Health
Dementia warning: Don't ever say these 16 things to loved ones with the disease, experts advise
Dementia may be a disease of the mind, but its effects can be highly emotional.
Those suffering from cognitive decline can experience frequent changes in emotions and have less control over their feelings, according to the Alzheimer’s Society — which can make communication difficult.
“Most people do not have regular interactions with those living with dementia, so it can be hard to know the do’s and don’ts of what to say and how to behave,” Dana Eble, outreach manager for the Alzheimer’s Caregivers Network in Detroit, Michigan, told Fox News Digital.
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“Unfortunately, even the most well-meaning of interactions can lead to stress or confusion for someone experiencing cognitive decline.”
When communicating with a dementia patient, experts say it’s important to choose your language carefully and avoid certain phrases or questions, including the items on the list that follows.
Those suffering from cognitive decline can experience frequent changes in emotions and have less control over their feelings. (iStock)
1. ‘Don’t you remember?’
This topped the list as the worst question to ask someone with dementia, according to experts.
“This question can be frustrating or embarrassing for someone with dementia, as memory loss is a central symptom of their condition,” Timothy Frie, a nutritional neuroscientist in Atlanta, Georgia, who studies how traumatic stress causes neuroinflammation, told Fox News Digital.
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“It can make them feel inadequate or upset about their cognitive decline.”
Forcing the person to acknowledge that they don’t remember a memory or conversation can make them feel bad, added Christina Chartrand, the Florida-based vice president of Senior Helpers, a home care company that often helps dementia patients.
2. ‘Let me do that for you’
One of the hardest parts of having dementia is the daily realization of things that can no longer be done independently, according to Adria Thompson, a licensed speech-language pathologist in Massachusetts with 10 years of experience in dementia care.
It is best to avoid arguing or reasoning with someone with dementia, as it will likely anger and agitate them, experts said. (iStock)
“Often, well-meaning individuals might prematurely take over tasks without asking or assessing if they need to, which can diminish the person’s sense of autonomy,” she told Fox News Digital.
“Instead of assuming they can’t do something, it’s more respectful to offer help and let them tell you if they need it — and allow them to still do the things they can for as long as possible.”
3. ‘You’re wrong’
It is best to avoid arguing or reasoning with someone with dementia, as it will likely anger and agitate them, experts agreed.
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“People with dementia do not need to be corrected when they believe it’s Tuesday the 13th and not Monday the 1st,” Elizabeth Landsverk, M.D., a California-based geriatrician and founder of Dr Liz Geriatrics, an online education and support resource, told Fox News Digital.
“Keep the peace,” she advised. “It’s better than being right.”
4. ‘Would you like to make plans for next week?’
“As dementia patients lose their sense of time, they lose a frame of reference that would make this question meaningful to them,” said Leonie Rosenstiel, president of Dayspring Resources, Inc., in Albuquerque, New Mexico, which helps families of elders plan and cope with the problems of aging.
“Repeatedly pointing out that someone is repeating themselves can lead to feelings of frustration and self-consciousness” for that person, an expert said. (iStock)
“If you expect to do something with them at a particular time in the future, they will not be able to keep track of this appointment.”
To prevent frustration, Rosenstiel recommended ensuring that someone else can remember or write down the plans, and that those plans don’t conflict with activities such as medical appointments.
5. ‘You seem fine’
“Society often has a preconceived notion of what dementia looks and acts like, and if someone doesn’t fit that stereotype, it might seem tempting to use this phrase as a compliment,” noted Thompson.
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“However, this phrase can belittle the individual’s daily struggle and experiences.”
It’s important to be aware that symptoms and experiences can vary greatly among individuals with dementia, Thompson told Fox News Digital.
6. ‘I just told you that’ or ‘You already told me that’
Along the same lines of “Don’t you remember?” experts recommend not asking questions or making statements that are likely to upset the person.
Continually “pointing out that someone is repeating themselves can lead to feelings of frustration and self-consciousness,” said Frie.
“It’s better to gently redirect the conversation or respond as if it’s new information.”
Experts recommend not asking questions or making statements that are likely to upset the person. (iStock)
This is especially true in the middle stages of their disease, when patients may have moments when they know their brain isn’t working right, according to Jennifer Fink, a caregiver expert in California who facilitates support groups for the Alzheimer’s Association.
7. ‘How have you been feeling this week?’
This might seem like a natural question to ask if it’s been a week since you’ve visited a loved one or friend, and you’re trying to catch up.
Yet it could do more harm than good, Rosenstiel said.
“We ask each other questions like this all the time, but someone with dementia might not remember how they were feeling five minutes ago, let alone how they felt yesterday,” she warned.
“They might make something up, in an effort to satisfy you, or they might get frustrated or angry.”
“Instead of assuming they can’t do something, it’s more respectful to offer help and let them tell you if they need it — and allow people to still do the things they can for as long as possible,” an expert advised. (iStock)
8. ‘You’re not making any sense’
Criticizing dementia patients’ communication can damage their self-esteem and discourage them from expressing themselves, according to Michael Kramer, a long-term care educator and director of community relations for retirement residences that accommodate seniors with dementia.
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“Having patience and making an effort to understand their perspective helps to maintain their dignity and encourages open communication,” said Kramer, who is based in Ontario.
9. ‘Do you remember this?’
It’s best to avoid asking if the person recalls specific pieces of information, such a name or date or event, as it can put the person on the spot and feel like a test, experts said.
“Instead, start by introducing yourself,” Eble suggested — “something like, ‘Hey, Grandma, it’s Dana, your granddaughter!’ It might feel strange at first, but it will put your loved one at ease by reminding them of your name and connection to them.”
It’s best to avoid asking if the person recalls specific pieces of information, as it can put them on the spot and feel like a test, experts say. (iStock)
The same goes for events or memories, she said.
Instead of asking if they remember, start with “I remember when…” and then continue with your story.
“Those with dementia love reminiscing, but don’t frame it as a test of their memory,” Eble added.
10. ‘You’re being difficult on purpose’
This phrase is “hurtful and dismissive,” Kramer warned.
“It overlooks the fact that behavioral challenges are a result of the dementia itself, not intentional actions,” he said.
In some cases, phrasing activities as a question can cause confusion for a dementia patient, experts warned. (iStock)
“Using empathy and understanding instead of frustration is crucial in managing these situations.”
Labeling behavior as “difficult” can increase frustration and tension, Frie agreed.
“Understanding that challenging behaviors are often a symptom of the disease can help in responding with patience and empathy,” he said.
11. Using words like ‘bib’ or ‘diaper’
“As dementia progresses, caregivers may need to start using products to help with incontinence and/or to help make meal times easier,” Eble pointed out.
“Sometimes a limited choice is too much of an effort for a dementia patient.”
She recommended using positive language for these products, such as “protective underwear,” “cloth” or “apron.”
12. ‘Remember, she died last year, we went to the funeral…’
Reminding someone with dementia of the death of a loved one can be upsetting, as the person is likely not retaining this information, according to Kate Granigan, a geriatric social worker and president of the Aging Life Care Association Board in Boston.
Reminding someone with dementia of the death of a loved one can be upsetting, as the person is likely not to have retained this information. (iStock)
“This can trigger a grief response over and over again, as if the information is newly learned,” she told Fox News Digital.
Instead, she recommended saying something like, “It seems like you are really thinking about Uncle Harold today. Do you have a favorite memory from when you were kids?”
13. ‘That’s not how it happened’
“Dementia can cause confusion and altered perceptions of events,” said Kramer.
“Correcting someone sharply can increase their distress and confusion.”
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Instead, it’s better to validate their experiences and gently guide them rather than insisting on correctness, the expert recommended.
14. ‘Do you want to [insert activity]?’
In some cases, phrasing activities as a question can cause confusion for a dementia patient, according to Eble.
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“If you’re the primary caregiver in charge of your loved one’s toileting, showering, feeding or sleeping schedule, instead of asking ‘Do you want to,’ lead with ‘Let’s go to the [bathroom, shower, kitchen],’” she recommended.
“Adding that bit of direction will help maintain their schedule.”
15. ‘What would you like to wear today?’
Open-ended choices may leave a dementia patient confused or frustrated, noted Rosenstiel.
“They also might have no idea whether they’ll need a sweater or not, because they don’t remember what they heard on a weather report an hour ago,” she told Fox News Digital.
Open-ended choices may leave a dementia patient confused or frustrated, an expert advised. (iStock)
A more productive question might be, “Here’s a red sweater and a blue one. Which one would you rather wear?”
“Even then, sometimes a limited choice is too much of an effort for a dementia patient,” the expert said.
16. ‘Get your coat and shoes, grab your bag and meet me by the door’
Long sentences with multiple parts or commands can be overwhelming and confusing for someone with dementia, according to Granigan.
“It is more successful to provide one short direction or piece of information at a time,” she told Fox News Digital.
“Pause between each and guide the person through the task if needed before starting the next.”
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This story discusses suicide. If you or someone you know is having thoughts of suicide, please contact the Suicide & Crisis Lifeline at 988 or 1-800-273-TALK (8255).
Artificial intelligence has been touted as a boon to healthcare, but a new study has revealed its potential shortcomings when it comes to giving medical advice.
In January, OpenAI launched ChatGPT Health, the medical-focused version of the popular chatbot tool.
The company introduced the tool as “a dedicated experience that securely brings your health information and ChatGPT’s intelligence together, to help you feel more informed, prepared and confident navigating your health.”
But researchers at the Icahn School of Medicine at Mount Sinai have found that the tool failed to recommend emergency care for a “significant number” of serious medical cases.
The study, published in the journal Nature Medicine on Feb. 23, aimed to explore how ChatGPT Health — which is reported to have about 40 million users daily — handles situations where people are asking whether to seek emergency care.
Artificial intelligence has been touted as a boon to healthcare, but a new study has revealed its potential shortcomings when it comes to giving medical advice. (iStock)
“Right now, no independent body evaluates these products before they reach the public,” lead author Ashwin Ramaswamy, M.D., instructor of urology at the Icahn School of Medicine at Mount Sinai in New York City, told Fox News Digital.
“We wouldn’t accept that for a medication or a medical device, and we shouldn’t accept it for a product that tens of millions of people are using to make health decisions.”
Emergency scenarios
The team created 60 clinical scenarios across 21 medical specialties, ranging from minor conditions to true medical emergencies.
Three independent physicians then assigned an appropriate level of urgency for each case, based on published clinical practice guidelines in 56 medical societies.
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The researchers conducted 960 interactions with ChatGPT Health to see how the tool responded, taking into account gender, race, barriers to care and “social dynamics.”
While “clear-cut emergencies” — such as stroke or severe allergy — were generally handled well, the researchers found that the tool “under-triaged” many urgent medical issues.
The team created 60 clinical scenarios across 21 medical specialties, ranging from minor conditions to true medical emergencies. (iStock)
For example, in one asthma scenario, the system acknowledged that the patient was showing early signs of respiratory failure — but still recommended waiting instead of seeking emergency care.
“ChatGPT Health performs well in medium-severity cases, but fails at both ends of the spectrum — the cases where getting it right matters most,” Ramaswamy told Fox News Digital. “It under-triaged over half of genuine emergencies and over-triaged roughly two-thirds of mild cases that clinical guidelines say should be managed at home.”
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Under-triage can be life-threatening, the doctor noted, while over-triage can overwhelm emergency departments and delay care for those in real need.
Researchers also identified inconsistencies in suicide risk alerts. In some cases, it directed users to the 988 Suicide and Crisis Lifeline in lower-risk scenarios, and in others, it failed to offer that recommendation even when a person discussed suicidal ideations.
“ChatGPT Health performs well in medium-severity cases, but fails at both ends of the spectrum.”
“The suicide guardrail failure was the most alarming,” study co-author Girish N. Nadkarni, M.D., chief AI officer of the Mount Sinai Health System, told Fox News Digital.
ChatGPT Health is designed to show a crisis intervention banner when someone describes thoughts of self-harm, the researcher noted.
OpenAI launched ChatGPT Health, the medical-focused version of the popular chatbot tool, in January 2026. (Gabby Jones/Bloomberg via Getty Images)
“We tested it with a 27-year-old patient who said he’d been thinking about taking a lot of pills,” Nadkarni said. “When he described his symptoms alone, the banner appeared 100% of the time. Then we added normal lab results — same patient, same words, same severity — and the banner vanished.”
“A safety feature that works perfectly in one context and completely fails in a nearly identical context … is a fundamental safety problem.”
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The researchers were also surprised by the social influence aspect.
“When a family member in the scenario said ‘it’s nothing serious’ — which happens all the time in real life — the system became nearly 12 times more likely to downplay the patient’s symptoms,” Nadkarni said. “Everyone has a spouse or parent who tells them they’re overreacting. The AI shouldn’t be agreeing with them during a potential emergency.”
Fox News Digital reached out to Open AI, creator of ChatGPT, requesting comment.
Physicians react
Dr. Marc Siegel, Fox News senior medical analyst, called the new study “important.”
“It underlines the principle that while large language models can triage clear-cut emergencies, they have much more trouble with nuanced situations,” Siegel, who was not involved in the study, told Fox News Digital.
ChatGPT and other LLMs can be helpful tools, a doctor said, but they “should not be used to give medical direction.” (iStock)
“This is where doctors and clinical judgment come in — knowing the nuances of a patient’s history and how they report symptoms and their approach to health.”
ChatGPT and other LLMs can be helpful tools, Siegel said, but they “should not be used to give medical direction.”
“Machine learning and continued input of data can help, but will never compensate for the essential problem – human judgment is needed to decide whether something is a true emergency or not.”
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Dr. Harvey Castro, an emergency physician and AI expert in Texas, echoed the importance of the study, calling it “exactly the kind of independent safety evaluation we need.”
“Innovation moves fast. Oversight has to move just as fast,” Castro, who also did not work on the study, told Fox News Digital. “In healthcare, the most dangerous mistakes happen at the extremes, when something looks mild but is actually catastrophic. That’s where clinical judgment matters most, and where AI must be stress-tested.”
Study limitations
The researchers acknowledged some potential limitations in the study design.
“We used physician-written clinical scenarios rather than real patient conversations, and we tested at a single point in time — these systems update frequently, so performance may change,” Ramaswamy told Fox News Digital.
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Additionally, most of the missed emergencies happened in situations where the danger depended on how the condition was changing over time. It’s not clear whether the same problem would happen with acute medical emergencies.
Because the system had to choose just one fixed urgency category, the test may not reflect the more nuanced advice it might give in a back-and-forth conversation, the researchers noted.
ChatGPT Health is designed to show a crisis intervention banner when someone describes thoughts of self-harm. (iStock)
Also, the study wasn’t large enough to confidently detect small differences in how recommendations might vary by race or gender.
“We need continuous auditing, not one-time studies,” Castro noted. “These systems update frequently, so evaluation must be ongoing.”
‘Don’t wait’
The researchers emphasized the importance of seeking immediate care for serious issues.
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“If something feels seriously wrong — chest pain, difficulty breathing, a severe allergic reaction, thoughts of self-harm — go to the emergency department or call 988,” Ramaswamy advised. “Don’t wait for an AI to tell you it’s OK.”
The researchers noted that they support the use of AI to improve healthcare access, and that they didn’t conduct the study to “tear down the technology.”
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“These tools can be genuinely useful for the right things — understanding a diagnosis you’ve already received, looking up what your medications do and their side effects, or getting answers to questions that didn’t get fully addressed in a short doctor’s visit,” Ramaswamy said.
“That’s a very different use case from deciding whether you need emergency care. Treat them as a complement to your doctor, not a replacement.”
“This study doesn’t mean we abandon AI in healthcare.”
Castro agreed that the benefits of AI health tools should be weighed against the risks.
“AI health tools can increase access, reduce unnecessary visits and empower patients with information,” he said. “They are not inherently unsafe, but they are not yet substitutes for clinical judgment.”
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“This study doesn’t mean we abandon AI in healthcare,” he went on. “It means we mature it. Independent testing and stronger guardrails will determine whether AI becomes a safety net or a liability.”
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Americans consume foods every day that are marketed as “healthy,” when they could be quietly destroying their health, one doctor warns.
Dr. Mark Hyman, physician and co-founder of Function Health in California, says that much of America’s daily diet is filled with unhealthy ingredients.
“The amount of refined starches and sugars that are everywhere is just staggering to me, given what we know about how harmful they are,” he shared in an interview with Fox News Digital. “I don’t think people really understand.”
Hyman, author of the new book “Food Fix Uncensored,” said he’s “astounded” by what people are eating, especially for breakfast.
“People just eat sugar for breakfast,” he said. “They have muffins, they have bagels, they have croissants, they have sugar-sweetened coffees and teas.”
Dr. Mark Hyman is the author of the new book “Food Fix Uncensored.” (Function Health; Little, Brown Spark)
In addition to the traditionally sweet options for breakfast, some cereal brands and breakfast staples have adopted new “protein-packed” menu items and products, following health trends that encourage eating more protein.
“Highly processed food is not food.”
“Now, we’re seeing this halo of protein in certain things,” Hyman said, mentioning that many protein smoothies are “full of sugar.”
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The doctor also noted that some popular cereals are now marketed as having protein in them. “My joke is, if it has a health claim on the label, it’s definitely bad for you,” he said.
Instead of starting the day with a “quick fix” or processed food, Hyman suggests choosing whole sources of protein and fat for breakfast, adding that “if there’s a little carbohydrate in there, it’s fine.”
More products marketed as “high protein” have cropped up on supermarket shelves. (iStock)
For his own breakfast, Hyman said he has a protein shake with whey protein, avocado and frozen berries. Eggs and avocados are also a great protein-and-fat combo option, he added.
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“It’s not that complicated — people need to just think about their breakfast not being dessert,” he said. “No wonder we’re in this cycle of obesity and diabetes. One in three teenage kids now has type 2 diabetes or pre-diabetes. That’s just criminal.”
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Instead of counting calories and being in a caloric deficit as a way to lose weight and stay healthy, Hyman instead suggests focusing on how certain foods make you feel and how they impact your health.
“When you look at the way in which different types of calories affect your biology, you can just choose what you’re eating, and then you don’t have to worry about how much,” he told Fox News Digital.
In addition to the traditionally sweet options for breakfast, some cereal brands and breakfast staples have adopted new “protein-packed” menu items and products. (iStock)
“For example, if you eat a diet that doesn’t cause your insulin to spike — which is low in starch and sugar, higher in protein and fat — you won’t develop those swings in blood sugar, you won’t develop the spikes in insulin, you won’t deposit hungry fat … You will break that cycle.”
People are more likely to “self-regulate when they eat real food” instead of processed foods, which “bypasses the normal mechanisms of satiety, fullness and brain chemistry,” according to Hyman.
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“Ultraprocessed food and junk food or highly processed food is not food,” he said. “It doesn’t support the health and well-being of an organism. It doesn’t do that. It does the opposite.”
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Small fragments of plastic were found in the tumors of most prostate cancer patients, according to a new study from NYU Langone Health.
In past studies, microplastics have been found in almost every human organ and in bodily fluids, but their impact on human health still isn’t fully understood.
The researchers analyzed tissue samples from 10 patients with prostate cancer who underwent surgery to remove the entire organ.
Using visuals of both benign samples and tumor samples, as well as specialized equipment, the scientists identified plastic particles in 90% of the tumor samples and 70% of benign tissue samples, according to the study press release.
In past studies, microplastics were found in almost every single human organ along with bodily fluids, even the placenta. (iStock)
The cancerous tissue contained on average more than double the amount of plastic as healthy prostate tissue samples, the study found. This equates to about 40 micrograms of plastic per gram of tissue compared to 16 micrograms.
Researchers avoided contaminating the samples with other plastics by substituting standard tools with those made of aluminum, cotton and other non-plastic material, the release noted.
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The scientists say this is the first direct evidence linking microplastics to prostate cancer.
“By uncovering yet another potential health concern posed by plastic, our findings highlight the need for stricter regulatory measures to limit the public’s exposure to these substances, which are everywhere in the environment,” said senior study author Vittorio Albergamo, assistant professor in the department of pediatrics at NYU Grossman School of Medicine, in the release.
Using visuals of both benign samples and tumor samples, as well as specialized equipment, the scientists identified plastic particles in 90% of the tumor samples and 70% of benign tissue samples. (iStock)
The study findings were presented during the American Society of Clinical Oncology’s Genitourinary Cancers Symposium in San Francisco on Feb. 26.
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“What is most striking is not that microplastics were detected, but that they were found embedded within tumor tissue itself,” Dr. David Sidransky, oncologist and medical advisor at SpotitEarly, a startup that offers an at-home breath-based test to detect early-stage cancer, told Fox News Digital.
“While complete avoidance is unrealistic, people can take practical steps to reduce exposure.”
“We already know microplastics are present in water, air, blood and even placental tissue. Their detection in prostate tumors suggests systemic distribution and long-term bioaccumulation,” added Maryland-based Sidransky, who was not involved in the study.
Study limitations
Albergamo cautioned that a larger sample is needed to confirm the findings. Additionally, Sidransky noted that the presence of microplastics alone does not prove they cause cancer.
“Tumors can act as ‘biologic sinks,’ meaning they may accumulate circulating particles simply because of altered vasculature and permeability,” he said.
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A key unanswered question, according to the doctor, is whether microplastics are biologically active in ways that “promote DNA damage, immune modulation or chronic inflammation within the prostate.”
About one in eight men in the U.S. will be diagnosed with prostate cancer at some point in their lifetime, according to the Centers for Disease Control and Prevention.
The most actionable step men can take is appropriate screening and early detection, according to doctors. (iStock)
For those concerned about microplastics, Sidransky offered some insights.
“I believe the appropriate response is curiosity, not panic, and a commitment to understand more,” he said.
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“While complete avoidance is unrealistic, people can take practical steps to reduce exposure, such as minimizing heating food in plastic containers, reducing bottled water consumption when possible, and favoring glass or stainless steel alternatives.”
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The most actionable step men can take, however, is getting appropriate screenings to help ensure early detection, according to the doctor. Screening discussions should be individualized based on age, family history and other risk factors.
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