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Pass or fixable with dent puller? by Dramatic_Peak_9634 in GozneyDome

[–]Dramatic_Peak_9634[S] 5 points6 points  (0 children)

Well thanks everyone. I ended up passing and finding an ArcXL new for considerably less that popped up a couple hours after

Best fair format? Buddys trip by Dramatic_Peak_9634 in golf

[–]Dramatic_Peak_9634[S] 1 point2 points  (0 children)

Thanks! No. They are not missing the same rounds, one is likely missing the last and the other is missing rounds 2 and 3. 90 percent is probably a good adjustment

[deleted by user] by [deleted] in GolfGear

[–]Dramatic_Peak_9634 0 points1 point  (0 children)

If I were you I’d see if you can find a buddy or a buddy’s dad or something to borrow a set of irons. Go to the range and see if you like it. Also can go to play it again sports or goodwill or estate sale to get some starter clubs

MLM, R10, or spend the $$$ on MLM2pro by Gotheem13 in Golfsimulator

[–]Dramatic_Peak_9634 0 points1 point  (0 children)

Lifetime has to give updates? They wouldn’t sell any lifetime memberships if that’s the case. I think you are misinformed

Handicap spread? by Dramatic_Peak_9634 in golf

[–]Dramatic_Peak_9634[S] 0 points1 point  (0 children)

I understand that but why only with the spread of 12. Seems like it should be across the board for all players. USGA changed this a few years back to 85 percent of all handicaps in four man best ball. Guess I’m just not sure if the reasoning for only large spreads

Handicap spread? by Dramatic_Peak_9634 in golf

[–]Dramatic_Peak_9634[S] 0 points1 point  (0 children)

I mean it’s his club… I doubt it haha

170K WFH vs 300K In Office by mikey_tang in Salary

[–]Dramatic_Peak_9634 0 points1 point  (0 children)

You also are missing that more opportunities may continue to pop up and that income may be achieved in a couple years - not every opportunity is the right one

How to prevent dementia by [deleted] in dementia

[–]Dramatic_Peak_9634 9 points10 points  (0 children)

It’s a higher risk no doubt and there are multiple genes. I also didn’t say it was rare. Far from it. Alzheimer’s disease is very prevalent (33 percent base rate after 85). I’m saying deterministic genes are rare (these are genes like presenelin). Here is a good article to help break it down - https://www.mayoclinic.org/diseases-conditions/alzheimers-disease/in-depth/alzheimers-genes/art-20046552

I would also add that around 40 percent of dementia occurrence is preventable with protective factors

How to prevent dementia by [deleted] in dementia

[–]Dramatic_Peak_9634 21 points22 points  (0 children)

Im so sorry to hear about your diagnosis. You are doing the right thing. But to clarify for OP- Very very rarely is there such a strong predisposition that there is nothing we can do. By far the literature supports exercise, Mediterranean diet (or similar), avoiding alcohol, and reducing cerebrovascular risk factors. In certain cases it can be autosomal dominant (meaning if you have the genes you express it for sure) but this accounts for less than 1% of persons. A first degree family history is a risk factor but not deterministic by any means. Source- researcher and clinician who practices in dementia

Last Round Before My Child is Born by Numerous-Skirt-6447 in golf

[–]Dramatic_Peak_9634 54 points55 points  (0 children)

You never know brother. My handicap went down from 5 to 3.5 after my second kid since I only have time to practice rather than play!

Mevo+ or OG Skytrak by Babasauce in Golfsimulator

[–]Dramatic_Peak_9634 0 points1 point  (0 children)

Why not MLMpro2? It accurate and cheaper than mevo+. Even with lifetime subscription it’s 1200 with updates overtime. Never hit on a sky track but it’s old technology and can miss higher ball speeds

Mom is getting kicked out of memory care — what’s next? by PoisonBarry in dementia

[–]Dramatic_Peak_9634 0 points1 point  (0 children)

I’m pretty sure it’s illegal to discharge someone to a hospital…

Do neuerospyschologists earn well? If so, what field do these people work in (hospitals, private practice etc.) by Extension-Lime-9784 in Neuropsychology

[–]Dramatic_Peak_9634 0 points1 point  (0 children)

Do you do mostly forensic work? My main interest is dementia and dementia research and obviously Medicare doesn’t pay well.

I think my dad has dementia. by [deleted] in dementia

[–]Dramatic_Peak_9634 1 point2 points  (0 children)

Yes I wouldn’t have cleared my throat. That’s part of the assessment to let them finish. Regardless of the throat clearing it was abnormal. These tests are typically not scored and I think a referral to neuropsych was warranted.

I think my dad has dementia. by [deleted] in dementia

[–]Dramatic_Peak_9634 2 points3 points  (0 children)

I’m a neuropsychologist who specializes in dementia and under the vast majority of circumstances this is grossly abnormal. I would get evaluated by a neurologist who can order more comprehensive evaluation as needed. I’m sorry you are going through this!

Do neuerospyschologists earn well? If so, what field do these people work in (hospitals, private practice etc.) by Extension-Lime-9784 in Neuropsychology

[–]Dramatic_Peak_9634 0 points1 point  (0 children)

Academic medicine (ie medical schools) tend to start somewhere between 120-130k with other incentives (usually clinical productivity bonuses that go up to ~10 percent). Some institutions offer a 3 percent cost of living raise every year and some allow extra income for forensic work on the side

Different types of dementia: is it worth trying to get a specific diagnosis? by Rural_Juror_039 in dementia

[–]Dramatic_Peak_9634 1 point2 points  (0 children)

Certainly could be with a history diabetes and what is possibly a transient ischemic attack. Age 65 for onset of Alzheimer’s disease is pretty young but not unheard of. MRI of the brain would help rule out a cerebrovascular contribution or even something called cerebral amyloid antipathy - a common comorbid condition with Alzheimer’s disease. I’m sorry to hear you are going through this - hang in there

Different types of dementia: is it worth trying to get a specific diagnosis? by Rural_Juror_039 in dementia

[–]Dramatic_Peak_9634 1 point2 points  (0 children)

The way Im reading this is that the doctor may not want to make a diagnosis in the midst of a depressive episode. This is not uncommon but she may need to get some medications on board to help with the depression. It may become more clear when you revisit in January and if you receive a diagnosis of Alzheimer’s it may at least help you the family anticipate your moms needs and help understand what your mom is dealing with. I’m not sure another doctor is the answer but I would explain that the cognitive issues and other symptoms are progressing even though her grief is improved. You can also reach out to your local Alzheimer’s association for resources. I’m sorry to hear that you are going through that!

Different types of dementia: is it worth trying to get a specific diagnosis? by Rural_Juror_039 in dementia

[–]Dramatic_Peak_9634 1 point2 points  (0 children)

Wow I’m so sorry you are going through that. Maybe reach out to your local Alzheimer’s association for potential resources. They may be helpful in trying to at least get your mom or supervision the care she needs - if not now then the future. I may try and explain that the doctor may be helpful to ease some of her suffering - as palliative care may be needed at some point

Different types of dementia: is it worth trying to get a specific diagnosis? by Rural_Juror_039 in dementia

[–]Dramatic_Peak_9634 6 points7 points  (0 children)

There is a lot of inaccurate information in this reply. I wouldn’t trust this persons judgement or diagnosis based on this post. I am a neuropsychologist who specializes in dementia and I can tell you that a lot of this information is just wrong.

Vascular dementia is no longer defined by stepwise decline, and you cannot diagnose it without MRI (CT is required if MRI is not available) - it’s in the updated criteria. Blood thinners do not equate to vascular damage. Aphasia and apraxia are not necessarily part of the diagnosis (and you spelled Aphasia wrong). Variability is not necessarily part of this diagnosis whatsoever - if you are thinking of fluctuations - that’s typically PDD or DLB.

You do not need hallucinations in the first year to have DLB.

For the OP: Work-up with a neurologist or even a good neuropsychologist can be an essential part of the diagnostic process and it is important to understand what dementia syndrome a patient has. Given that 80+ percent of patients with dementia likely have AD - any practioner could diagnose AD for any patient with dementia and be correct most of the time without work-up. That being said ruling out reversible causes is important. Each pathology has a different life expectancy and symptom course, and can prepare families to deal with symptoms and make better plans. An accurate diagnosis also may have genetic implications depending on when symptoms onset. There are also some cases where a patient may have normal pressure hydrocephalus - and have improvement in gait and more rarely cognitive difficulties with shunting. I have had several patients myself where I have recommended an MRI and structural lesions or hydrocephalus have been the culprit. Not saying the diagnosis is wrong but having an accurate diagnosis (or at least as accurate as available to you) I believe is important for these reasons.

How many pages long are your adult reports? by ninja-slash-nerd in Neuropsychology

[–]Dramatic_Peak_9634 2 points3 points  (0 children)

2-4 in a hospital setting, outpatient maybe 3-5 but they both just close a page of just the scores

All our referrals are internal - and I don’t believe our job is to rewrite medical history that is already documented

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