by Steve Worrall | Feb 2, 2016 | Elder Law, Medicaid Planning, Sandwich Generation |
As an elder law attorney in Marietta, Georgia, I find news like this encouraging as many of my clients or their families have been affected by Alzheimer’s.
Researchers in Australia have been experimenting with a non-invasive ultrasound technology that is showing great promise in the treatment of Alzheimer’s disease.
It has been estimated that Alzheimer’s affects 50 million people worldwide, and those numbers are expected to rise dramatically in the near future. With no vaccine or preventative treatment, researchers have been trying to find ways to treat it, starting with how to remove plaques from the brain.
If a person has Alzheimer’s disease, it’s usually because of a build up of two types of lesions in the brain—amyloid plaques and neurofibrillary tangles.
- Amyloid plaques sit between the neurons in the brain. Eventually, they become dense clusters of beta-amyloid molecules, a sticky type of protein that clumps together.
- Neurofibrillary tangles are found inside the neurons of the brain and are caused by defective tau proteins that clump into a thick, insoluble mass. This causes tiny filaments called microtubules to become twisted, which disrupts the transportation of nutrient, organelles and other essential materials.
Enter a team of researchers at the Queensland Brain Institute in Australia who may have just figured out how to remove the amyloid plaques. Using a focused therapeutic ultrasound, they beam non-invasive sound waves into the brain tissue at a super fast speed. The sound waves gently open the blood-brain barrier (a layer that protects the brain against bacteria) and stimulate cells in the brain that remove waste. These microglial cells are then able to clear out the toxic beta-amyloid clumps that are responsible for the worst symptoms of Alzheimer’s.
The team reports that 75% of the mice that were treated had their memory function fully restored, with zero damage to surrounding brain tissue. The mice had improved performance in three memory tasks—a maze, a test to get them to recognize new objects, and one to get them to remember the places they should avoid.
Trials are planned on animals with larger brains, such as sheep, and the team is hoping to start human trials in 2017. Watch for more information on this promising treatment.
The results were published in Science Translational Medicine. An ABC radio interview with the team can be heard here.
by Steve Worrall | Feb 1, 2016 | IRAs and Estate Planning, Retirement Account Planning, Retirement Benefits |
Happy milestone birthday, Baby! 2016 is the year the first baby boomers will reach age 70. It is also the year for some critical decisions that will affect your retirement years, including reviewing your IRA estate planning options. Here are some deadlines you won’t want to miss.
Sign up for Social Security. If you have delayed taking Social Security so you can receive the maximum benefit, now is the time. There is no advantage to waiting beyond age 70.
Start taking required minimum distributions from your tax-deferred plans. Uncle Sam says you must start taking distributions from your IRAs and other tax-deferred plans after you reach age 70 ½. If you miss this deadline or you don’t take out enough, there is a 50% penalty. (Exception: If you have money in an employer plan, you continue working beyond age 70 ½ and you own less than 5% of the company, you can delay your required beginning date on that employer’s plan until your actual retirement date.)
To determine the amount you must withdraw each year, divide the year-end value of your account by a life expectancy divisor found on a table provided by the IRS. (Most people will use the Uniform Lifetime Table, but if your spouse is more than 10 years younger than you, you will use a different one.) For example, the divisor for age 72 is 25.6. If your year-end account balance is $100,000, divide $100,000 by 25.6. The amount you are required to withdraw that year, then, is $3,906.25. You can withdraw more at any time, but this is the amount you must take out for that year’s required minimum distribution.
Minimum distributions are required for each tax-deferred account you own. Consolidating your accounts will make calculating and withdrawing distributions much easier.
Avoid taking two distributions in the same year. Generally, distributions must be taken by December 31 each year. However, you can delay your first required distribution until April 1 following the year in which you reach age 70 ½. But this would cause you to take two distributions in one year…April 1 for the previous year and December 31 for the current year…and that will increase your income, causing you to pay more in taxes. Remember, you have not paid income taxes on this money, so all withdrawals are taxed as ordinary income.
Review your estate plan and plan for long term care. Now is the time to review your plan with your professional advisors. You may need to revise your will or trust, beneficiary designations, powers of attorney, and healthcare documents. Be sure to plan for the possibility of long term care—consider options for how, where and by whom care would be provided, and how to pay for the costs. If you want to conserve assets for your family, consider purchasing long term care insurance to offset some of the expenses. Finally, have that difficult but absolutely critical conversation with your family about your wishes and the plans you have put in place.
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