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Episode Info: People with diverse conditions such as Alzheimer Disease, stroke, multiple sclerosis, traumatic brain injury, psychiatric problems like schizophrenia, or even movement problems like amyotrophic lateral sclerosis (Lou Gehrig’s Disease) or Parkinson Disease can lose the ability to remember facts and names, to communicate clearly or with well-articulated speech of appropriate volume, and to regulate and schedule tasks. These challenges pose a direct obstacle to function and freedom, but are even more difficult for sufferers because the brain usually cannot monitor and identify what’s wrong—the sufferer may be the last one to know. Many sufferers will state with confidence that their memory, speech and language, and thinking is normal. Evidence seems to indicate that this is more than a protective psychological reaction, but is part of the brain disorder itself. In this segment, we will talk about why the brain “fools us” into thinking things are normal when we make memory, communication, or thinking slips—and what this means for professional caregivers, families, and our medical culture and society, since patient self-reporting is now becoming a major source of information about treatment need and efficacy.
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