Pillcheck

2.5K posts

Pillcheck banner
Pillcheck

Pillcheck

@pillcheck

Eliminate the guesswork 🧬 and get on the right medication 💊 the first time. Pillcheck combines DNA analysis with #telemedicine by expert pharmacists.

Toronto, Canada Katılım Mart 2013
1.7K Takip Edilen706 Takipçiler
Pillcheck
Pillcheck@pillcheck·
Two nuns could have identical brain damage on autopsy. 1 would have lived her last years confused, lost. The other lucid and intact. only meaningful difference? depth of the cognitive and emotional architecture each had built across the decades before the damage arrived.
Sukh Sroay@sukh_saroy

A University of Kentucky epidemiologist convinced 678 Catholic nuns to donate their brains and their entire life records to science, and the autopsies he performed quietly rewrote everything modern medicine thought it knew about Alzheimer's disease. The findings have been published in JAMA and the New England Journal of Medicine. Almost nobody outside the field of neurology has heard of them. His name was David Snowdon. He was a young epidemiologist at the University of Minnesota in 1986 when he had what most of his colleagues considered a crazy idea. He wanted to study Alzheimer's disease the way it had never been studied before. Not through brain scans of confused 80-year-olds in a hospital. Not through self-reported family histories. He wanted to find a group of people whose entire lives were on paper, from their twenties to their deathbeds, and then look inside their brains after they died and see what the autopsies actually showed. He chose 678 Catholic sisters from the School Sisters of Notre Dame congregation. The choice was not random. Nuns lived almost identical lifestyles. Same diet. Same housing. Same daily schedule. Same medical care. No smoking. No drinking. No pregnancies confounding the hormonal data. They were, statistically speaking, the cleanest research population on Earth. And they had something no other study population had ever offered. Their entire lives were already documented. Every nun in the order had written a one-to-two-page autobiography in her early twenties, before taking her final vows. The essays had been sitting in convent archives for 60 years, untouched, waiting to be discovered. Then Snowdon did the part most researchers would never have agreed to. He asked the nuns, in person, one at a time, if they would donate their brains to science after they died. They said yes. All of them. The study ran for over 25 years. Annual cognitive tests. Annual physical exams. Detailed medical records. And at the moment of death, every single brain was carefully removed and analyzed under a microscope. The findings broke modern neuroscience. The first thing the autopsies showed was that many of the nuns had brains riddled with the classic plaques and tangles of full-blown Alzheimer's disease. Severe damage. The kind of damage that, in any other patient, would have produced complete dementia. But while they were alive, these particular nuns had shown no symptoms at all. They had stayed sharp until the day they died. They had taught classes. They had run errands. They had recognized everyone. Their brains were destroyed. Their minds were intact. Something was protecting them that nobody had ever measured before. Snowdon called it cognitive reserve. The brain, he argued, can absorb extraordinary amounts of damage without showing symptoms, as long as it has been built thick enough beforehand. The nuns who stayed sharp had brains that had been so well-developed over a lifetime of learning, teaching, reading, and thinking that they could afford to lose huge sections of tissue and still keep functioning. Then he found the second thing. The one that made the study famous. He pulled the autobiographies out of the archives. The essays written by the same nuns 60 years earlier, when they were 22 years old. He measured a single linguistic feature called idea density. How many distinct ideas a writer packed into each ten words of prose. Not vocabulary. Not grammar. Not style. Just the raw informational compression of a young mind. The result was so clean it should be illegal to ignore. The nuns who had the lowest idea density at age 22 were 59 times more likely to develop Alzheimer's by age 85 than the nuns who had the highest idea density. Snowdon could predict with roughly 80 to 90 percent accuracy who would develop dementia 60 years before it happened, from a single essay written before the woman had even taken her vows. The detail that should disturb every adult reading this is what happened when the researchers controlled for the obvious objections. When they controlled for education, the effect held. When they controlled for occupation, the effect held. When they controlled for the age at which the nun entered the convent, the effect held. The cognitive complexity of the 22-year-old mind, measured in a single autobiographical paragraph, was a stronger predictor of Alzheimer's six decades later than any other variable Snowdon could find. Then he ran the second analysis. The one that almost nobody quotes. He measured the emotional tone of the same autobiographies. The frequency of positive words like joy, gratitude, hope, love, contentment. The nuns who wrote about their lives in positive emotional terms at age 22 lived an average of 10.7 years longer than the nuns who wrote in neutral or negative terms. Same convent. Same diet. Same medical care. Same prayer schedule. The lifespan was being shaped by something invisible. Something that had been written down before the nun had any way of knowing it would matter. The paper landed in JAMA in 1996. It has been cited thousands of times since. Almost no one outside academic neurology has heard of it. The reason most people resist this finding is that it sounds like a sentence handed down before adulthood even began. If the architecture of your old-age brain is being built by what you do with your mind in your twenties, and your emotional resilience is being calibrated by the words you use about your own life, then your eighties are being shaped right now by patterns you cannot even feel yourself making. Snowdon argued the opposite. He said the data showed cognitive reserve could be built throughout life. The nuns who continued to learn languages, teach courses, read difficult books, and engage in complex conversations in their 60s and 70s also showed slower decline. The brain does not stop responding to mental work just because you got older. It only stops responding when you stop asking anything of it. The most uncomfortable part of the research is the contrast Snowdon repeatedly emphasized. Two nuns could have identical brain damage on autopsy. Identical plaques. Identical tangles. Identical genetics. One would have lived her last years confused, frightened, and lost. The other would have lived her last years lucid, joyful, and intact. The only meaningful difference between them was the depth of the cognitive and emotional architecture each had built across the decades before the damage arrived. The brain you will have at 85 is being constructed right now by the books you choose not to read, the conversations you choose not to have, and the words you choose to use about your own life. The dementia that arrives at 80 is not a verdict. It is the bill for a structure you either built or did not build between 22 and 60. Almost nobody walks through the window because almost nobody knows it is open. You can be the one who does.

English
0
0
1
52
Pillcheck retweetledi
Nicholas Fabiano, MD
Nicholas Fabiano, MD@NTFabiano·
Being optimistic is associated with a lower risk of dementia.
Nicholas Fabiano, MD tweet media
English
29
379
2.1K
199.5K
Pillcheck
Pillcheck@pillcheck·
Genetics, endometriosis and mental health: There is a strong link between genetic predisposition to endometriosis and mental health issues. pillcheck.ca/2025/07/07/und…
English
0
0
0
6
Pillcheck
Pillcheck@pillcheck·
Antidepressants come in many different types, and they can have unique impacts on an individual’s sexual health and well-being. Using pharmacogenetics, DNA testing can help identify which medications are the best fit for you personally. pillcheck.ca/2026/03/20/ant…
English
0
0
0
12
Pillcheck
Pillcheck@pillcheck·
What is the one orientation question your patients almost never get a clear answer to before they leave the room? 🎯
Kevin Pho, M.D.@kevinmd

Medicine has quietly confused two very different things: closing a chart and finishing a visit. Alan P. Feren, MD watched what happens in the gap between them. His mother-in-law came in with a very high white blood cell count and walked out with one word: cancer. The cancer did not kill her. The visit did. The diagnosis was a very early form of chronic lymphocytic leukemia. Asymptomatic. Slowly progressive. The textbook approach is watch and wait, with targeted treatment only when the disease starts moving. None of that crossed the room. She left the office with one word and went home to die from a disease she could have lived with for years. He calls this unfinishedness. It is the gap between administrative closure and clinical closure. The chart says the encounter is complete. The patient does not know what is most likely, what has been reasonably excluded, what would change the plan, or who to call if something shifts. Most physicians have been the doctor on both sides of that gap. We have all walked out of a busy day and felt the small uneasy thought that one of those visits did not actually finish. It is not because we did not care. It is because the system pays for documentation, not for orientation. The after-visit summary is a legal artifact. It is not a treatment plan a frightened person can repeat back to you in their own words. Feren has been clear about what his family carried out of that office. "Both my wife and I feel that there was an error in not giving the diagnosis in a way that showed the clinical rationale." Not a malpractice error. A communication error that the chart did not record and the law does not name. It is the kind of error that does not show up in any quality metric we currently measure, and it is the kind of error that quietly kills people who were never supposed to die. Feren's prescription is structural, not sentimental. Before a patient leaves the room, they should be able to answer five things. What is most likely. What has been reasonably excluded. What remains possible. What would change the plan. Who to call if something changes. If they cannot answer all five, the visit is not finished. Charting it as finished does not make it finished. I am writing this for the physician who has felt that uneasiness at the end of a long day and wondered whether the case was actually closed. The answer is usually: not yet. Listen to the full conversation on The Podcast by KevinMD. Link in the replies. What is the one orientation question your patients almost never get a clear answer to before they leave the room? #PhysicianCommunication #ThePodcastbyKevinMD

English
0
0
0
18
Pillcheck
Pillcheck@pillcheck·
The single strongest predictor of who would be happy, healthy, and mentally sharp at 80 was the depth and quality of their close relationships. who had at least one person they could call in the middle of the night were measurably healthier 30 years later.
Sukh Sroay@sukh_saroy

A Harvard psychiatrist spent 85 years tracking 724 men from their teenage years to their deathbeds to find out what actually makes a human life worth living, and the answer that came back is the one almost nobody in their twenties or thirties is willing to act on. His name is Robert Waldinger. He runs the Harvard Study of Adult Development, the longest scientific study of happiness in human history. It started in 1938. It is still running today. Most studies last a few years. This one has outlived its founders, its second director, and most of its original participants. The setup was simple. Researchers recruited 724 young men. Half were Harvard sophomores. The other half were teenagers from Boston's poorest neighborhoods. They wanted to follow them for the rest of their lives and find out what actually predicted a good life. Then they did the thing nobody else had the patience to do. They waited. For 85 years, the team measured everything they could think of. Blood tests. Brain scans. Income. Marriages. Mental health. Sleep. Loneliness. Every two years, the men answered questionnaires. Every five years, they had a full medical exam. Some of them became senators. One became President. Some ended up homeless. When the data finally came in, the result was so simple that the researchers spent years looking for what they had missed. It was not money. It was not IQ. It was not social class. It was not career success. It was not even genes. The single strongest predictor of who would be happy, healthy, and mentally sharp at 80 was the quality of their close relationships at 50. Not the number of friends. Not the size of the network. The depth of the connection. The men who had at least one person they could call in the middle of the night were measurably healthier 30 years later. The lonely ones, regardless of wealth, declined faster across almost every metric the team could measure. The detail that should disturb every ambitious person reading this is the one most people skip. The Harvard sophomores in the study had every external advantage you can name. Elite education. Family money. Strong networks. That advantage meant almost nothing if they reached middle age without people who actually loved them. The privileged loners aged worse than the working-class men with strong families. Waldinger has been asked the same question in every interview he has done in the last ten years. What is the lesson? His answer never changes. He says people in their twenties and thirties believe they need to chase fame and money and achievement to have a good life. The 80-year-old men in his study who actually had it figured out say the opposite. They wish they had spent less time at the office and more time with the people who mattered. You will not believe him. Almost nobody in their twenties or thirties does. The data has been public for decades and the world has not changed. The reason is that the cost of investing in people you love does not pay off for 30 years, but the cost of investing in career success pays off next quarter. The brain is built to chase the next quarter. It cannot see the 30-year compounding curve. The good news is that the men who repaired old relationships in their 60s and 70s still gained measurable health benefits. The brain does not stop responding to connection just because you waited. But every year you wait costs you compounding interest you cannot get back. Your career will outlive you for about three months. The people you loved well will carry you for the rest of recorded time. You are not behind on your goals. You are behind on your phone calls.

English
0
0
0
13
Pillcheck
Pillcheck@pillcheck·
podbean.com/ep/pb-4znwf-1a… Have you or anyone in your family experienced complications from medical anesthesia? Overall, estimated rates of perioperative complications from anesthesia are between 3% to 16% dependant on a variety of factors.
English
0
0
0
21
Pillcheck
Pillcheck@pillcheck·
Discuss recent medication changes with your pharmacist, as some supplements and medicines can influence antidepressant levels in your blood and lead to a setback.
English
0
0
0
22
Pillcheck
Pillcheck@pillcheck·
•Withdrawal symptoms occur in almost half of people when they stop an antidepressant. •The higher the dose and the longer the treatment duration, the greater the risk of withdrawal symptoms during standard tapering.
English
1
0
0
18
Pillcheck
Pillcheck@pillcheck·
@AliBeckZeck @FarewellSSRI Consider a personalized approach: pillcheck.ca/2025/09/17/ant… A pharmacogenetic profile could assist your doctor and pharmacist in assessing your risk of withdrawal, which is higher for people with altered metabolism (i.e., for fast or slow metabolizers)
English
0
0
0
1
Ali Zeck
Ali Zeck@AliBeckZeck·
Psychiatrists love to say: “We just have to find the right cocktail.” “It’s trial and error.” Here’s why that’s dangerous: The “trial” is your brain. The “error” is your life. The error can be akathisia, suicidality, sexual dysfunction, metabolic syndrome, years of protracted withdrawal, disability and gaslighting from your prescribing physician that your symptoms are signs of your “mental illness” and not side effects of the drugs. The error can be losing years trying to recover from the treatment or even your own death. Trial and error” is not informed consent.
English
33
117
378
6.9K
Pillcheck retweetledi
Nicolas Badre
Nicolas Badre@BadreNicolas·
The odds of having dementia at age 85 were close to 1 in 3 in the 80s; now they are 1 in 10. I don’t think we have a great explanation: better cardiovascular health, diet, and education are often mentioned. Good news nonetheless. Carnall Farrar. (2025, March 27). Dementia trends.
Nicolas Badre tweet media
English
205
1K
4.9K
667.5K
Pillcheck
Pillcheck@pillcheck·
The act of forming letters by hand forces deeper processing at the moment of information encounter. The effort required to form each word creates additional memory traces that typing does not generate.
Darshak Rana ⚡️@thedarshakrana

Your brain physically rewrites itself every time you pick up a pen. Neuroscientists at Norwegian University scanned students' brains while they handwrote letters versus typing the same letters on a keyboard. The results shattered decades of assumptions about how we process information. Handwriting activated massive networks in the sensorimotor cortex, the visual processing centers, and the hippocampus simultaneously. Complex neural symphonies lit up across multiple brain regions, creating rich interconnected pathways between motor control, visual recognition, and memory formation. Typing the same letters? The brain activity looked like someone had dimmed the lights across entire cognitive districts. The neural networks that flourished during handwriting simply went dark. The difference? When you form letters by hand, your brain constructs elaborate spatial maps of each character. The motor cortex learns the precise pressure, angle, and trajectory needed to create an 'A' versus a 'B.' Your visual system tracks the ink flowing from pen to paper in real time. Your parietal lobe integrates hand position with eye movement. Your hippocampus encodes not just what you wrote, but how the writing felt, where you paused, which words required more pressure. Typing activates almost none of that circuitry. You press a key, a letter appears. The motor movement is binary. The visual feedback is uniform. The spatial relationship between thought and symbol gets mediated by a machine that standardizes every character into identical fonts and spacing. Your brain treats these as fundamentally different cognitive tasks. The evolutionary context makes this obvious once you see it. Human hands developed for manipulation, creation, and fine motor control over millions of years. We painted on cave walls, carved bone tools, and shaped clay vessels long before we invented written language. When writing emerged 5,000 years ago, it built on top of existing neural infrastructure that already connected hand movement with symbolic thinking. Keyboards appeared 150 years ago. Touchscreen typing maybe 20 years ago. From an evolutionary timeline perspective, we started using them approximately yesterday. Our brains are still running ancient software that expects physical engagement with symbols. That software produces dramatically different learning outcomes. Students who take handwritten notes consistently outperform students who type the same information on memory tests, comprehension assessments, and creative applications of the material. The difference persists even when researchers account for typing speed, note length, and time spent studying. The act of forming letters by hand forces deeper processing at the moment of information encounter. You cannot handwrite as fast as someone speaks, so your brain must actively filter, summarize, and prioritize information in real time. The motor effort required to form each word creates additional memory traces that typing does not generate. Children who learn to write letters by hand develop reading skills faster than children who learn letters primarily through typing or screen interaction. The sensorimotor experience of creating letterforms helps their brains recognize those same letterforms when they encounter them in text. Adults who handwrite shopping lists, daily schedules, or meeting notes remember the information better than adults who type identical lists into phones or computers. The spatial memory of where you wrote something on a page provides retrieval cues that digital text does not offer. These findings collide directly with how education and work environments have evolved over the past two decades. Schools replaced handwriting instruction with typing classes. Offices converted from paper systems to fully digital workflows. Students take notes on laptops. Professionals draft documents on screens. We optimized for speed and efficiency while accidentally severing the neural pathways that evolution spent millions of years developing. The implications reach beyond memory and learning into fundamental questions about human cognition. If the physical act of forming symbols changes how your brain processes ideas, what happens to thinking itself when you remove the physical component? Digital text is infinitely searchable, instantly editable, and perfectly shareable. But it may be creating brains that process information more superficially, store memories less durably, and connect ideas more weakly than brains that regularly engage in handwriting. The neuroscience suggests we traded cognitive depth for technological convenience without realizing what we were giving up. Some of the most innovative thinkers across history were obsessive handwriters. Darwin kept detailed handwritten journals. Einstein worked through complex theories in handwritten notebooks. Virginia Woolf wrote her novels by hand before transcribing them. Steve Jobs famously took handwritten notes during Apple meetings even as he was building the most advanced computers on Earth. Perhaps they intuited something about the relationship between hand, brain, and insight that we measured in brain scanners but somehow forgot in practice. Your pen is literally a cognitive enhancement device that activates neural networks digital keyboards cannot reach.

English
0
0
0
29