and fulfilling lives,” said Dr. Kale. “And while there is currently no cure for Parkinson’s disease, there are several treatments available, with more and more new and promising treatments in the pipeline. 

The content of this post is intended for general educational and informational purposes only; it does not constitute medical advice.  Readers should always consult with a licensed healthcare professional for diagnosis and treatment.

 

Dr. Joshi Will Be Presenting in the 2019 Migraine World Summit

Buffalo, NY – Attending Neurologist and Headache Specialist at DENT, Dr. Shivang Joshi, will be presenting at the 2019 Migraine World Summit. 

According the Migraine World Summit’s website ,”The Migraine World Summit is a virtual event that brings together over 32 top experts including doctors and specialists, to share new treatments, research and strategies, for migraine and chronic headache.”

Dr. Joshi will be presenting on “Drug Interactions and Side Effects from Common Drugs.”

Registration is required to take part in this event, please visit the Migraine World Summit’s website for more details. 

What is Multiple Sclerosis? – Facebook Live Recap

Multiple Sclerosis (MS) affects 1 million people in the United States, affecting two to three times more women than men. Over the past 10 years there have been significant developments in the treatment of MS. Director of the DENT Multiple Sclerosis Center, Dr. Bennett Myers, discussed what multiple sclerosis is, and how recent advancements in medication are changing the prognosis for those diagnosed with MS.

What is Multiple Sclerosis?

Multiple Sclerosis is a disease that affects the central nervous system, brain and spinal cord. MS commonly starts in young adulthood, with onset in a person’s 20s and 30s, however MS can occur at any age.

“Although the cause of MS is unclear, it seems to be auto-immune, meaning that the body’s immune system is attacking something it shouldn’t be. In this case, the covering of nerves cells in the brain and spinal cord, causing the neurologic symptoms of MS,” said Dr. Myers.

Two Forms of MS

At the time of diagnosis there are two forms of MS. Relapsing-Remitting Multiple Sclerosis (RRMS) and Primary Progressive Multiple Sclerosis (PPMS). 85 percent of people with MS will be diagnosed with RRMS, however sometimes RRMS will convert to secondary progressive MS over time.

“In RRMS, people will develop a neurologic symptom that comes on over the course of a few hours to days, then will generally improve over the course of days to months,” said Dr. Myers.

Symptoms of RRMS can include numbness or tingling, weakness in one arm or one leg, or one entire side of the body. Symptoms can also be visual, a person may see double, or lose vision in one eye. Symptoms can also be more subtle, a person may feel very tired, or like their balance is off, it may be harder to think or to find the right words.

“It is also important to note that unfortunately, a person does not always recover fully after each ‘flare’ of MS,” added Dr. Myers. “When there is inflammation affecting the brain or the spinal cord it does damage. Overtime, this can cause disability, weakness issues, and can affect thinking and memory.”

Primary Progressive MS, the second form of MS, is categorized as a slow gradual accumulation of neurologic disability. This form mostly shows up later in a person’s life, most commonly in the 40s or 50s.

“Many people with PPMS will associate their symptoms with aging. When people are finally diagnosed with PPMS, it is often because something drastic as changed, they may be too weak to climb a flight of stairs, or they begin walking with a limp,” added Dr. Myers

MS Treatment: Treating Symptoms and MS

“When it comes to treating MS, we often talk about treating symptoms,” said Dr. Myers. “If people have pain or fatigue issues, spasticity issues, or even mood issues – depression, anxiety—we certainly treat those symptoms. If you actually have an attack or flare we typically treat that with high doses steroids.”

Disease Modifying Therapies, are medicines that are aimed at treating the underlying disease. In this case these are the medicines that will directly treat the multiple sclerosis by preventing relapses, therefore preventing the disease from getting worse.

“When I was in medical school, back in the mid-1990s, neurologists would tell me don’t go in to multiple sclerosis, there’s nothing you can do for it. That is completely different from how it is now. Now we have so many treatments that have been shown effective in slowing down this disease,” said Dr. Myers. 

To learn more about the current medications that are used to treat multiple sclerosis, check out the entire presentation from Dr. Myers below: 

The content of this post is intended for general educational and informational purposes only; it does not constitute medical advice.  Readers should always consult with a licensed healthcare professional for diagnosis and treatment.

What to Expect At Your Sleep Study

In a study from the Center for Disease Control and Prevention, 38 percent of adults living in New York reported getting less than the recommended seven hours of sleep per night. The CDC identifies daily sufficient sleep as one of the five key health behaviors for preventing chronic disease. 

“Poor sleep can lead to an increased risk for multiple medical issues, in addition to feeling poorly the next day. Depending on the cause, poor sleep can increase your risk for heart attack, stroke and other medical issues, just as much as untreated high blood pressure, elevated cholesterol and cigarette smoking,” said Director of the DENT Sleep Center, Dr. Marc Frost.

Insufficient sleep can be caused by a number of factors, many of which can be attributed to lifestyle habits such as late night electronic use or an inconsistent bedtime routine. However, in some instances poor sleep can be caused by a medical condition that must be diagnosed and treated by a medical professional. The first step in identifying if you have a sleep disorder is to consult with your primary care provider to decide if you should participate in a sleep study.

For many, a sleep study can seem overwhelming and intimidating. We asked Doug Lukaszewski, a sleep technician in the DENT Sleep Center, commonly asked questions about sleep studies, to clear up some of the common misconceptions surrounding the diagnostic test. 

1. Do I need a referral from my provider for a sleep study?

Yes, the DENT Sleep Center does require a referral from a physician. Once the DENT Sleep Center team has received the referral, they will seek authorization from the insurance company prior to scheduling.

2.  What Should I Bring to a Sleep Study? 

 All you need to bring to your sleep study are clothes to sleep in.

“Whether it is pajamas or shorts and a T-shirt, something you feel comfortable in will work best. Please do however, make sure whatever you bring to wear is appropriate,” said Lukaszewski.

Additionally, bring all medications that you usually take at night, none will be provided for you. Pillows and blankets are supplied, however you are welcome to bring one with you. 

It is important to remember to take everything you bring to the lab home with you. All the DENT Sleep Center rooms have a restroom that include a shower. If you intend to take a shower in the morning, towels, body wash, and shampoo are provided. Other toiletries are also provided (toothpaste, toothbrush, combs.) 

3. What time do sleep studies normally begin?

Patients are asked to arrive by 8:30 pm and upon arrival are escorted to their private rooms. After paperwork is completed, the sleep technician will apply all of the devices needed to monitor your bio information while sleeping, this process usually takes around 30 minutes. 

Patient should expect to be in bed anytime between 10:00-11:00 pm, and awakened at 5:30 am. 

4. Is there an alternative to having a sleep study done in the sleep lab or office?

The DENT Sleep Center does perform home sleep studies. At home sleep studies are very simple and utilize easy to use devices. Patients are taught how to use the device, to use for their sleep study that night. Information is stored on the device while you are sleeping and is downloaded by the technician. The information is then interpreted by a physician who specializes in sleep disorders. 

5. What are a few common conditions that would bring a person into the Sleep Center?

  • Obstructive sleep apnea
  • insomnia
  • narcolepsy
  • periodic limb movements
  • somnambulism (sleep walking)
  • REM behavioral disorder

6. What happens if you can’t fall asleep?

Although the vast majority of patients do get a sufficient sleep in the office, a very small amount do not sleep. In this case, the physician can order another study or the patient can try an at home sleep study.

“Keep in mind the home sleep study devices are intended to almost exclusively diagnose sleep apnea, so there are limitations as to what it can do,” added Lukaszweski. 

The content of this post is intended for general educational and informational purposes only; it does not constitute medical advice.  Readers should always consult with a licensed healthcare professional for diagnosis and treatment.

Ease Up On Electronics Before Bed – Your Brain Will Thank You

For many, scrolling through Facebook or Twitter in bed is just part of the nightly routine. However, studies show these activities, especially social media use, can be disruptful to the recovery processes that occur during sleep. 

We sat down with Director of the DENT Sleep Center, Dr. Marc Frost, who discussed the importance of turning off electronics before bed, and shared best practices for getting a good night’s sleep. 

Why is it important to “power down” before bed?

Sleep is an important way for the brain to recover from a day of critical thinking and decision making. Electronics use before bed stimulates the brain, making it difficult to fall asleep, therefore delaying and disrupting the recovery process. 

“Winding down before bed gives the brain a chance to start decompressing from all the activities of the day,” said Dr. Marc Frost. “Electronics that require active involvement like Facebook or Instagram, are too stimulating and require too much attention to allow you and your brain to properly wind down.”

In addition to over stimulation, electronics emit blue light that promotes wakefulness, counteracting the natural transition to sleep. 

“The light involved with the electronics can potentially lead to a decrease in natural melatonin levels. Melatonin is produced by the brain in the evening as it starts getting darker, working with your circadian rhythms to help induce sleep,” said Dr. Frost. “Bright lights prevent this.”

Dr. Frost added that while many electronics do have some type of night mode which attempt to change light frequencies, it is not an ideal or long-term solution.

Best Practices For Unplugging Before Bed

1. Limit significant physical activity (including exercise,) too close to bedtime. Exercise can have an energizing effect, making it difficult to fall asleep if done too close to bedtime. 

2. Avoid caffeine within several hours of bedtime. Some people are sensitive enough that consuming caffeine after dinner time or even after lunch can have negative effects on their ability to fall asleep. 

3. Limit alcohol consumption. Alcohol can be very disruptive to the sleep cycle. 

5. Limit the use of video games before bed. Video games are very stimulating because they rely on active involvement.

6. Get into routine! Make a habit of doing relaxing activities before bedtime so the brain will learn a relaxing pattern that signifies bedtime. These activities may include taking a warm bath or reading a book. 

The content of this post is intended for general educational and informational purposes only; it does not constitute medical advice.  Readers should always consult with a licensed healthcare professional for diagnosis and treatment.

DENT Study Finds Medical Cannabis May Alleviate Symptoms of Chronic Disease in the Elderly

Buffalo, NY – A recent study conducted by the DENT Cannabis Clinic finds that medical cannabis may alleviate symptoms associated with chronic conditions in the elderly.

The study, led by Dr. Laszlo Mechtler, focused on the effects of medical marijuana in seniors with chronic conditions. Of the 204 patients in the study, ranging in age from 75 to 102, 70 percent reported a significant increase in their quality of life and more than 30 percent were able to stop taking their opioid pain killers. 

The study found that a 1:1 ratio of THC to CBD, proved to wield the best results with the least amount of side effects. Dr. Mechtler and his team will be presenting their findings at the American Academy of Neurology Annual Meeting in Philadelphia this May. 

“Our findings are promising and can help fuel further research into medical marijuana as an additional option for this group of people who often have chronic conditions,” said Dr. Laszlo Mechtler, director of the DENT Cannabis Clinic.

Check out additional coverage of the study below. 

American Academy of Neurology – “Could Medical Marijuana Help Grandma and Grandpa with Their Ailments?”

WGRZ – DENT Studies Effects of Medical Marijuana on Seniors

 

Making the Most of Your Healthcare Visits – Facebook Live Recap

Preparing for healthcare appointments can seem daunting for both caregivers and patients. There are questions you want to ask and updates you want to give, but you may find that preparing for an appointment is an overwhelming task.

“Sometimes we have patients or family members who don’t necessarily understand the process, and it makes them feel like they don’t get the most out of their healthcare visit,” said Program Director for the DENT Integrative Center for Memory, Sarah Harlock. “However, there are steps that patients, family members and care partners can take to get the most out of appointments.”

Booking and Scheduling

After a dementia diagnosis, it can feel like there are appointments every other week. One day you may have an appointment with your physician, the next week you may need to get additional testing or imaging done. The frequency of appointments and testing can seem overwhelming at first. However, those initial tests are an important part of confirming your diagnosis and creating an appropriate treatment plan.

“Once a treatment plan has been made appointments will become less frequent. Some patients come once every three months, others every six. Depending upon your diagnosis and your needs, you and your physician will create an appointment schedule that works for you,” said Harlock.

Appointment Preparation

Reminders

The way patients diagnosed with memory disorders respond to appointment reminders is very individualized. Some patients enjoy keeping track of their appointments and want to be reminded in advance. Other patients may become very anxious or nervous when reminded. If as a care partner you notice that the person you’re caring for has increased anxiety leading up to an appointment, it’s okay to be sparing with reminders.

Time of day

Caregivers, try to schedule appointments that are at the patient’s best time of day.

“If person the person in your care is generally more confused and agitated in the afternoons, schedule a morning appointment,” said Harlock. “At appointments we will do in-office assessments and we want patients to feel relaxed and able to perform at their best.”

Allot enough time to get ready

“It is important that a patient is fully prepared for their appointment, so try to be mindful of that when scheduling,” said Harlock. “As a caregiver, if you know your loved takes 2 hours to get ready in the morning, maybe an 8 am appointment doesn’t make sense.”

“At each appointment, we want to make sure the patient is in the best frame of mind. Rushing them out the door to the appointment, creating stress is not a good way to achieve that optimal frame of mind,” added Harlock.

Caregivers, it is also important to be mindful of how much help your loved one needs. Is a telephone reminder enough, or has it become necessary to have someone helping them get ready for the appointment?

Preparing for the Healthcare Visit

There are many things you can do as a care partner to make the most of your loved ones healthcare visit.

Make sure the patient has their glasses, hearing aid, etc.,

“One major part of being prepared is making sure the patient has remembered their glasses or hearing aid, or anything vital to their communication. It is very difficult to assess patient if we cannot properly communicate with them,” said Harlock.

Bring an updated list of current medication

Another important piece of being prepared is having a current medication list. This list should include over the counter medicine and supplements. “

This is important, so that we know exactly what the patient is taking,” added Harlock. “The other piece to this is that caregivers are knowledgeable about how well the patient is taking their medication and there are ways to be respectful about this.”

One way you can respectfully check in with your loved one to measure how well they are taking their medicine is to say something along the lines of I’m sure you’re doing this right but just so I can answer the doctor, I need to know you are taking your mediation the way it is prescribed.’

“We have seen many patients whose family member thought they were taking their medication properly, then something happens as a result, and they realize they weren’t.” said Harlock.

Document any changes since last visit

The day before the appointment take a few moments to think about or write down the changes that have happened since the last visit. 

Documenting changes in a patient’s willingness to take shower, ability to handle finances or take medication, is vital information for a provider to be continually updated on.

“Mood is also an important thing to be taking notice of. If there is a big change in mood we would like to know about that,” added Harlock. “Additionally, if there is something you cannot say, or don’t feel comfortable saying in front of the patient, write us a note. Slip the note to the medical assistant or nurse and they will get the questions to the provider who will then make sure it is addressed during the visit.”

At the Appointment

Have your list of questions ready

It is easy to be distracted by rushing to the appointment, or hearing something the provider said. This list will help you focus and on the appointment and get your questions answered.

“Be knowledgeable and honest about what the patient is capable of. If you are the caregiver for a loved on it can be difficult to share, however it is important to be honest and accurate,” added Harlock.  

Take notes during the appointment so you can be mindful of what to keep an eye out for and what to mention in your next appointment.

“It is also helpful for caregivers to ask if there are any red flags to be watching for, especially with medication changes.”

Additional Tips

For caregivers

Caregivers, you are part of the healthcare team! Your insight is vital in maintaining and adjusting treatment plans.

In addition, please do not wait for the next appointment to tell us about a medication side effect, or that the patient is struggling with or has stopped taking a medication,” added Harlock.

For patients

Consider bringing someone to your appointment with you who knows you. Due to the changes that are happening in your brain, even at an early stage, your perspective may not be the same as your families or friend’s. You may not be an accurately communicating or understanding what your treating provider is saying. This is not meant to be an insult, but the reality of the a cognitive impairment diagnosis.

View the entire presentation below!

The content of this post is intended for general educational and informational purposes only; it does not constitute medical advice.  Readers should always consult with a licensed healthcare professional for diagnosis and treatment.

 

Care Partner Resolutions: Staying Healthy – Facebook Live Recap

According to the Alzheimer’s Association, more than 16 million Americans provide unpaid care for people with Alzheimer’s disease or other forms of dementia.  This care ranges from assistance with activities like bathing and dressing, to financial assistance, to coordinating care or providing emotional support. 

Different care responsibilities are important to note because although traditionally we may think of “hands on care,” as the primary role of a caregiver, there are many ways to be involved in managing a loved one’s diagnosis. 

“Many people are long-distance caregivers or care partners.  Adult children living out of the area often help by assisting with paying bills or helping coordinate care. Those responsibilities make you a care partner too,” said Sarah Harlock, program director for the DENT Integrative Center for Memory.

“I encourage caregivers and care partners to think of their own health and consider steps to put into play to ensure they are taking care of themselves,” said Harlock.

Importance of Prioritizing Your Health

“As the care partner to someone with Alzheimer’s or dementia, you yourself are at increased risk for higher levels of stress, depression, anxiety, negative physical health changes, or complications to existing health problems,” added Harlock. “Study after study shows that care partners have increased stress and depression scores over the general public.”

Often, with all the added responsibilities, caregivers will begin to neglect their own self-care. Many caregivers feel like they can’t find time to exercise or are too tired to prepare healthy meals for themselves. It is also common for caregivers to put off their own healthcare appointments or treatments.

An Analogy for Caregiver Health

Harlock likens the rules of maintaining caregiver health to the instructions given when flying on an airplane.

“I recently had the opportunity to travel by airplane and the safety instructions they provide haven’t changed much. They tell you to be cautious moving about the cabin, to keep your seatbelt on even when sitting, to put your own oxygen mask first before assisting others and so on,” said Harlock. “And I found it’s a pretty good analogy for caregiving.”

1. “Be mindful when moving around the cabin”

Be aware of your overall health. This includes your physical, mental and spiritual health. Being a caregiver to an individual with dementia can have a negative impact on your health.  Paying attention to changes in your own physical and mental health will keep you and the loved one in your care in healthier.

2. “Keep your seatbelt fastened, even when seated”

Memory disorders can bring a lot of change and you want to be prepared for when that change happens. As professionals, we can’t tell you exactly what changes you will see next or when you’re going to see them.  Gathering information and staying prepared can help you be prepared for when changes do arrive. Generally speaking people feel more at ease, more confident and less anxious when they have done some preparation.

3. “Be careful opening the overhead bins as contents may have shifted”

Be mindful that things are going to change. It’s important that you know what kinds of community resources are available to you. This informed and prepared approach will help increase confidence, decrease depression and decrease anxiety.

 4.  “Know where your emergency exits are”

Know how to give yourself a break. Know who you can call, for instance the neighbor who offers to stay with the person with dementia when needed, or know where you can turn to when you need assistance with your care partner roles. This plan could include some social programs that provide care partners some respite, or volunteers to come and visit, so you can take a break.

5.  “If there is a change in cabin pressure and the oxygen mask drops in front of you, put your mask on first before assisting others”

If you are not in good health it’s hard to give your all to the person you are caring for.  It is not selfish to care for yourself while you are providing care to others. You owe it to yourself AND the person you are caring for to care for yourself.

Questions to Ask Yourself

Try to look at each part of your health. First, look at your physical health. What is your doctor saying? Are you noticing any negative changes in your physical health? 

Also make sure to check in with your mental and emotional health.  Are you in a good mood most of the time or are people commenting that you don’t smile or laugh much anymore? Do you find yourself short tempered (more than before). Do you have healthy coping skills like exercise or coffee with friends? 

It is also important to be aware of your spiritual health. What brings you peace? Are you doing the things that being you peace or is there something else you can do that gives you that feeling?

After checking in with yourself act accordingly to work on any part that may be out of sync. 

With everything else going on, how do I make time?

“I think it’s important to set goals, then break those goals down into small manageable steps. Create an action plan,” said Harlock. “There is a great program out there called Powerful Tools for Caregivers which has its participants develop action plans.”

Sarah provided the following action plan as an example. 

“Let’s set the goal as wanting to lose 20 pounds.  Rather than looking at all 20 pounds at one time and all of the activities you have to accomplish to do that, break it down into manageable steps,” said Harlock. 

 Start by making the statement I will __________ fill in the blank with the healthy activity, on __________ fill-in the days of the week you will perform this action at __________ give a time.

The statement might read, “I will walk for 10 minutes Monday, Thursday and Friday at 4:30 pm.”

Look at the statement and decide how confident you are that you will be able to achieve this small step. On a scale of 1-10 (1 being not confident at all and 10 be extremely confident). If your confidence is lower than a seven you need to rethink this step.

For instance maybe three days a week that is not realistic, 4:30 may not be the best time to achieve that goal.  If at 4:30 pm your care recipient is typically engaged in an activity like a nap, then it might be the perfect time. However, if your loved one starts to get anxious, restless or more confused in the late afternoon, you may need to rethink the time. Adjust this statement until you feel confident you can accomplish it. 

“The point is you build on the success!  This week you may walk 10 minutes on Wednesday at 2:30 pm because you know that your husband will be having coffee with the guys. You see that you were able to do it and maybe next week you walk twice for 10 minutes. Now,  walking 10 minutes once a week is not going  to make you lose 20 pounds, but gradually those small steps will help you accomplish that larger goal of losing the 20 pounds and you keep building on your success. 

“The concept applies to other goals such as being a happier caregiver, feeling less stressed. You break it down into reasonable and manageable steps and you build on your success. If you don’t accomplish the task one week, look at why, adjust and try again,” said Harlock. 

Care partner well-being is so important to you and to the person you are caring for!

To view the entire presentation, check out the video below. 

The content of this post is intended for general educational and informational purposes only; it does not constitute medical advice.  Readers should always consult with a licensed healthcare professional for diagnosis and treatment.

DENT Welcomes Dr. Thomas Pfiffner

DENT Neurologic Institute is excited to announce that Dr. Thomas Pfiffner has joined DENT as director of the DENT Spine Center. Dr. Pfiffner brings a unique multidisciplinary approach to spine care. At the DENT Spine Center your initial evaluation will be conducted by Dr. Pffifner, who will then collaborate with experts across a number of specialties to create a comprehensive and effective treatment plan. Dr. Pfiffner has truly unique academic background, his board certifications include chiropractic medicine, chiropractic radiology, neurology, neuroimaging and neuro-oncology, and he is also certified in medical cannabis. 

At DENT, Dr.  Pfiffner will be focusing on spinal disorders, including, but not limited to:

  • Radiculopathy 
  • Disc Disease
  • Spinal Stenosis
     
  • Post Traumatic Spine Injuries
  • Spinal Tumors
  • Neuroimaging Evaluation of Spinal Disorders

Dr. Pfiffner completed his neurology residency at the University of Minnesota. He is Fellowship trained at DENT Neurologic Institute and Roswell Park Cancer Institute. Dr. Pfiffner has published and contributed to multiple articles focused on spinal pathology. He will be key in the development of a new multidisciplinary spine center partnering with UB Neurosurgery.

Dr. Pfiffner is looking forward to his return to western New York and using his extensive experience to help those with spinal injuries.