Richard P. Holm, MD

Mrs. R was a character. Her natural red hair had changed to gray years earlier, but thanks to the magic of her hairdresser, her hair was again flashy red, and she had a personality to match. She was a feisty, fun and full-blooded woman full of zest and pizzazz. She made me smile whenever I made rounds at the nursing home.

Through the years, Alzheimer’s disease took its toll on her memory, but her spirit, brightness and spark didn’t seem to fade much. Even near the end, as the family stopped the hair coloring, she gave me a charge of energy and vitality whenever we met. However, the neurodegenerative (ND) Alzheimer’s condition didn’t let up and eventually she slipped off this earthly existence gently while family surrounded her with love.

The image of my redheaded friend repeatedly came to me through the years as I cared for people with ND diseases. Neurodegenerative brain loss conditions include Amyotrophic lateral sclerosis (ALS or Lou Gehrig’s disease), Alzheimer’s, Parkinson’s and Huntington’s disease. These heartbreaking conditions happen because of brain cell death but we don’t know what kills the brain cells. We do know that in 2016, 5.4 million Americans were living with Alzheimer’s and we estimate 930,000 people will be living with Parkinson’s in 2020.

Presently a lot of research is being done to look for exposure to certain toxins as cause for ND diseases to include pesticides, fungicides, insecticides, metals like arsenic, lead and manganese, polychlorinated biphenyls (PCBs) and other human-made and natural toxins in the environment including tobacco and some antioxidants. We simply do not know the cause or causes, but we’re looking hard.

When a person has one of these largely untreatable conditions, we utilize tools called “Activities of Daily Living (ADLs)” to define when that person might need more help. The five ADLs include 1. personal hygiene (being able to bath, groom, brush hair and teeth), 2. continence management (being able to independently use the toilet), 3. dressing (selecting and wearing appropriate clothes), 4. feeding oneself, and 5. ambulating (being able to change position and to get around by oneself with or without an assistance device or wheel chair). Losing ability to do one or more ADLs certainly means that help is needed, if not now, around the corner.

Mrs. R had a great life, and although she struggled with an ND brain condition, she didn’t lose her spirit and color until the very end. Miss you, Mrs. R.

Richard P. Holm, MD passed away in March 2020 after a battle with pancreatic cancer. He was founder of The Prairie Doc® and author of “Life’s Final Season, A Guide for Aging and Dying with Grace” available on Amazon. Dr. Holm’s legacy lives on through his Prairie Doc® organization. For free and easy access to the entire Prairie Doc® library, visit and follow Prairie Doc® on Facebook, featuring On Call with the Prairie Doc® a medical Q&A show streaming on Facebook and broadcast on SDPB most Thursdays at 7 p.m. central.


(1) comment


I was diagnosed of ALS (amyotrophic lateral sclerosis) in summer of 2018, my symptoms started out with a “foot drop” on my left foot, from there my left leg lost all muscle tone followed by slurred speech and inability to eat without getting choked, strangled, and coughing. My neurologist prescribed me some medications to help my symptoms but the medications did no good and their side effects were too severe. In 2019 i started on Rich Herbal Gardens ALS Herbal formula treatment, i read alot of positive reviews on their success rate with the ALS Herbal treatment and i immediately started on the treatment. Just 10 weeks into the ALS Herbal formula treatment I had great improvements with my coordination, speech, breathing and muscle movements. I have basically gone stronger than i’d thought i could ever be again, visit Rich Herbal Gardens official website www . richherbalgardens .com The fatigue and general muscle weakness had also declined, this treatment is nothing less of a miracle!

Welcome to the discussion.

Keep it Clean. Please avoid obscene, vulgar, lewd, racist or sexually-oriented language.
Don't Threaten. Threats of harming another person will not be tolerated.
Be Truthful. Don't knowingly lie about anyone or anything.
Be Nice. No racism, sexism or any sort of -ism that is degrading to another person.
Be Proactive. Use the 'Report' link on each comment to let us know of abusive posts.
Share with Us. We'd love to hear eyewitness accounts, the history behind an article.