Claro Fire evacuation updates and road closures as blaze burns 40 acres near Carlsbad and San Marcos
A wildfire known as the Claro Fire broke out near Carlsbad and San Marcos, California, on Thursday afternoon. The fire has since burned more than 40 acres, prompting evacuation warnings and road closures in the area.
Zones SDC-0917
Zone SDC-0918
Zone SDC-0848
Zone SDC-0850
According to San Diego Sheriff, the Temporary Evacuation Point is set up at Stagecoach Park, located at 3420 Camino De Los Coches, Carlsbad.
Eastbound San Elijo Road at Rancho Santa Fe Road
Westbound San Elijo Road near the old dump (1601 San Elijo Road)
Southbound San Elijo Road at the intersection with Melrose Drive
Residents are advised to avoid these areas.
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Having two copies means it is almost certain to eventually cause Alzheimer's. I had no measurable cognitive impairment at that time. I was in charge of the neurology resident training programme at Oregon Health and Science University in Portland, and I was seeing patients in the clinic, so it was a very busy year for me. Even though it was difficult, I was still able to get all the balls to balance in the air. What did you do once you knew your genetic risk for Alzheimer's? Dr Gibbs: The first thing I did was to go to one of my colleagues and have some cognitive testing done. It was essentially normal with the caveat that all of my cognitive domains were in the 90th percentile except verbal memory, which was in the 50th percentile. So there was a strong hint that there was some incipient loss of function of verbal memory. With that in hand, I went to my department chair and explained the situation. I had no impairment, but did not feel it was safe for me to continue to practice. I retired in 2013. Seed: You also went looking for studies you could join, because it's a big deal to see people before they experience symptoms. Dr Gibbs: That's right, I went to the University of California in San Francisco, because they have a ton of studies there. The first study I was involved with was a longitudinal neuroimaging study. I had PET (positron emission tomography) scans of abnormal amyloid and PET scans for tau proteins – two protein clusters in the brain that play a role in the development of Alzheimer's disease. And I had cognitive testing. They loved having me down there because they rarely have people with as early a stage of disease as I showed up with. About a year later, I joined a clinical trial for an anti-amyloid antibody drug that is now approved by the US Food and Drug Administration (FDA) to treat early Alzheimer's disease. What else did you learn about how to slow progression of the disease? Dr Gibbs: This is not rocket science. The sort of things that are good preventive behaviour for brain disease are also good for preventing heart and vascular disease. There are evidence-based lifestyle changes that include: Getting daily aerobic exercise Eating a Mediterranean-style diet, such as the MIND diet Getting mentally-stimulating activity Staying socially engaged Getting at least seven hours of sleep nightly, and Getting good control of any cerebrovascular risk factors, such as diabetes, high blood pressure, high cholesterol, obesity and smoking. What's good for the heart is good for the brain! Dr Gibbs notes that it is difficult to know what to expect as his Alzheimer's progresses as previously, most people with the disease were only living three to five years after the diagnosis as they were being diagnosed late. How do you put this knowledge into practice? Dr Gibbs: Walking is just built into my day. I do it with my dog, Jack, an 11-year-old English cocker spaniel who is about to age out. He can't keep up with 10,000 steps as easily any more, so I take some walks by myself. We live in the hills, so I'm getting very good aerobic exercise, short of running. I used to go to the gym, but that stopped at the start of the Covid-19 pandemic. I also have a short workout at home. The first thing I do is I use resistance bands, which is a strength exercise. That takes about 15 minutes, and then I do tai chi pretty religiously, something I started six months ago. I can clearly see that it helps my balance, but I can't see if it helps my brain, which is continuing to do more poorly. And thanks to Lois, I've been eating a healthy diet, really forever. Seed: I didn't have control over those french fries you were eating. Dr Gibbs: I don't eat red meat any more. I closely follow the MIND diet, which is essentially the Mediterranean diet with more berries and nuts. It includes a heavy focus on fruits and vegetables, especially green leafy vegetables, beans, nuts, whole grains, seafood, lean poultry, and uses olive oil to cook. I'm quite happy with it. ALSO READ: What is MIND, the diet that may help protect against Alzheimer's disease? Because I lost my sense of smell, which is totally gone now, I have virtually no taste either. I eat the same thing for lunch and breakfast every day. I enjoy it. I make a sandwich on whole wheat bread that has tuna salad and garbanzo beans, avocado and arugula to get the dark leafy greens. Then some grapes or bananas, and half a dark chocolate bar. Breakfast is homemade granola, and I add cranberries or blueberries. I throw walnuts in as well. Dinner is whatever Lois picks that I can eat. I stopped drinking alcohol. There's no safe amount of alcohol if you are on this trajectory. So I got rid of it, but I used to love red wine. Do you know what to expect as the disease progresses? Dr Gibbs: That's a difficult question to answer. In the old days, when people got a diagnosis of Alzheimer's, they were only living three to five years after that because we made the diagnosis so late. There's less information out there about people who have known they have the disease for a long time and how they will do going forward. Seed: There's a lot of confusion and misconception because there are different types of dementia. Alzheimer's tends to progress more slowly. The early stage can last 20 years. Here we are 13 years after his diagnosis and Dan's really doing well. I'm a little more of a caregiver than I was a few years ago, but not by much. He dresses himself and monitors medications, and people who talk to him casually wouldn't even know. We've been at that plateau for quite some time. How would you describe the stage you're at right now? Dr Gibbs: Right now, I have mild Alzheimer's dementia. To say you have dementia is to say you are having trouble managing your personal affairs. I'm just at a stage now where I can't balance a chequebook. And as things go along, I will have more problems with memory and the ability to recognise people and remember their names. I've lost my train of thought. Seed: You were talking about what stage you're at. Dr Gibbs: When I'm not remembering where I am, then I will have severe dementia. There are memories I have going back through my whole life. They tend to be events that are emotionally-laden. I'm terrible with names. I know my immediate family members. My neighbours, I forget their names. Lois is taking over the things I can't manage any more, like the financial part of our lives, anything that involves planning ahead, scheduling, calendars, remembering all the family stuff, managing the household. She also goes with me when I have a talk to give. Seed: He gives talks on Alzheimer's, but almost every time that Dan is getting ready to speak to a group, he gets frustrated and says, 'This is the last time I'm doing this,' because getting his thoughts together is challenging. He writes out notes. Most of the talks he gives now are screening events for the film with question-and-answer sessions. Dr Gibbs: It works well if Lois is there to find ... Seed: Words. Dr Gibbs: That makes it easier. – By Laura Williamson/American Heart Association News/Tribune News Service
