What Are the Different Forms of Dementia?

Protecting Your Loved Ones Independence and Well-Being at HomeHelping a family member remain independent and living at home is a labor of love, but at times it can be overwhelming. There is so much to consider beyond just their overall health and well-being. Depending on the situation, a loved one may need immediate or future help coordinating medical care or managing finances. Having the proper Power of Attorney credentials established can help caregivers navigate the complexities of the system and avoid costly or time-consuming pitfalls during their loved ones aging journey.Here is a basic overview of two of the most common Power of Attorney documents:Financial Power of Attorney (Durable)With a Financial Power of Attorney (POA), a person known as the principal appoints an agent to carry out financial and other activities, as instructed by the principal. Often the person designated is a family member but note that it may be advisable to name a primary agent and an alternate agent. Principals may choose whether the POA becomes effective immediately or only in the event of illness/disability. Ideally, the POA document should have language indicating that it is durable (remains in effect even after the person is legally incapacitated). In Pennsylvania, the Financial POA must be notarized and witnessed. The law also stipulates that a POA must exercise the powers for the benefit of the principal, keep the assets of the principal separate from their own, and exercise reasonable caution and prudence. Financial Power of Attorney ceases after the principal passes away.Medical Power of AttorneyPennsylvania recognizes two types of advanced directives for healthcare decisions: Medical Power of Attorney and Living Wills. The Medical Power of Attorney, also known as a Healthcare POA or healthcare proxy, is broader in scope than a Living Will in that it empowers the caregiver to make all medical decisions if their loved one is unconscious, incapacitated, or mentally incompetent. The appointed person will be able to access medical records, speak to healthcare professionals, and make healthcare judgments and medical decisions based on their loved ones treatment (or non-treatment) preferences. A Medical POA is a crucial component of advance care planning, allowing your loved one to ensure that their healthcare preferences are honored. The document must have two witnesses and be notarized.Information and downloadable Power of Attorney pdf documents are available online. During the application process to Senior LIFE, a Senior LIFE outreach coordinator can also help you get started with the POA process. Contact us today.   

By Dr. Myron Kwan, Board-Certified Internal Medicine Specialist at Millennium Physician GroupAs we approach winter, flu season is upon us. The holidays are a time for family, friends, joy, and celebration. Unfortunately, it is also the time of year when flu activity tends to peak. Understanding the cause of the flu, how it spreads, and how to protect yourself and your family is essential to staying healthy during this time of year.At Millennium Physician Group, we believe in the importance of flu prevention and educating our patients on how to stay healthy all year round. Whether you are thinking about getting a flu shot, trying to understand your symptoms, or looking for ways to avoid the flu, heres what you need to know.What is the Flu and How Does it Spread?Flu is a contagious respiratory illness caused by influenza viruses. The disease can infect the nose, throat, and sometimes the lungs, causing a range of mild to severe symptoms that typically come on suddenly. For some people, the flu can be debilitating, leading to serious complications and even death.The flu spreads mainly through minuscule droplets released when someone infected coughs, sneezes, or speaks. These droplets can then land in the mouths or noses of people nearby, with close contact as a primary method of transmission. Flu viruses can also survive on surfaces for 24 to 48 hours. This means touching a contaminated surface and then touching your nose, mouth, or eyes is a possible method of infection.Flu Prevention MattersFlu season typically peaks between December and February, but it is possible to have outbreaks anytime during the year. Staying current on flu cases in your community can help you know if and when you should get your flu vaccine. Each year, the vaccine is created to protect against the most common strains of influenza expected during that particular flu season.Even if youve had the flu or received a flu shot before, its crucial to get vaccinated each year. The flu vaccine is recommended for everyone 6 months and older. Its important to note that the flu shot does not stop you from getting the flu. If you do get the flu after being vaccinated, it can reduce the severity of symptoms and the duration of the illness.Additional flu prevention tips include:      Wash your hands frequently with soap and water for at least 20 seconds.      Cover your mouth and nose when you cough or sneeze to avoid spreading germs.      Avoid close contact with people who are sick, and stay home if youre not feeling well.      Avoid touching your face and disinfect solid surfaces that may carry germs, like your cell phone.What to Watch For: Common Flu SymptomsWhile anyone can get the flu, certain groups are at higher risk for developing serious flu-related complications. This includes children under 5 years old and adults 65 years and older, as well as pregnant women and people with a body mass index (BMI) of 40 or higher. Additionally, people with chronic medical conditions like asthma, diabetes, or heart and lung disease should take preventative measures during flu season. If any high-risk individuals develop flu symptoms, they should seek medical attention immediately.Flu symptoms can seem like they appear out of nowhere and include:      Fever or Chills (although not everyone experiences a fever)      -Cough      -Sore Throat     - Runny or stuffy nose      -Muscle or body aches      -Headache      -Fatigue      -Vomiting and diarrhea (commonly in children)If you or a loved one experiences these symptoms, its important to talk to your doctor about treatment and take steps to prevent spreading the disease.What to Do if You Get SickFlu symptoms can be similar to the common cold. While both are respiratory illnesses, the flu is more likely to cause fever, body aches, fatigue, and severe respiratory symptoms. Colds are usually milder with fewer severe symptoms.If youre unsure whether you have the flu or cold, its best to consult with your healthcare provider. They may recommend you get tested or prescribe antiviral medications. Antiviral medications are only available as a prescription and may reduce the severity and length of symptoms and prevent serious complications. Rest and drinking plenty of fluids can also help you recover quickly. Take Control of Your Health with Millennium Physician GroupFlu season can bring about serious health problems, but by being aware and practicing preventative measures, you can better protect yourself and your family. If you have questions or concerns about flu prevention and how you can take control of your health, Millennium Physician Group is here to help guide you. Reach out anytime, and we can work together to create a plan that prioritizes your health. ABOUT THE AUTHORMyron Kwan, MD, is a board-certified internal medicine specialist at Millennium Physician Groups Bee Ridge Road location. Kwan is an expert in preventive care and patient-centered services. Founded in Port Charlotte in 2008, Millenium Physician Group has grown into one of the states largest primary care practices, with more than 150 locations across Florida and more than 250 overall. For an appointment, call 941.552.8808 or visit millenniumphysician.com. Millennium Physician Group  5741 Bee Ridge Road, Suite 250  Sarasota, FL 34233 

Parkinson's Disease (PD) is a progressive neurological disorder primarily affecting movement. Named after the British physician James Parkinson, who first described its symptoms in 1817, PD is characterized by a variety of motor and non-motor symptoms that can significantly impact an individual's quality of life. Here are some of the most important aspects to understand about Parkinson's Disease:Symptoms: The hallmark symptoms of Parkinson's Disease include tremors, bradykinesia (slowed movement), rigidity (stiffness in the limbs and trunk), and postural instability (difficulty with balance and coordination). These motor symptoms often start on one side of the body and eventually affect both sides as the disease progressesNon-Motor Symptoms: Parkinson's Disease can also present as a range of non-motor symptoms, including cognitive changes (such as difficulty with memory and executive function), mood disorders (such as depression and anxiety), sleep disturbances, constipation, loss of sense of smell, and autonomic dysfunction (such as hypotension and urinary problems).Diagnosis There is no specific test for Parkinson's Disease, so diagnosis is based primarily on medical history, a physical examination, and the presence of characteristic symptoms. Neuroimaging techniques such as MRI and Datascan may be used to help rule out other conditions that can mimic PD.Progression: Parkinson's Disease is progressive, meaning symptoms worsen over time. However, the rate of progression varies from person to person. In some cases, individuals may experience relatively mild symptoms for many years, while in others, the progression may be more rapid and debilitating.Causes: The exact cause of Parkinson's Disease is not fully understood, but it is believed to involve a combination of genetic and environmental factors. Mutations in certain genes, have been linked to an increased risk of developing PD. Environmental factors such as exposure to particular toxins may also play a role.Neurodegeneration: Parkinson's Disease is characterized by the progressive degeneration of neurons in the brain, particularly in an area called the substantia nigra, which is involved in the production of dopamine, a neurotransmitter that helps regulate movement. As dopamine levels decrease, the motor symptoms of PD become more pronounced.Treatment: While there is currently no cure for Parkinson's Disease, there are medications and therapies available to help manage symptoms and improve quality of life. Dopamine replacement therapy, using medications such as levodopa and dopamine, is the mainstay of treatment for motor symptoms. Other medications may be prescribed to address non-motor symptoms, and physical therapy, occupational therapy, and speech therapy can also be beneficial. Exercise programs designed especially for people with PD such as Rock Steady Boxing are available nationally (https://www.rocksteadyboxing.org)Lifestyle Factors: While medication and therapy are important components of managing Parkinson's Disease, lifestyle factors such as regular exercise, healthy diet, adequate sleep, and social engagement can also have a significant impact on symptom management and overall well-being.Surgical Interventions: In some cases, surgical interventions such as deep brain stimulation (DBS) may be recommended for individuals with advanced Parkinson's Disease who are not adequately controlled with medication. DBS involves implanting electrodes into specific areas of the brain and using a pacemaker-like device to deliver electrical stimulation, which can help alleviate motor symptoms.Support Network: Parkinson's Disease can be challenging to manage, both for individuals diagnosed with the condition and their caregivers. Building a strong support network that includes healthcare professionals, family members, friends, and support groups (both online and in person) can provide invaluable emotional support and practical assistance throughout the journey with PD.In summary, Parkinson's Disease is a complex neurological disorder characterized by a range of motor and non-motor symptoms that worsen over time. While there is currently no cure, advancements in research and treatment options continue to improve the management of symptoms and enhance quality of life for individuals living with PD.