Keep Your Brain Young: The Complete Guide to Physical and Emotional Health and Longevity

306 Pages·2002·0.93 MB·English

by  Guy M. McKhann

K Y
EEP OUR
B Y
RAIN OUNG
T C G P
HE OMPLETE UIDE TO HYSICAL AND
E H L
MOTIONAL EALTH AND ONGEVITY
o
Guy McKhann, M.D.
Marilyn Albert, Ph.D.
John Wiley & Sons, Inc.
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8776_McKhann_fm.r.qxd 2/12/02 9:19AM Pagei
K Y
EEP OUR
B Y
RAIN OUNG
T C G P
HE OMPLETE UIDE TO HYSICAL AND
E H L
MOTIONAL EALTH AND ONGEVITY
o
Guy McKhann, M.D.
Marilyn Albert, Ph.D.
John Wiley & Sons, Inc.
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Copyright © 2002 by Guy McKhann and Marilyn Albert. All rights reserved.
Published by John Wiley & Sons, Inc., New York
No part ofthis publication may be reproduced, stored in a retrieval system, or transmitted in any
form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise,
except as permitted under Section 107 or 108 ofthe 1976 United States Copyright Act, without
either the prior written permission ofthe Publisher, or authorization through payment ofthe
appropriate per-copy fee to the Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA
01923, [phone], fax [phone]. Requests to the Publisher for permission should be
addressed to the Permissions Department, John Wiley & Sons, Inc., 605 Third Avenue, New York,
NY 10158-0012, [phone], fax [phone], e-mail: [email protected].
This publication is designed to provide accurate and authoritative information in regard to the
subject matter covered. It is sold with the understanding that the publisher is not engaged in
rendering professional services. Ifprofessional advice or other expert assistance is required, the
services ofa competent professional person should be sought.
This title is also available in print as ISBN 0-471-40792-5. Some content that appears in the print
version ofthis book may not be available in this electronic edition.
For more information about Wiley products, visit our web site at www.Wiley.com
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Dedication
To David and Hillie Mahoney—
a remarkable couple and good friends who were always there when we
needed them.
David—a retired businessman who, as chairman of The Charles A. Dana
Foundation, brought excitement and vision to the promotion of brain
research. We all miss him.
Hillie—a partner with David in all his endeavors. She continues to bring
her unique talents to continuing David’s vision, both individually and as
a director of the Dana Foundation and as president of the Harvard-
Mahoney Neuroscience Institute.
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Contents
Acknowledgments vii
PARTONETHEBRAINANDEVERYDAYCONCERNS
INTRODUCTION Healthy But Realistic in the Second Half 2
1 Maintaining Your Memory 6
2 Nutrition for the Brain: Food, Fuel, and
Protection 24
3 Sleep and the Brain 39
4 Managing Stress 53
5 Unmasking Depression 61
6 Alcohol and Your Brain 74
PARTTWOTHEBRAINANDYOURBODY
7 Pain and Your Brain 82
8 Body Functions and Your Brain 107
9 Protecting Your Senses 119
10 How to Keep Your Balance—Literally 132
11 Fainting, Dizziness, and Your Brain 141
PARTTHREETHEBRAINANDPREVENTINGANDTREATINGSERIOUSPROBLEMS
12 Understanding Acute Memory Loss 148
13 Acute Confusion and How to Prevent It 156
14 Dealing with Alzheimer’s Disease and
Other Dementias 165
15 Treatable Dementias 188
v
vi CONTENTS
16 Cancer and the Brain 198
17 New Options for Parkinson’s Disease 209
18 Shaking, Weakness, ALS, and Your Brain 234
19 Stroke: The Brain-Heart Connection 246
20 Taking Charge of Your Brain 270
Appendix 279
Index 289
Acknowledgments
T
his book has been a long time in coming. Its inception was related to
the many years we’ve spent talking with patients, disease advocacy
groups, students, and young doctors about the brain and its disorders.
Many of these people have either discussed parts of this book with us
or read specific chapters—we cannot list them all.
We have also gotten advice from colleagues of ours with expertise
in specific areas. Again, we cannot list them all; we would like to par-
ticularly acknowledge Dr. Carol Johns, Dr. Robert Wityk, Dr. Steve
Riech, Dr. Bill Falk, Dr. Ray DePaulo, Dr. Kay Jamison, and Dr. Guy
McKhann II.
We also asked relatives and friends to read parts of this book as we
considered them a subset of our potential audience. We would particu-
larly like to acknowledge Harry and Pam Harrick, Carolyn and Arthur
Kofler, Jeannette Albert, Emily McKhann, and Jeanette Glover.
We have been guided throughout this endeavor by the advice and
assistance of colleagues at The Charles A. Dana Foundation. These
include Francis Harper, Barbara Gill, Barbara Rich, and the current
chairman, William Safire, and the current president, Ed Rover. We’d
particularly like to acknowledge the assistance of people at The Dana
Press, Jane Nevins and her associate, Elizabeth Lasley. We also got
editorial assistance from William Patrick and editorial guidance from
Tom Miller and Mark Steven Long of John Wiley & Sons. Finally, we
wish to acknowledge the continuing help and guidance of Susan L.
Soohoo, our administrative assistant.
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