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Minding Memory

Michigan Medicine Podcast Network

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Welcome to Minding Memory. In this podcast we discuss topics related to dementia research. This is an all-hands-on-deck moment for dementia research, and we have topics for both those new to the space as well as old pros. We start with some basics, like: What exactly is dementia? What are the different types of dementia? What is the TICS, if not a swarm of blood-sucking insects? But we also invite researchers on to discuss their interesting work to give you a glimpse at the questions, data, ...
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The Brain Trust

Illinois Academy of Family Physicians

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Welcome to The Brain Trust, a podcast for and by physicians designed to help improve screening, diagnosis, and treatment of Alzheimer’s disease and related dementias in clinical workflows. Tune in weekly to hear our guest primary care clinicians discuss innovative ways to support patients and their families in better managing brain disease.
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In today’s episode, Matt and Lauren discuss the new CMS GUIDE model for dementia care with Dr. Brystana Kaufman, MSPH, PhD – a health services researcher at the Duke-Margolis Institute for Health Policy at Duke University. The GUIDE model aims to improve the quality of life for people living with dementia by reducing strain on caregivers and enabli…
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In this episode, Matt and Lauren speak with Drs. Elizabeth Frankenberg at the University of North Carolina at Chapel Hill and Duncan Thomas at Duke University about their research which focuses on understanding how survival and physical health evolve after exposure to large scale shocks like the 2004 Indian Ocean Earthquake and Tsunami. They will s…
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In this episode, Matt and Lauren speak with Dr. Tiffany Kindratt whose research focuses on examining health outcomes among the Middle Eastern and North African (MENA) population, a group that was – until recently – categorized as “white” by the US government despite. Evidence showing their health and lived experiences are different. We’ll get into …
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In this episode, Matt & Lauren have the unique opportunity to talk with Dr. Helen C. Kales, a geriatric psychiatrist and health services researcher who has participated in the previous Lancet Commissions on Dementia Prevention, Intervention and Care – including the most recent one released in 2024. Dr. Kales discusses how the commission puts togeth…
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Hearing loss is one of the most common conditions of aging, affecting nearly two-thirds of older adults over the age of 70, but it’s not just a matter of diminished hearing. Hearing loss can contribute to poor psychosocial outcomes for patients including loneliness, depression, and social isolation. New research also shows that hearing loss is link…
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In this episode Matt and Lauren will speak with Dr. Marcia Pescador Jimenez, an Assistant Professor in the Department of Epidemiology at Boston University whose research focuses on understanding the relationship between exposure to green space and health outcomes (including hypertension and cognitive measures). Emerging research has shown that midl…
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While memory loss is generally thought of as the hallmark of dementia, behavioral and psychological symptoms of dementia like agitation, aggression, anxiety, and hallucinations are nearly universal, affecting almost all patients with advanced dementia. These behavioral disturbances are often the trigger for nursing home placement, and they can be h…
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In this episode, Matt & Lauren speak with Dr. Lianlian Lei, an Assistant Professor in the Department of Psychiatry at the University of Michigan. Dr. Lei discusses a recent study that looks at the impact of partner’s plan choice on the likelihood of Medicare Advantage disenrollment and how that may impact older adults living with dementia. Unlike t…
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In this episode, Lauren and Matt talk with Leah Richmond-Rakerd, PhD who is an Assistant Professor in the Department of Psychology at the University of Michigan. Her research focuses on emotional and behavioral dysregulation across the life course. Here, Dr. Richmond-Rakerd will discuss her recent study on “The Associations of Hospital-Treated Infe…
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Welcome to Season 4 of Minding Memory, where we are welcoming a new co-host, Lauren Gerlach to the Minding Memory team. Lauren is a Geriatric Psychiatrist at the University of Michigan and a member of the CAPRA leadership team. In this episode, Lauren shares a little background on her research interests, what it’s like to be a geriatric psychiatris…
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In today's episode, hosts Dr. Raj Shah and Dr. Eukesh Ranjit revisit foundational lessons on Alzheimer's diagnosis, stressing the importance of practical techniques and understanding the critical role of office staff and caregivers in recognizing early signs. Primary Care physicians gain insights into evaluating cognitive issues, medication lists, …
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In today’s episode host Raj Shah, MD is joined by Susan Frick, MSW, LSW, Social Worker, Rush Alzheimer’s Disease Center, to talk with caregiver Jeanne as she shares her heartrending experience recognizing her husband John's early signs of Alzheimer's. Jeanne talks about profound changes to simple tasks, like dressing and driving, when faced with th…
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When your world revolves around the delicate balance of caring for a loved one with Alzheimer's, each day can bring a torrent of emotions and challenges. That's the reality James Litchfield faced when his father, Buddy, was diagnosed with early-onset Alzheimer's. Host Dr. Raj Shah and Susan Frick from the Rush Alzheimer's Disease Center talk about …
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When Leslie first noticed her husband Phil's memory lapses and moments of disorientation, little did she know that these were signs of younger-onset Alzheimer's disease. In our heartfelt discussion with Leslie, Dr. Raj Shah and social worker Susan Frick, traverse the intricate realities of early signs of Alzheimer's. Leslie discusses the day-to-day…
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When Donna's husband, Scott, began showing signs of young-onset Alzheimer's, their world turned upside down. Their story, shared with raw honesty in our latest podcast episode, brings to light the harsh reality of seeking an accurate diagnosis for Alzheimer's, particularly in younger individuals. Their journey through a maze of dismissive attitudes…
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In this episode, Matt and Donovan talk with Dr. Jason H. Moore, Director of the Center for Artificial Intelligence Research and Education (CAIRE) and Chair of the Department of Computational Biomedicine at Cedars-Sinai Medical Center. Jason discusses the coming impact of artificial intelligence on a spectrum of Alzheimer’s disease and related demen…
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In this episode of Minding Memory, Matt & Donovan speak with Dr. Joanne Spetz, the Brenda and Jeffrey L. Kang Presidential Chair in Healthcare Finance and Director of the Philip R. Lee Institute for Health Policy Studies at the University of California, San Francisco (UCSF). Joanne talks with Matt & Donovan about who makes up the professional workf…
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The Brain Trust Caregiver Mini-Series brings you into the quiet strength of Alzheimer's/Dementia care partners, as Dr. Raj Shah and social worker Susan Frick from the Rush Alzheimer's Disease Center guide us through the delicate tapestry of caregiving. When the familiar fabric of life begins to unravel with the onset of Alzheimer's, it falls on the…
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In this episode of Minding Memory, Matt & Donovan speak with Dr. Lisa Barnes, the Alla V. and Solomon Jesmer Professor of Gerontology and Geriatric Medicine, Department of Neurological Sciences and Associate-Director of the Rush Alzheimer’s Disease Center at Rush University. Dr. Barnes talks with Matt & Donovan about racial disparities in Alzheimer…
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In 2009, the Health Information Technology for Economic and Clinical Health Act, wow, that's a mouthful, more commonly known as the HITECH Act, spent billions to promote the uptake of electronic health records by US hospitals. Fast forward more than a decade later, and now approximately four out of five healthcare institutions have electronic healt…
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In our latest Brain Trust podcast episode, Dr. Raj Shah chats with Dr. Tonja Austin, family physician and assistant professor from Rush University. Dr. Austin shares her valuable insights, stemming from her extensive, frontline experience within the African-American community in an area commonly referred to as Illinois Southland. They delve into th…
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The population of older adults living with dementia is expected to swell to nearly 14 million by 2050 and is estimated to cost the US economy more than 500 billion each year. In the absence of a cure for Alzheimer's disease, the primary cause of dementia, there's interest in understanding modifiable risk factors. In theory, getting a handle on the …
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According to an estimate published in 2015, the global prevalence of dementia was projected to nearly triple between 2015 and 2050, growing from 46 million to over 130 million people globally. And of that worldwide share, 70% of those with dementia will be in low- and middle-income countries. Tackling and ideally preventing dementia requires a glob…
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Over thirty percent of individuals living with dementia living in the US each year die either of or with dementia – and almost half of those enrolled in hospice have dementia. As with so many other types of healthcare, there are disparities in both who enrolls in hospice as well as the type of care these individuals receive after enrollment. In thi…
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Connecting Primary Care Practices with Community Health Workers: Advancing Early Detection and Diagnosis of ADRD. Join hosts Raj Shah, MD and Eukesh Ranjit, MD as they discuss the importance of connecting Primary Care Practices with Community Health Workers to advance early detection and diagnosis of ADRD. They chat with Tracey Smith, Director of C…
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Special episode with Dare To Care radio show connecting social workers, community members and primary care physicians on the importance of efforts being made across the state in the early detection and treatment of Alzheimer’s disease and related dementias. We invite you into the world of the Dare to Care program and the Brain Trust initiative this…
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Extreme weather and weather-related disasters are becoming more and more common. Unfortunately, disaster related disruptions in healthcare tend to affect the most vulnerable of populations – including older adults living with cognitive impairment. In this episode, Matt & Donovan speak with University of Michigan faculty member, Sue Anne Bell, about…
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In this episode of Minding Memory, we dive into the newest FDA-approved drug to treat Alzheimer’s – Lecanemab – with Ohio State University stroke neurologist Jim Burke. Dr. Burke discusses the benefits and drawbacks of the new Alzheimer’s drug and also the paradigm shift of how people (clinicians, patients, and the general population) are thinking …
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In this episode, Donovan & Matt talk with health services researcher Betsy White from Brown University about a unique new resource for researchers called the Long-Term Data Cooperative, a provider-led data sharing collaboratory that puts together nursing home EHR data from EHR vendors that can be linked to Medicare claims. This powerful tool is mad…
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In today’s episode host Raj Shah, MD chats with Avinash Mantha, MD, Associate Program Director at Loyola Hines VA Geriatric Fellowship, to discuss the adaptations primary care will need to make with the introduction of new ADRD treatment modalities. Learning Objectives: •Describe one reason why current processes for early ADRD diagnosis will have t…
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Discussion on ways physicians can improve early detection of Alzheimer’s disease by leveraging caregiver support Learning Objectives: Identify opportunities to guide caregivers and families of persons with dementia to appropriate care and support resources. Describe the ways a Care Consultation can be beneficial to families dealing with Alzheimer’s…
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Leveraging Health IT and your Electronic Health Record (EHR) for managing and detecting patients at risk for Alzheimer’s Disease and Related Dementias. Learning Objectives: Describe tools that can be used to screen for dementia, discreetly stored within the EHR and tracked over time. Discuss future directions and the use of AI for the early detecti…
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In today’s episode host Raj Shah, MD chats with Evelyn Figueroa, MD to discuss ways family physicians can improve early detection of Alzheimer’s disease in their Latino patients. Learning Objectives: Describe specific challenges affecting the Latino communities that exacerbate the burden of Alzheimer’s disease. Name one way family physicians can cr…
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In today’s episode host Eukesh Ranjit, MD talks with Denise Feil, MD, MPH Director of Geriatric Psychiatry Training and Education at Greater Los Angeles VA Healthcare Center, about distinguishing differences of early signs, symptoms, and behaviors in neurocognitive disorders. Learning Objectives: Describe early signs and symptoms of a neurocognitiv…
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In today’s episode host Raj Shah, MD chats with Avinash Mantha, MD, Associate Program Director at Loyola Hines VA Geriatric Fellowship, to discuss early detection of dementia in veteran populations. Learning Objectives: Describe three potentially reverse causes of early dementia Describe the VA's multidisciplinary and collaborative care approach wi…
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In today’s episode Eukesh Ranjit, MD speaks with guests Sharon Smaga, MD, Heather Knutt, and Becky Salazar to discuss the roles community service agencies can play in assisting physicians in rural areas with early detection. Learning Objectives: Describe benefits of healthcare providers connecting with community service workers around early detecti…
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In today’s episode Raj Shah, MD speaks with guest Emma Daisy, MD to discuss the roles Illinois physicians working in Federally Qualified Health Centers can play in the early detection and diagnosis of Alzheimer’s disease and related dementias Learning Objectives: Understand the roles Illinois physicians working in Federally Qualified Health Centers…
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In today’s episode we will be discussing ways family physicians can improve early detection of Alzheimer’s disease in their African Americans patients. Learning Objectives: (1) Describe one barrier to greater early detection of Alzheimer’s disease and related dementias faced by African American patients. (2) Describe ways family physicians can impr…
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In today's episode, Eukesh Ranjit, MD talks with Sharon Smaga, MD about the unique challenges faced by providers serving in rural patient populations. They discuss the barriers, solutions and provide successful tips on how to improve early diagnosis clinic practices in rural communities. Learning Objectives: 1 - Describe barriers to early detection…
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In today’s episode we will discuss barriers and solutions for family physicians in health systems regarding the early detection, diagnosis and management of Alzheimer’s disease and related dementias Learning Objectives: (1) Describe one barrier to greater early detection of Alzheimer’s disease and related dementias in health systems (2) Name one so…
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Dr. Eukesh Ranjit hosts this episode and talks with Dr. Raj Shah about the larger ecosystem of the Illinois healthcare landscape involving Alzheimer's disease and dementia. Their discussion provides foundational information on available state resources for health care professionals to access and how the Illinois Department of Public Health is worki…
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In this episode, Matt & Donovan speak with University of Michigan School of Public Health Professor, Dr. J. Scott Roberts, who investigates the psychological and behavioral impact of genetic risk disclosure for Alzheimer's disease. In addition to being a professor in the Health Behavior & Health Education department at the School of Public Health, …
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Podcast episode 3: Diagnosing, Documenting, & Screening Learning Objectives: (1) Understand what a dementia is, and the importance of documenting a dementia screening assessment objectively on patient charts. (2) Delineate between utilizing diagnostic tools and screening tools in a neurocognitive evaluation. (3) Discuss commonly used cognitive scre…
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In this episode, Matt & Donovan speak with a health economist, Dr. Lauren Nicholas, whose research investigates how missing a single credit card payment may be a very early indicator of a cognitive issue. Dr. Nicholas is an associate professor in the department of Health Systems Management & Policy at the University of Colorado School of Public Hea…
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In this episode, Donovan & Matt speak with Geoffrey Hoffman, a faculty member and researcher at the University of Michigan School of Nursing. Dr. Hoffman discusses the transition to the role of caregiver for partners of persons diagnosed with dementia – and the unique emotional burden and stress that they undertake. Dr. Hoffman also discusses using…
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Dr. Shah and Dr. Ranjit discuss the differences between the cognitive, functional, and behavioral changes of normal aging and those associated with mild cognitive impairment and dementias. Learning Objectives: • Identify differences between the cognitive, functional, and behavioral changes of normal aging and those associated with mild cognitive im…
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Raj Shah, MD and Tabatha Wells, MD introduce The Brain Trust series and explain, in their own words, the goals and hopes for this series. Welcome to the Brain Trust, A Physician's Guide to Diagnosing Alzheimer's Disease and Related dementias. Brought to you from the Illinois Academy of Family Physicians. Funding for this podcast series was provided…
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In this episode we’ll speak with Dr. Julie Bynum who was the senior author on a recent study that examined how the likelihood of receiving a diagnosis of dementia has changed over the last decade or so. We’ll discuss what this might mean clinically and what researchers that rely on Medicare data should take-away from this finding. We also will talk…
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In this episode we discuss what’s known about the association between personality type and cognitive function. Further, the idea of resilience—or what protects the cognition of individuals with a high level of neuropathology associated with cognitive decline—might have important implications for dementia prevention. Our guests are Dr. Eileen Graham…
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Health data analysts are an elusive bunch in the wild. While we see their names periodically show up as middle authors on manuscripts or in the Acknowledgement section they work largely behind the scenes; yet they play a vital role in conducting research that use large data. In this episode we speak with several health data analysts to better under…
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