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Looking back, knowing what you know now about Dementia and your LO, if you could go back in time and eagle eye watch for the tiniest sign that cognitive function was beginning to decline, what incident or event would you pick up on as that tiniest sign?
For us, I think it would be her absolute inability to stop herself from bringing a painful subject (and her ridiculous opinions about it) into EVERY conversation. Not just some or most. Every conversation, no matter the topic. Despite being asked not to, despite it being demanded that she not, despite people getting to the point of refusing to speak to her at all because of it. Every conversation, without fail. That started probably 20 or so years ago.
I can think of some others as well, but this one is the most prominent.

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Repeating herself constantly. Forgetting things quickly.
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Calling me to come help him find his car, he forgot where he parked and had taken a taxi home. I thought he was being lazy, stupid or irresponsible. Or smoking too much weed.

Didn't pay his HOA 5 months and was evicted. I was called as emergency contact. The senior community he owned a condo in had no concern for medical issues, just their money. At that point I knew something was wrong. He was always adamant about bills being paid.

I got a DPOA signed, then jumped in and took over. Got him his $200k equity they were going to take. I flat out told the HOA nobody is going to screw a United States Combat Veteran on my watch...divorced from him or not.
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I’m oldest daughter, of four daughters, with a 14 year gap between me and youngest sister, our parent’s fulltime caregiver. Our parents were married in HI, where I was born, and for their 50th anniversary, their four girls had saved money every month, for over four years, to be able to afford to go to HI, as a family, paying for our parent’s costs. And the party we threw them. It was an epic trip. We had a wonderful 19 nights, on both Maui, and O’ahu, during Christmas. It was very expensive, quite the splash out.

Four years later, our mom could remember nothing. She was 74. I told my sisters, but no one paid any attention. Our mom had given up challenging herself, on any level around 50 or so, and the youngest two daughters catered to her every need, and got angry at the two oldest, for suggesting mom be more accountable, or we should find out if she “just can’t”. We were ignored, and still are! For mom to have no clue, no memory of that kind of trip, where her daughters spent so much money, and we were for almost three weeks, was unheard of, how she could forget. I now believe mom started with the dementia long ago.

They still live with our sister, in their condo, with her insisting on making every decision, and the two oldest gave up caring long ago. We simple visit every two weeks, as allowed, and let her handle every single thing, as she prefers. I wish our parents had not had so many secrets, and confused only in the youngest, but life is complicated in families. Our family will be more in tune with changes in us, cause we have asked them to not be shy, if they feel we need to know what they, as our two kids, are seeing, that we, as the elders do not. We are very different parents than either of our parents were, as we grew up during very different times. Our parents did as they pleased, were interested in no advice. Wishing you all the best.
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Picking up pine cones outside all the time.

Difficulty cooking meals. Frustration at the computer. Problems paying bills.
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We used to have Sunday lunch at my mom’s house once a month. At about the age of 77 (in 2017)she stopped inviting us saying all the cooking confused her. Her dishes were also starting to go downhill. We started to have her around on a Sunday, she would bake a cake, she was always an excellent baker, later her bakes became huge flops. One cake flop was so bad it was completely inedible and she denied it was so, saying we were being fussy for not wanting to eat it. Covid isolation definitely progressed things. Her personality traits (most of which are negative - perhaps a covert narc) became a lot more pronounced.
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I started getting calls that he had not shown up for work. When I called him at home he was "on the way" although his first appointment was already in the office and had to be rescheduled. When it started I was surprised that it had happened at all. Then it happened again a few months later. It finally went to monthly, then he would go to run errands at lunchtime and forget to come back in time for his afternoon appointments. I retired him just in time, because he also started getting lost driving places he had gone hundreds or even thousands of times before. He expects to retire from driving in 5 years, and hasn't noticed that it has already happened. He hasn't driven since last summer.
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About 16 years ago when my wife became too frustrated to use her computer. It should have been obvious, but she also has MS, diabetes and other complications. Should have occurred to me that both her parents had Alzheimer's before they died. There were lots of signs, but strangely her memory has always been pretty good, even up until a few years ago. I wasn't completely convinced until I woke up one morning at 3:00 am to find her outside the front door in her underwear in 15 degree weather trying to push her wheelchair down the steps. Armed with only a pack a cigarettes and the TV remote, she said "I'm going home now". I think it is harder see when you see it everyday, and harder to tell when there are a lot of other health problems. Looking back on it, I have to question my own brain function.
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My 66 year old wife with early onset Alzheimer's began losing her administrative abilities about 10 years ago. This was very noticeable at my son's wedding, I had to pick up the main duties there. Also, she was a piano teacher for most of our married life and probably 7 years ago just could not keep up with the schedule of about 15-20 students, I organized her final piano recital. Then she started getting lost going to the doctor and dentist office that she had gone to for the past 20 years. About the same time you could tell it was more difficult for her to carry on conversations, several miscues and memory lapses. Some agitation showed up. Also, she stopped cooking meals around the same time, formerly she had always tried new recipes but then she started leaving ingredients out and making mistakes so she just quit. A lifelong avid reader with 2 college degrees, she stopped reading around that time as well. I would say now she might be later mid-stage now. We have been married 43 years and I consider it a privilege to take care of her in our house. Honestly, it is tough to watch and hard on the emotions but I just try to work on solutions each day instead of choosing to be angry with her and our situation. I am thankful to see how many folks share their experiences on this forum and find it helpful as we navigate the unknown.
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My Mom's real first signs have started very recently. She thinks I'm in her house or outside trying to get in. Not sure it's hallucinations or 'dreams' She asked me how long I stayed with her today? I wasn't even there. She also told my aunt she didn't know how long I had been there and that she knew I was in the den because I had turned the t.v. on.
My Aunt is sick with a virus and coughing so we couldn't discuss it.
This is something new, so I'm praying maybe it's just a u t i. As weird as that sounds.
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BlueHeron Jan 2025
Rbuser1, my mom always calls her hallucinations and delusions "dreams". In fact, she will say, "There's nothing wrong with me, I just had a bad dream! I'm like any other normal old lady!" (This, after she goes walking down a busy highway to escape "killers" and gets into a car with strangers.)
During the first couple of years I thought, "Maybe she has a sleep disorder and these really are just dreams". Her sleep schedule is definitely backward, but it became more clear that she has hallucinations due to dementia - probably vascular and/or Lewy Bodies. Whenever she gets a UTI, it gets worse and she nearly disconnects entirely from reality. The memory care nurse tests her once a month to see if she needs antibiotics, which really help clear up her confusion, but not entirely. The delusions remain.
My heart goes out to you and your mom! I hope she can get some relief with antibiotics.
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My mother is 97 now. When she was about 85 I was visiting my parents at their house and she confided to me that she was hearing voices in her head. It was people talking and singing and sometimes music playing. She asked me if it could be dementia. She did things like crossword puzzles to keep her mind sharp but she seemed to suspect that one day her mind would start to go. I thought it was possibly her hearing aides picking up audio on her tv but now I know it wasn’t. I think hearing loss and isolation contributed to her brain inventing chatter in her head. It has progressed slowly. Now she hears voices all the time.
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BlueHeron Jan 2025
Jem, my mom started with hearing music, then voices talking to her. After 8-10 years, some days she's almost normal, and other days she shushes me so she can hear what "John" is saying to her in her head. On some visits she talks to her voices more than she talks to me! I just let it ride and read a book as long as they aren't scaring her.
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There were signs ten or more years ago that I could have attributed to aging or depression - such as not learning new things, mood swings, and confusion. She began to get angry and mean.
The first sign that made my blood run cold was 8 years ago when she said she felt rats and squirrels inside her mattress and saw a cat in the house. She also heard Christmas music and told me to turn off the radio, which must be on the porch. It bothered me that her hallucinations made sense to her. I had a lot to learn about dementia.
She became increasingly afraid of intruders, saw people attacking family members in the driveway, and at one point she thought people were living in her attic. Paranoia exploded into delusions, of which she couldn't be convinced otherwise. She walked down the highway to escape killers.

It's been around ten years and she lives in memory care now because she gets confused and tries to walk away. But she still recognizes everyone, and performs her ADLs without assistance. Her caregivers say she's the most with-it person in memory care which breaks my heart. She remembers what she had for dinner last night and remembers conversations with caregivers. She constantly tells me how impaired the other residents are. They don't know who they are and can't feed themselves and a lot of them yell and fight and ask for their mothers. She is especially annoyed when they ask the same questions every day over and over.
My mom can give you her full biography, albeit there will be big delusional stories mixed in with the truth.
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jemfleming Dec 2024
It breaks my heart that people are forced to live on in this condition where they have almost zero quality of life and often exist in a lonely, confusing, frustrating and, for some, scary world.
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What he called "vivid dreams," which were actually hallucinations. Usually benign, e.g., "Do you see those puppies walking across the floor?" Later came paranoia.
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BlueHeron Jan 2025
Did he have tremors or any Parkinsons-type symptoms? My mom hallucinates quite detailed scenes, but her hands are steady and she doesn't shuffle, although she's too off balance to walk without a rollator. It can be so confusing when they have two or three symptoms from each of the different types of dementia! She did better when they stopped giving her seroquel, so maybe some Lewy Bodies are present.
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Losing nouns. “You know, that thing,” rather than the name of the object.

It was progressive, as we all know, but the element that made it impossible to deny was when she started putting her hearing aid batteries in her ear, rather than in the hearing aids.

Even though I had seen it all progress over years, and knew what was happening, other family members - with only occasional calls and visits rather than regular weekly visits and frequent calls - still could not see the signs until it became extreme.

At the point where I was taking her to the doctor to get hearing aid batteries taken out of her ear canal, shutting off the breaker to the stove, and disabling her car, I still had my sibling telling me nonsense like “Oh, she’s just bored and lonely.”

Yet, years earlier, my mother could not see the signs of dementia in my father. Spotting the signs seems to take regular contact, but not *constant* contact. She couldn’t see the signs in him because to her it was too gradual from her perspective. Others couldn’t see the signs in her because their contact was too limited and irregular to see the steady steps of decline.
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mommabeans Dec 2024
My cousin, who rarely visited or talked to my mother for decades, has told me that my mother seems fine enough that SHE feels MY mother could have gone back home to live by herself. Nevermind that my mother has no idea who she is. Doesn't remember her name. Thinks she's the "farmer's daughter." "My brother's daughter?" "My brother had a daughter?" "I have a brother?" But, she's fine to live alone? Fine, take her out of the AL and take her to your house then. When she's burning your house down and breaking your things to throw them away because "they're broken" because she doesn't know how to turn it on, then you can take her back the AL yourself.
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My mother passed in 2022, Lord rest her soul. However, she started forgetting our birthdays and started buying the identical types of gifts every Christmas. Eventually, she stopped paying her bills and stopped opening her mail. She also began repeating her self over and over and then couldn't remember if she took her medicine daily. She also started having car accidents. She'd come home with dents and didn't know how it happened. She was unaware and would often say, "I don't know what's wrong with me, I guess I'm going crazy. " She also started keeping food in her fridge until it went bad and insisted on eating it instead of tossing it. She complained of diarrhea often probably from food poisoning. Once her fridge went out and food rotted to the point of stinking. While helping her clean it out to prepare for a new fridge she got aggressive with me for tossing out the bad food. I had to sneak behind her back to throw it out. I then had to load the garbage bags in my trunk and take them with me for fear she'd dig the rotten food out of her trash. It was really frustrating to deal with but I really miss her. Bless her heart she's in a better place now.
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Year 6 Lewy Body..first signs was mom could not write a check, and she could not take pills correctly from the bottles and fill her pill box…then one day she told me she went outside and tried to walk on the iced up driveway after an ice storm {a downhill slanted driveway to the street}, to see how icy it was outdoors! This was after she already had a hip break/fix. She also did not know how to use a tv remote. This started probably 2 years prior to her diagnosis..mom is physically well but needs nursing home care for incontinence {bathrooms in wrong places}, unsafe to be unsupervised even for a few minutes, at risk to start fires, runs away from home, wears her underwear on the outside of her clothes etc. she is calm and content now. Walks well and enjoys the company of others her age. Sad disease.
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BlueHeron Jan 2025
Hi Roanoke! I'm also in VA - near Fredericksburg.
Does your mom have tremors or Parkinsons-type symptoms? Just curious. My mom was diagnosed as having "some type of dementia", but it doesn't seem to be Alzheimer’s because her memory is pretty good 10 years into it. She refuses any more tests, and I don't blame her, so we aren't pushing it. But if I had to guess, being a big Google expert (haha), I'd say she has a mix of vascular and Lewy. Delusions and hallucinations galore, but no tremors or stiff limbs. It's a sad puzzle.
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Car dings and scrapes are normal when getting older but when you lose your papers for filing taxes, ouch! Also, can't figure out how to turn off the outside faucet for the hose? Having to put the name tags on the gifts for her to wrap too, was confusing. Can't tell the difference between the phone and the TV remote. Confusion is probably the earliest sign.
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Bulldog54321 Dec 2024
My friend said this about her mother. She kept thinking the TV remote was her cellphone.
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The first signs about two years before diagnosis, were my husband's work issues. The department had added some extra computer tasks to complete when writing patient notes. He really complained about this. I told him "you're a really smart guy, you can do this." I was surprised at the time how much he pushed back against this, claiming that this was just extra busy work for him and that the program was flawed. It got to the point where he was called into several department meetings to sort this out, including a Zoom meeting I was to be part of. I think the hospital wanted to see how I was dealing with what was going on at the time. So, a few months later my husband was given extra vacation time. During which one night he woke me up, saying he was seeing vapor trails. Ok-I drove us to the ER. MRI that day confirmed Frontal Temporal Dementia. He's a doctor. He knows exactly what he has.
So, it's been over five years since the diagnosis. He's gradually slipping away. Really hard to watch.
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graygrammie Dec 2024
Oh my, I can't think of anything worse than being a doctor and knowing exactly what your future is going to look like, except being the wife of a doctor and knowing what the future is going to look like. My heart goes out to you.
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Good Morning,

Mom's peripheral vision was gone...walking behind cars backing out of a supermarket parking lot. Making a bed with the sheets 1/2 way on the floor and couldn't fold a facecloth.

Mom had hearing aids and cataract surgery so I couldn't figure out what was wrong. Finally, I took the car keys off of her when she was driving down the street and reading the mileage at the same time. Her concentration and her driving too close to the driver in front.

Mom also had the tendency to not gage the distance from walking on a sidewalk and would almost go off the sidewalk walking with a shopping cart.

Spatial awareness was the first to go...
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BlueHeron Jan 2025
Hi Ireland, I know what you mean! My mom likes to push her own shopping cart, but I'm right there waiting to steer if it looks like she's swerving into someone or something. We don't need to knock down a grocery display on top of everything else we've got going on!
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Timely topic for me because I was talking about the same thing with my daughters two days ago.

I said that I thought I was seeing it in my husband in the early 2000s. There were quick moments of confusion about time and place. The doctor said he was having Transient Eschemic Attacks (TIAs), so that's how the strange episodes were explained. In 2002, we gifted our daughter and her husband the lot next door to us, they built a house and moved in early spring 2003. In 2004, I found him staring out the window at their house and he said to me, "Why is there a house on our lot? Who put it there? Who lives there?" I'm not sure that was a TIA. By 2013 I was sure he had something psychological going on. He was diagnosed with dementia (frontotemporal and mild cognitive impairment) in 2017.

My oldest daughter said she now thinks she saw things in the late 1990s (there is too much history to go into right now). In her eyes, she believes her father (a pastor who had an affair that ended in 1995 but it wasn't revealed until 2017) was given over to a "seared conscience" or "reprobate mind" and that the things he started saying/doing/teaching back then could have been the beginnings of dementia.

My other daughter said she looks back and realizes that he was always a little bit "off" but just attributed it to his personality as it was his "normal" way of behaving. In public, he had to be the funny guy and the star of the show and everyone's best friend, but at home he was sharp, criticial, controlling, and nasty. She recalled me saying to him once, "Why don't you pretend we are your church people and treat us the same way you treat them?"

So, is it possible that my husband was showtiming even in the 90s, or do we just attribute it to personality? I guess that is a question we'll never know the answer to for certain.
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Anabanana Dec 2024
My husband’s father - also a pastor - was the same. I always wished my mother would treat me the way she treated others - she was the ultimate church lady. The more I research, the more I believe she exhibits covert narc traits. (FIL is very overt) My cousins think my mother is the greatest, kindest, most thoughtful and supportive aunt in the world. While she had zero empathy for me. Narcissism and dementia are a messy inseparable mix.
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My husband forgot how to write out a check at the grocery store. He had driven there, got all of the groceries, but then had to ask the checkout girl to assist him in how to fill out the check. He'd written checks all his life. He told me when he got home. He and I both realized something was wrong. I took over our finances that day.
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JanPeck123 Jan 2025
I wanted to add that the next thing I noticed with my husband was word searching. For example, he'd say he wanted me to pick up cookies from the store. He couldn't think of the name and described them as "the brown cookies with the gritty black stuff inside". It took me 3 days to realize he was describing Fig Newtons. Then more and more words were on the tip of his tongue but he couldn't recall them. Then it got to be thought dropping. For example he'd call my name then forget what he wanted to tell me.
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Correction! I forgot about an important incident. My mother was packing to visit her brother for a week and complained that it took her an entire day to sort and pack her meds. I asked her to show me how she did it. She dumped all the pill bottles onto her dining room table and repeatedly counted the total instead of taking out 7 thyroid pills and placing 1 in each morning compartment, etc.
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BlueHeron Dec 2024
Yes, I think not being able to figure out pills is a big symptom. My mother could not understand the pill organizer at all. Before a med tech took over her medications, mom would ask me, "Do I put one in the first hole and two in the next hole?" She would also dump all her pills in her pocket in case she had to go somewhere.
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The first real concern was after a blood pressure medication change. Mom could not understand the schedule of when to take her meds. She lives in my home, so I took over giving meds. Next time we saw the doctor I asked for a referral for a neurology appointment and she was diagnosed was ALZHEIMER'S. Three years later, she is still physically healthy at 91, pleasant and compliant but mostly incontinent, very confused and needs lots of help with ADLs. I'm glad we got an early diagnosis. It has helped me prepare for the challenges we have now.
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mommabeans Dec 2024
About 5 years ago, my mom had cataract surgery. We went home with very specific instructions for which drops to put in her eyes and when. She could not recall what the doctor said even though it was on the sheet they gave us. I wrote them down for her instead. Step 1, step 2. Including saying, "Wait 4 hours." and such. She still used the wrong med at the wrong time. Just could not figure it out.
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mommabeans: A precursor to my SIL with Alzheimer's was four years prior to dx when she drove her auto into a one way only highway with two of her grandchildren in the back seat. It was clearly marked in red, DO NOT ENTER.
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We were amazingly blessed that my mom maintained her sweet demeanor during 90% of her dementia diagnosis before she passed away. Her initial symptoms included unusual, repetitive questions, along with forgetting recent events. What exasperated her symptoms was when she and my Pop had to isolate because of Covid. Even though my mom had been diagnosed with dementia in 2019, she continued to play tennis on a competitive team. This came to an abrupt halt in March 2020. I mention this simply because isolation played a key role in the progression of my mom's diagnosis.

I moved in with my folks to be their caregiver, so I was able to spend the last two years of my mom's life with her.

Last year, when I mentioned some concern about having early signs of dementia, a physical therapist told me that forgetting where you put the scissors is not a sign of dementia. If you forget what scissors are for then it is worth discussing with a doctor.

This has been a very helpful barometer. ❤️
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kstay10 Dec 2024
The lockdown played a huge role in my mom's progression as well.
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I cannot pinpoint when 50 years of narcissistic traits turned into dementia behaviour. The mental gymnastics for her conspiracy theories were alarming. Example: newspapers and broadcasts were lying about the date. If they said today is Saturday, Dec. 28, 2024, she would go on for hours at a time about how she was going to publicly expose their lies to reveal the truth. She just needed to find an outlet brave enough to help her publicize her findings. She was going to expose so many people for such a variety of misdeeds. She insisted I was selfishly withholding treats from her which were actually inedible items, an example being dishwasher pods.

She’d always been obsessed with ways she’d been wronged, so again, it was tough to determine a specific time.
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LSUPixie Dec 2024
My mom also has always been obsessed with how she was wronged or slighted by someone either in the family, the church, strangers. The story always ended with her giving them a piece of her mind, telling them off and being the hero in her own mind. That never happened but that's how she told every story of every encounter even pre-dementia. I just thought it was her thing, she exaggerated EVERYTHING. She also has been a hypochondriac her entire life, any cold or flu that went around, she was sure she had it and had to go to the doctor or self-medicate. If anyone had something, she had it worse. That trait became worse over the years and possibly so with the beginning of dementia.
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It's not always easy trying to decide if what our loved ones/parents were doing was just age related, or if it was dementia. Example, my Dad's caregiver called me to let me know that Dad was tossing unpaid bills into the recycling. Mom had passed a few months prior and for their whole married life Mom did all the bill paying. Bills were not on Dad's radar, plus he was still sharp about other things.


Both hubby and I are not as quick on the draw when it comes to remembering names of people in the public eye. Usually the name will pop in our brain 5 minutes later or at midnight. No big deal, our brains are so full of information it takes longer to sort out.


Hubby has on occasion left the stove on, or forgot to close the freezer door. He's always been absent minded. One can follow his trail of open cabinets and left on lights. Heck, I've left on the stove myself back when I was in my 30's and 40's. We grew up back when stoves had a red light that would let us know the stove/burners were still on. Wish appliance companies would bring back that idea. Now if I looked at the stove and it said 425, that could be the time or the oven temp.


My folks developed dementia in their mid to late 90's. Mom's happened after a fall where she hit her head, she forgot how to walk along with other things. Dad's was probably just age related.
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This is an interesting topic.
If I look back probably 10 or 15 years BEFORE his diagnosis I can pick out isolated instances that were "off".
I think the one thing that got me to set up an appointment for him for a memory screening was the fact that he made a wrong turn on a road. For a brief moment I thought, no big deal it had snowed and the landmarks were obscured so it was easy to miss. But it kept nagging at me and a week later I set up the appointment.
From that time until his death was about 12 years.
So looking back the decline was probably 20 years. He was 63 when he was diagnosed.
I have said that figuring it all out is like looking at one of those pictures that looks like a regular picture but then you get closer and closer and you realize it is made up of hundreds of other pictures. You put all the pieces together and then it might make sense.

the big question is...would getting a diagnosis any earlier have made a difference...my guess is not. Would I have been more prepared....I don't think so. BUT I would have done some things that we put off. Travel is the biggie. Maybe getting him to an attorney so that I could have had legal work done that would have made things easier for me later on. (But I know he would have not agreed to that!)
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I'm realizing something similar; my mom's brother passed away about 10 years ago and it was like a sudden obsession talking about his death. Every conversation, every meal, it didn't matter that there were guests. At first, I thought it was because he was the first sibling to pass. Several years later, she became obsessed with talking bad about a family in our church, how awful they were as parents (not a thing), how bad their kids were (no more than any others)...once again, every conversation. She was always a negative person but it became an all-consuming trait.
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Finding unpaid bills, demand letters, and cancellation notice hidden in her room. This was going on for many years before we discovered it.
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BlueHeron Jan 2025
Hi Betty. I can relate! My mom's papers were a royal mess. Her filing system was nonsensical, and she hid letters too.
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My Mom answered The Door On Memorial day weekend 2016 and Looked 1000 times Older . I had seen her In February 2016 and she seemed fine - That was Our Last Normal 3 Hour conversation . She Had taken to sleeping and Xanax . I thought she was depressed - Dementia never crossed My Mind . Her friend called me in April stating " How could you leave your Mother Like that ? " Just very Odd and sudden . I Bought food and went to her House - she couldn't open the can Of soda - No strength in her Hands and I Noticed empty Yogurt containers and her stove was shut off . Not sure who shut off her stove and It didnt compute . Long story short the next 9 Months was really tough on me .
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