3 - Cognitive Impairment... Is Your Intelligence Okay?

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SIGN    Comical Psychosomatic Medicine!
SIGN    Episode 3
    "Cognitive Impairment...
    Is Your Intelligence Okay?"
[00:11] Ryou
    Hello, everyone. I'm Ryou the psychologist.
[00:14] Asuna
    I'm Asuna the nurse.
[00:16] Ryou
    So, this week's theme is...
[00:18] Grandpa
    Asuna, is dinner ready yet?
[00:21] Ryou
    Who is this?!
[00:23] Asuna
    Now, Grandpa, you just had Pon
    de Rngs yesterday, remember?
[00:27] Ryou
    He can eat something today, too!
[00:29] Ryou
    Also, just what kinds of meals
    does your family serve?!
[00:32] Asuna
    Oh, Doctor Ryou, this is my
    grandpa, Kangoshi Sukizou.
[00:36] Asuna
    I'm sorry. His dementia
    has gotten worse lately...
[00:39] Asuna
    So would you teach us about dementia today?
[00:43] Ryou
    What kind of development is that?!
[00:44] Ryou
    Ahem... Very well.
[00:46] Ryou
    But, Asuna-san, we don't
    call it "dementia" anymore.
[00:49] Asuna
    Huh? What is it called, then?
SIGN    Cognitive Impairment
SIGN    Dementia
[00:52] Ryou
    Cognitive impairment.
SIGN    Cognitive Impairment
[00:54] Asuna
    Cognitive impairment?!
[00:56] Girl
    Recognize it!
[00:57] Girl
    The child is yours!
[00:58] Ryou
    Not that kind of cognition!
[01:00] Ryou
    Also, your grandpa is way too healthy here!
[01:02] Asuna
    But, Doctor, at what point is
    cognitive impairment a disorder?
[01:06] Ryou
    Well, to determine that,
[01:08] Ryou
    in psychiatry, we most commonly use
    Hasegawa's scale for screening cognitive impairment.
[01:13] Ryou
    It asks nine questions, as you can see,
[01:15] Ryou
    which the patient answers one at a time.
[01:18] Asuna
    Oh!
[01:19] Ryou
    So, let's try a few of these questions.
[01:22] Both
    Okay!
SIGN    Question: How old are you?
[01:26] Ryou
    By the way, how old are you again, Asuna-san?
[01:29] Asuna
    You mean mentally?
[01:31] Asuna
    Physically?
[01:32] Asuna
    Cognitively?
[01:34] Asuna
    Or age reckoning?
[01:36] Ryou
    It doesn't matter! Just answer!
[01:38] Ryou
    And if you have to say "age reckoning,"
    you're not young anymore!
[01:43] Ryou
    She's debating between the cognitive-impaired*
    route and her pride as a woman!
[01:46] Asuna
    Wait, isn't Grandpa the one in question here?
[01:49] Asuna
    Grandpa, how old are you?
[01:50] Ryou
    She dodged it!
[01:52] Grandpa
    I'm 50 years older than Asuna.
    Go on, Asuna, tell him.
[01:57] Ryou
    With a granddaughter like her,
    I can totally understand him!
[01:59] Asuna
    B-But aren't there a lot of
    people who'd get this wrong?
[02:03] Guy
    Wait, am I 45 now? 44?
[02:06] Ryou
    That's why you're considered correct if you
    answer within two years of your true age.
[02:10] Asuna
    So in psychiatry, it's okay to
    lie about your age by two years?!
[02:14] Ryou
    No, it's not!
SIGN    Question: What is the current day,
    date, month, and year?
[02:20] Grandpa
    Every day is Sunday!
[02:23] Ryou
    Let's try the next one.
SIGN    Question: Where are we right now?
[02:29] Asuna
    In a kingdom with me on the throne!
[02:31] Grandpa
    In a society with only people who adore me!
[02:35] Ryou
    You two really do share the same blood.
SIGN    Question: Name 10 types of vegetables.
[02:41] Grandpa
    Shallots, chicory, Osaka napa
    cabbage, zucchini, horseradish,
[02:46] Grandpa
    sprouts, alfalfa, Malabar
    spinach, pea sprouts, jute...
[02:47] Ryou
    Why are you only naming
    vegetables no one would know?!
[02:49] Ryou
    Just say stuff like "radish" and "carrot!"
SIGN    Question: You will see five objects, then they
    will be hidden. Name the objects you saw.
[02:57] Ryou
    This is an examination of your memory.
[03:00] Ryou
    We put five objects in front
    of you, then hide them.
[03:03] Ryou
    It doesn't matter what they are.
[03:05] Ryou
    A pen, a watch, a personal
    seal, or of course, glasses...
[03:07] Asuna
    What's the hidden object?
[03:11] Grandpa
    I'm traumatized...
[03:13] Ryou
    What did you do to your grandpa?!
SIGN    Question: Subtract 7 from
    100, then subtract it again.
[03:20] Grandpa
    93!
[03:22] Grandpa
    And then 86.
[03:25] Asuna
    Is he right?
[03:26] Ryou
    You should know! Don't check with me!
SIGN    Revised Hasegawa Scale of Cognitive Impairment
[03:29] Ryou
    And that's all we'll look at today.
[03:30] Ryou
    If you answered more
    questions wrong than right,
[03:33] Ryou
    you may have a tendency
    toward cognitive impairment.
SIGN    Cognitive Impairment
[03:36] Asuna
    How did my grandpa do?
[03:39] Ryou
    Good question...
[03:41] Ryou
    Anyway, the loss of memory and cognitive
    skill with age is "cognitive impairment."
SIGN    Today's Theme:
    "Cognitive Impairment"
[03:47] Ryou
    If you know someone who's
    experiencing any of this,
[03:50] Ryou
    it may be a good idea to
    try this test on them.
[03:52] Asuna
    Yes!
[03:53] Ryou
    And if a young person shows these tendencies,
[03:56] Ryou
    there may be a disorder like depression
    or schizophrenia beneath the surface,
SIGN    Depression
SIGN    Schizophrenia Depression
[04:02] Ryou
    in which case...
[04:03] Asuna
    Get them to the mental clinic!
[04:04] Ryou
    Yes. You're getting the idea.
[04:06] Asuna
    By the way, Doctor, why does
    cognitive impairment happen?
[04:10] Ryou
    Among the writings of the psychopathologist
    Nishimaru Shihou, we find this:
[04:19] Text
    "People develop cognitive impairment
    to escape the fear of death."
[04:30] Asuna
    That's very romantic.
[04:31] Ryou
    Uh, yeah... I guess it's romantic?
SIGN    If you're lacking in romanticism,
    visit the mental clinic!
SIGN    This program is a work of fiction. There is no guarantee that the treatments mentioned herein
    will work. Before having a medical exam, make sure the doctor deals in these treatments first.