Dementia Prevention Center

What if it's not Alzheimers? So you or your family member were given a diagnosis of Alzheimer’s? The problem is that the medical team was not able to tell you the reason for the medical problem. Being given a diagnosis of Alzheimer’s is better understood as being told that the current medical team has identified damage to the brain that is causing a profound problem with mind and memory. Current medical terminology has may ways to explain that you have damage to the brain.... Some ways to describe this damage are currently designated as amyotrophic lateral sclerosis, essential tremor, acephalgic migraine, movement disorder, frontotemporal dementia (dementia lacking distinct histopathologic features), vascular dementia, dementia with Lewy bodies, parkinson’s disease, Alzheimer’s disease, optic neuritis, mixed dementia, normal pressure hydrocephalus, or multiple sclerosis; all remain a diagnosis of exclusion. However, when all of the potential factors that can cause damage to neurons are not considered, then the diagnosis remains incomplete. A complete and accurate investigation including all of the potential causes of micron stroke converts many of the diagnosis of exclusion into a diagnosis based upon the results of the investigation. For comparison one can consider the treatment approach and strategy when dealing with disease of the brain based upon etiology, as examples: Vasculitis, sacroidosis, Behcet’s disease, space-occupying lesions, systemic lupus ertyhematosis, Lyme disease, Wilson’s disease, lysosomal disorders, or CNS lymphoma.

We are keeping a close eye on all of the studies of how the SARS-CoV-2 virus causes neurological damage. The findings of the white matter changes (from damage related to viral infection) is a growing area of interest. Keep safe (3d astrocyte attached)

Attention Patients: Due to unforeseen circumstances we have closed our Montage Mountain location and will be seeing all patients at our Waymart location. We apologize for any inconvenience and are searching for a Scranton location. We will keep you updated. Thank you for choosing us to care for you! -Dr. Orehek, Erin Smith CRNP, and Staff

Protecting each and every neuron at times requires a dedicated approach. We get many questions about a hypercoaguable evaluation - as many cases are often left incomplete - we look initially at: PT/INR, PTT, Factor V Leiden (Factor 5), Anti-thrombin 3, Protein C, Protein S, Homocystine Level, Uric Acid Level, Lactate, ANA, Pyruvate, MTHFR Gene Mutation, Antiphospholipid Panel, Anti-cardiolipin antibody (IGG, IGA, IGM), Factor II Gene Mutation(Factor 2) and Lp(a)