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    'Some Hope Is Better Than Having No Hope'

    enJuly 07, 2021

    Podcast Summary

    • FDA approves controversial Alzheimer's treatment, offering hope to patients and families despite ongoing debatesThe FDA's approval of a controversial Alzheimer's treatment brings hope to patients and families, despite ongoing debates about its effectiveness, comparing the impact of aging and Alzheimer's to a cluttered file room and an empty one respectively.

      The FDA's approval of a controversial Alzheimer's treatment, despite ongoing debates about its effectiveness, was a significant development for patients and their families. This treatment was compared to a clerk in a file room, where normal aging makes it harder to find the files, but Alzheimer's leaves the files cabinet almost empty. Debbie Rosenkrantz and Susan Waske, a married couple in their late sixties, shared their experiences of dealing with the challenges of early women's movement days, where constant anger was prevalent. Instead, they found strength in Susan's calm demeanor and productive approach, which allowed them to build a strong and trusting relationship. The approval of this Alzheimer's treatment marks a potential turning point, offering hope to patients and their families, even as the debate continues.

    • Recognizing and Addressing Memory LossFailure to acknowledge memory loss can lead to significant daily life and emotional challenges. Early recognition and intervention are crucial for managing the condition and maintaining quality of life.

      Debbie's experience highlights the challenges and frustrations of dealing with memory loss. At first, she and her wife, Susan, dismissed it as normal aging. However, as Debbie's memory problems worsened, they became more apparent in her daily life, especially in her clinical work as a social worker. Simple tasks like remembering the order of bank statements or cooking a meal became difficult. Eventually, Debbie received a diagnosis after visiting numerous doctors. The diagnosis was devastating for Debbie, leaving her feeling as if she had been punched in the stomach. This experience underscores the importance of recognizing and addressing memory loss, as it can significantly impact daily life and emotional well-being.

    • A new experimental drug offers hope for Alzheimer's patientsA new experimental drug, which gained attention in 2015, offers the possibility of slowing down memory decline in Alzheimer's patients, bringing hope to those affected and their families.

      Alzheimer's disease is a debilitating condition that gradually robs individuals of their memory and cognitive abilities, ultimately impacting their ability to perform basic functions. Debbie, who has a family history of Alzheimer's, was preparing herself for the inevitable memory loss and the impact it would have on her family. However, she was surprised to learn about a new experimental drug being tested in clinical trials. This news brought her a renewed sense of hope, as there were few treatment options available and no cure for Alzheimer's at the time. The drug, which started gaining attention in the Alzheimer's community in 2015, was seen as a potential game-changer, offering the possibility of slowing down memory decline, even if it didn't reverse or cure the disease. Debbie's experience highlights the importance of continued research and the potential impact of new treatments on those affected by Alzheimer's and their families.

    • New Alzheimer's drug shows early promise in reducing brain plaquesA new Alzheimer's drug, aducanumab, shows early promising results in reducing brain plaques, which may contribute to cognitive decline. The FDA has fast-tracked its development due to these promising results, offering hope to millions living with Alzheimer's.

      A new drug called aducanumab, which is being developed to treat Alzheimer's disease, has shown early promising results in reducing the presence of plaques in the brain. These plaques are believed to contribute to the cognitive decline associated with Alzheimer's. The drug works by breaking down these plaques more effectively than previous drugs. Due to the promising results, the FDA has fast-tracked the development of the drug, allowing it to skip the second phase of clinical trials and move directly to the final phase. Debbie, a participant in one of the trials, believed she was experiencing the benefits of the drug, but the trial was eventually halted due to the drug's lack of effectiveness. Despite this setback, the early promising results offer hope for the millions of Americans living with Alzheimer's, who currently have no drugs or therapies to stop or slow down the disease.

    • Unpredictable Alzheimer's drug trialsAlzheimer's drug trials can have unexpected results, with some being halted due to lack of effectiveness while others reveal potential benefits later on, leaving participants in a state of uncertainty and requiring continued analysis and research.

      Clinical trials for Alzheimer's drugs can be unpredictable and full of surprises. Biogen, a pharmaceutical company, had to abruptly end two trials for an experimental drug due to lack of effectiveness based on interim data. Debbie, a participant in one of the trials, was left feeling hopeless and uncertain about her future options. However, seven months later, Biogen announced that they had found potential benefits in one of the trials, leading them to apply for FDA approval. This roller coaster experience highlights the complexity and uncertainty involved in Alzheimer's drug development, and the importance of continued analysis and research. Debbie and others in similar situations are left in a state of limbo, with limited options and uncertain futures. The drug, which causes side effects including brain swelling and bleeding, still faces questions about its safety and efficacy.

    • FDA Approves Controversial Alzheimer's DrugDespite conflicting trial results and an advisory committee's recommendation against it, the FDA approved Biogen's Alzheimer's drug in June 2021, sparking controversy and uncertainty about its long-term effectiveness and safety.

      The FDA's approval of Biogen's Alzheimer's drug despite the FDA's advisory committee's recommendation against it is highly unusual. Debbie, a participant in the clinical trials, was given the option to resume treatment after showing no precipitous decline. The trials showed conflicting results, with one trial indicating a slight slowing of decline and the other showing no benefit at all. The advisory panel voted overwhelmingly against approving the drug, but the FDA went against their recommendation and approved it in June 2021. Many members of the advisory committee were upset and some even resigned. The FDA's decision was described as the worst drug approval decision in recent history. The approval of the drug offers hope to millions of Americans suffering from Alzheimer's disease, but the long-term effectiveness and safety of the drug remain uncertain.

    • FDA approves costly Alzheimer's drug with limited evidenceDespite limited evidence and high cost, FDA approves new Alzheimer's drug, potentially burdening taxpayers and patients with additional costs.

      The FDA's approval of Biogen's new Alzheimer's drug, Aduhelm, under a special program despite limited evidence of its effectiveness and high cost has raised concerns. The drug, which costs approximately $56,000 per year, may not be covered by insurance for many patients, leading to additional costs for diagnoses and regular brain scans. Critics argue that the approval could lead to significant financial burden on taxpayers, particularly since many Alzheimer's patients are over 65 and covered by Medicare. The FDA's justification for approval rests on the desperation of patients and families for new treatments and the lack of other effective options. However, many doctors are concerned that patients may overlook the limited evidence and potential risks associated with the drug. Overall, the approval of Aduhelm highlights the complex interplay between medical innovation, cost, and accessibility, particularly for debilitating conditions like Alzheimer's disease.

    • Desperate Decision to Try Experimental DrugIn the face of a loved one's declining health, the desire to hold on to hope and control can lead to the use of experimental treatments, despite uncertainty and potential risks.

      For Debbie and Susan, the decision to continue using an experimental drug, despite the uncertainty of its benefits and potential risks, is a desperate attempt to hold on to hope and maintain some semblance of control in the face of Debbie's declining health. The doctor's concerns about the drug's efficacy and safety were overshadowed by Debbie and Susan's desperation and their belief that it is better to try something new than to surrender to the disease. This situation highlights the complex emotions and difficult decisions that come with caring for a loved one with a degenerative condition. It also underscores the importance of considering not only the scientific evidence but also the emotional and personal context when making healthcare decisions.

    • Importance of hope in personal and collective situationsMaintaining hope can significantly impact perspective in personal situations and unite a community during crises

      Despite uncertainty, maintaining hope can significantly impact one's perspective on life. This was expressed during a conversation about the potential healing powers of a substance, even though the speaker wasn't fully convinced. Meanwhile, in the news, the death toll from a collapsed tower in Florida rose to 36 with over 100 people still missing. In New York City, Eric Adams, a former police captain and Brooklyn borough president, emerged as the Democratic nominee for mayor, signaling a rejection of defunding the police by the city's voters. Adams' victory is expected to make him the city's second black mayor. These events underscore the importance of hope in personal situations and the collective will of a community in times of crisis.

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