I'm just writing to let you know that there is NO cure for Alzheimer's disease. There are some marginally effective treatments to slow it down a bit, but NOTHING that cures it.
I thought you knew this, but obviously you have no freaking clue. Or are just stupid. Or ignorant. Or don't care. Or believe whatever the pfarmaceutical reps tell you.
Patients and families say funny things, and sometimes hear only what they want. So if one makes an odd comment about you, I tend to ignore it. But when I start hearing it from others, and see a trend, then I think differently.
I treat patients to the best of my ability with what I have. In the case of Alzheimer's disease, it isn't much. They all get worse. I tell families that in advance, because reasonable expectations help all of us.
What doesn't help is YOU. Several families have told me that when they say the memory is getting worse, you immediately tell them to return to me "so he can do something about it."
And then, yesterday, a referral from your office showed up on my fax. You'd written: "Please refer back to Dr. Grumpy for Alzheimers. His treatment isn't working, as she keeps getting worse. Needs to change meds to get her better."
I know your handwriting. Now you can't blame your ignorance/stupidity on anyone else.
Being realistic with patients and families is the best treatment for anything. No matter how many times I see them, there are limits to what I can do. But at least I can do better than you in telling them the truth.
Ibee Grumpy, M.D.