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Charles J. Fuschillo Jr.: Treat your brain better than your car

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When you take your car in for its yearly inspection, you want the mechanic to examine it thoroughly. Overlooking a vital system like the engine or transmission could lead to serious problems, including ones that jeopardize the safety of the vehicle’s drivers and passengers. You treat an annual physical with a doctor the same way: Why would anyone neglect having one of their body’s most vital organs — the brain — checked to make sure it’s firing on all cylinders?

Unfortunately, it happens too often. In numerous ways, the brain is the body’s command center. Thoughts, emotions, senses, language, balance, coordination, breathing and heartbeat all depend on the brain. Yet many people don’t get regular memory screenings, even though these quick, noninvasive “checkups from the neck up” should be part of everyone’s health and wellness routine.

Fear is a common reason. Cognitive impairment can lead to loss of independence, functionality and treasured remembrances of people, places and events. People may worry about being stigmatized, treated differently, pitied or seen as less capable by friends, family or coworkers.


All of that is a scary prospect. Being afraid is natural and understandable, especially for those exhibiting warning signs of memory impairment. Allowing that fear to prevent action, however, can lead to worse outcomes. Ignoring the problem hardly ever makes it go away, and usually exacerbates it.

Lack of awareness is another reason people neglect the health of the brain. Many people don’t know what memory screenings are, why they’re necessary and where or how to get one. Nor are they aware of the importance of early detection of memory issues, even those caused by an incurable condition like Alzheimer’s disease. Others mistakenly believe that memory problems occur naturally as you get older, and that there’s nothing that can be done.

Education is critical to reduce fear and dispel the myth that any memory trouble equals a severe, untreatable illness or is an inevitable part of normal aging that afflicts everyone. Vitamin deficiencies, thyroid disorders, sleep apnea, depression, urinary tract infections and medication side effects are some treatable, if not curable, causes of memory impairments. Without a diagnosis, they cannot be corrected, which could cause more significant problems down the road.

Even if a memory issue is the result of Alzheimer’s disease, early detection matters. Diagnosing Alzheimer’s in the early stages gives people the opportunity to start medications sooner in the disease progression, when they’re most effective (or in some cases, are only offered then); enroll in a clinical trial; and begin therapeutic interventions that can help prolong cognitive functioning and enhance quality of life.

Memory screenings are equally important for people who aren’t experiencing symptoms of memory loss. Like other health screenings, they provide a baseline that can help uncover a potential issue sooner. Checking and tracking your blood pressure regularly enables doctors to act if you have hypertension, because high blood pressure increases the risk of a heart attack, stroke or kidney failure.

Mammograms and PSA tests aren’t just given to people experiencing potential symptoms of breast cancer and prostate cancer; all women and men of a certain age are advised to get them annually to catch cancer as quickly as possible.

If you’ve never had a memory screening, or are overdue for one, make it a point to get screened this year. The Alzheimer’s Foundation of America offers free, confidential memory screenings regularly at its AFA Barbara Rabinowitz Education & Resource Center in Amityville. They are performed one on one with a qualified professional, and consist of a series of questions designed to test memory and other cognitive functions. The screening itself is not a diagnosis, but it can indicate if someone should see a physician for a more comprehensive evaluation of potential memory impairment.

Schedule an appointment for a free memory screening by contacting the center at (631) 223-4000. Everyone is welcome and encouraged to get screened. There are no minimum age or insurance prerequisites.

Your brain is far more important than your car. Buying or leasing a new one is impossible. Warranties don’t exist for it, and there is no extended coverage available for purchase. The one you have now is the only one you’ll ever own. Be just as vigilant about checking it each year.

Charles J. Fuschillo Jr., of Merrick, is president and CEO of the Alzheimer’s Foundation of America.