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I must say the “jacked up Joe” talking annoys the hell of me. As someone who specialized in clinical psychopharmacology, I maybe know a little bit about the disease and the effects of pharmaceuticals.
Dementia IS NOT treated with stimulants. Stimulants improve focus, alertness, and energy. It may have some effect on improving working memory (short term, needed to complete tasks). Stimulants do not make you remember things you’ve forgotten, it does not repair the physical damage of neurons that is the cause of dementia symptoms.
It also should be emphasized these drugs can also negatively impact other aspects of cognitive performance and induce unwanted side effects. Elderly folks are especially sensitive to side effects, especially psychological side effects. For example, stimulants can increase restlessness and irritability (always symptoms of dementia). They are notorious for causing insomnia, poor sleep throws fuel on the fire or dementia. These drugs also cause cardiac stress and most elderly people already have cardiovascular problems.
Stimulants have been around for a long time and have been studied for dementia. The conclusion is they are not effective- again, why would they be- they do nothing to resolve the underlying damage causing the disease. Methylphenidate may improve apathy in dementia patients, but is not a common practice to use it given the other risks.
The sad reality is that there is really no meaningful treatment available because the Alzheimer’s drugs really don’t work that well and all they do is slow the progression- basically at best on the order of several months. They merely prolong the inevitable.
My suspicion is that before large events, Biden’s team do as much as possible to keep him unstressed and with plenty of rest. I imagine debate prep was not the only reason Biden spent a week at Camp David. It’s also a fact Biden has had more “vacation days” than anyone, at least in modern times. I think it’s evident he performs much better using a teleprompter than having to speak off the cuff with no notes.
What also drives me crazy is when Joe preforms very poorly, then the next day he does fine, and then his supporters exclaim how amazing he was. The nature of dementia is that ebbs and flows day to day and within days, but the disease is always progressive. We see the inconsistent performance and it’s clear looking back even 5 years, even 2, he is not the same Joe Biden. I don’t see how he could make it another 4 years in office.
Despite the fact I have been vocal about my concerns for some time, I take no pleasure in his illness. I find it disgusting how many on the right talk about this. Dementia is probably the most sinister diseases. It robs the patient of themselves, destroying their mind bit by bit, effectively killing off the person inside while allowing their body to live. For anyone who has ever known someone with dementia, it’s devastating to watch. Ultimately all we have in life is our mind, if we lose it to dementia, do we even still exist?
I also find the talk about his family abhorrent. Unfounded conspiracies like Jill must be a power hungry sociopath making her husband stay in office so she can secretly rule. Or Hunter won’t let his father quit because of he did he he’d no longer be able to influence peddle for money.
Usually the last person to recognize the symptoms is the person with dimentia. I’m sure Joe has no interest in quitting. He’s clearly not yet so far gone he’s totally lost, but this is one of those awful diseases that tells people they don’t have a problem. There’s probably also a faction of people who don’t want Joe to quit because then they’ll lose their job and status. There’s also a massive Dem political machine weighing down on Joe to not let Trump win, especially by default. More than likely Jill is supporting her husband’s wishes as a supportive wife- she seems to genuinely care for him. Not like a Trump-Melania or Bill-Hillary Clinton. I think it’s beyond cruel to make such accusations about his family.
I’m not very impressed with the Biden presidency as you know, but I am saddened seeing anyone struggling with dementia symptoms and I find the circumstances Joe is stuck with to be totally unfair for him.
Thank you for your thoughtful assessment. Appreciate it!