Alzheimers care and treatments: Consult with Mayo Clinic?

Posted by japlok @japlok, May 12 1:27pm

My wife was just diagnosed with AD and is currently on Donepezil. She will be taking a MMSE test in a couple of weeks to see if she qualifies for Leqembi or Kisunla. Does anyone recommend trying to get a consultation with a doctor at the Mayo in MN or stick with my current doctor? I'm looking for the best 'team' to help my wife and don't want to miss any opportunity if one is there. I have done nothing but read about the disease and tried to find any information on advancements to cure AD or slow it down significantly but haven't found anything that is promising. I read about using ultrasound to allow for the medication to attack the plaque quicker and also something called Perispinal Etanercept where an FDA approved drug for arthritis is used for AD treatment. I just need help with our path forward.

Interested in more discussions like this? Go to the Caregivers: Dementia Support Group.

Profile picture for bhv @bhv

We all have experienced your concerns in starting Leqembi infusions. My wife is getting ready for her 10th infusion, and it has been relatively easy. She had a significant headache with her first round but then she was told to take a Tylenol about 1 hour before the infusion and we lengthened the time from 1 hour to 1 1/2 hour and everything is going fine. She is tired after the infusion but then fine for the rest of the week. We use a local infusion center so it is quite easy for us.
Hopefully your results will go well also.

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Thank you for the encouraging words. I will pass you and your wife's experiences and hopefully it will easy her fears a little more. You and your wife keep fighting this!!!

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On another note, just read today about this...
"Researchers from the University of California, San Francisco (UCSF) believe that letrozole, a hormone-based breast cancer drug, and irinotecan, a lung and colon cancer chemotherapy medication, can help reverse brain damage caused by the incurable neurodegenerative disease."

...and this

"Trontinemab’s Phase Ib/IIa Brainshuttle™ AD study continues to show rapid and robust clearance of amyloid plaques, with 91% becoming amyloid PET negative and ARIA-E remaining < 5%" Roche is the manufacturer.

Of course, do your own due diligence but sounds promising.

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Currently Early Stage. Taking Aricept. Concern about side effects of infusion stopped us. Interested in hearing from those receiving the infusions.

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Profile picture for japlok @japlok

Hi Janell, what a coincidence that we received a call earlier today that insurance has approved my wife for Leqembi. We are now just waiting for someone to call to schedule the treatments. Up till this point I have been an introverted emotional wreck as not hearing back from anyone was killing me. I had a difficult time talking about the subject without starting to cry. I'm sure I will do a little better now. My wife is doing ok. She is scared of the possible side effects as well as what her quality of life will be during the treatments. Now that we are ready to start the treatments, I think she is a little less scared. I can't thank you enough for reaching out to see how we are doing. It means the world to me.

More updates to come...soon.

Ken

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Oh, Ken @japlok, the waiting is so, so difficult and is such a rollercoaster. I am glad you found Mayo Clinic Connect and are comfortable sharing what you are learning and commenting when you have concerns.

You are getting treatments scheduled and I believe your Mayo Clinic visit is coming up soon. I hope you are able to work joy into these times. While totally not in your position, I do have experience with making the best out of medical appointments. I spent over 4 years getting LDL apheresis treatments that consumed the better part of one day every other week (process similar to dialysis). I found inspiration from another patient that called her time, a “spa day”. I planned something I thought was comfortable/fun to work into these days. I also have made little detours on my drive to MN, and as I have a day with Clinic appointments we incorporate small moments making pleasant memories in Rochester. I am trying to live each day with a healthy sense of urgency, including determination to find joy in each one.

You probably have seen the online Caregivers Support Group meeting. It may be valuable to check out. I notice the next meeting is Thursday, August 7: https://connect.mayoclinic.org/event/caregiver-support-group-25-4f980c4f/

I hope you and your wife are finding moments of joy, and look forward to reading your updates.

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Hi @japlok. Any news about your wife’s treatment schedule, or Mayo appointment?

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Profile picture for moea @moea

@japlok I am happy to share any information I have. My husband will get his 9th infusion on 6/26. I have been taking consistent notes regarding any side effects. Let your wife know that at the infusion lab she will see people getting infused for different issues. We bring books, cell phone, cards, and download funny movies and food to our infusion day. It is a long day...
Receiving Lecanemab can have side effects that will be discussed before your wife begins treatment. The docs are constantly monitoring for stroke-like symptoms and ARIAs. Luckily my husband has not had any serious side effects. I have noticed a pattern of fatigue and confusion of short-term memory on day 2-5 after the infusion, and agitated sleep for one night. After that he seems less confused and clearer in his thinking. He has had 3 MRIs to check for brain bleeds and inflammation. The first one he had none, at the second one a small inflation was detected. He had a follow up today with another MRI and the inflammation subsided. He will be continuing with the twice monthly infusions.
It is an exhausting time for both the patient and the caregiver. We travel over an hour and a half each way to get to the closest hospital for the infusion. My advice would be to start the infusions locally but still keep the Mayo appointment. I would recommend that you take advantage of any support offered to you or your wife. It really helps to know other folks traveling on this journey. Feel free to keep in touch.

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Can you share any insights how your husband and you chose Lecanemab rather than Donanemab?

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Profile picture for Janell, Volunteer Mentor @jlharsh

Hi @japlok. Any news about your wife’s treatment schedule, or Mayo appointment?

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Hi! you must have a sixth sense because we just scheduled the first 3 treatments yesterday. The first one will be on Monday, Aug. 25th. Very exciting and a little scary...but more excited to finally getting on the road to hopeful improvement. We still have a long road ahead of us but we will tackle it with positive thinking and doing what we have to, to fight this thing. Of course a great help in all of this is because of people like you.

Mayo appointments are scheduled for Sept. 2nd, 3rd, and 4th. We will try and make a nice trip out of it.

Thank you again for checking in.

Ken

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Profile picture for spoolly @spoolly

Can you share any insights how your husband and you chose Lecanemab rather than Donanemab?

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Hi @spoolly, my wife and I choose Lecanemab because it seems to have less risk for developing the more dangerous side effects. Although her APOE tests came back as low risk, we did not want to risk her health more than we needed to.

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Thank you! Your input is very helpful.

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Profile picture for spoolly @spoolly

Can you share any insights how your husband and you chose Lecanemab rather than Donanemab?

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When my husband qualified for the infusions of Lecanemab (Leqembi), it was the only drug available to us. Although we did a lot of research on both drugs, we were anxious to begin treatments as soon as we could. My husband has been doing the twice monthly infusion since March. Knowing what we know now, we probably would have preferred a once a month schedule. Between the infusions, support groups, and MRI's, it has become a huge part of our life. The term "becoming the disease" is creeping into our lives in many ways. Social isolation, alzheimer's management, emotional toll to name a few... Let us know what you decide.

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