Here's the history, so far . .
My husband (age 70) went to the doctor a couple months ago & she decided to
discontinue one of his meds (he's diabetic & has high cholesterol). The
next day I asked him about the med - he had completely forgotten that she
had told him to stop the med. Then he admitted to me that he was having
problems remembering. His Mom and half brother both had/have Alzheimers.
I've noticed in the past few months that he gets really confused with
directions when coming out of a parking lot if he happens to go out a
different way than he went in although he has no problems driving.
I also had noticed his memory lapses when it came to his medical care.
However, I attributed this to the fact that he has never had to deal with
any medical problems before and just doesn't even understand what is being
said (he is also pretty hard of hearing). I haven't really noticed memory
lapses in other facets of his life except the medical end of things.
Our nurse practitioner (after finding about the memory lapses) ran the
necessary lab tests and CT scan (they all came back ok). Then she did a
memory test and dexterity test - these I haven't had a chance to really talk
to her about yet, but she said they show some loss of memory.
We have an appt with her on Tuesday to discuss treatment options. She has
mentioned seeing a neurologist now or waiting to see what happens. She also
mentioned starting him on one of the meds being used now.
What questions do I need to ask? Does he need to see the neurologist now?
So much to think of - I was completely unprepared for something like this
happening even with the Alzheimers in his family.
Any and all help and suggestions will be greatly appreciated. I just found
your ng & have read some of the messages so far. Looks like you're a very
helpful, kind group.
Didn't mean to be so long-winded :-)
Donna

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Donna in Idaho
Project Linus Boise/SW Idaho Coordinator
Website: http://donnakwilts.tripod.com/
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Donna, absolutely, he needs to see a specialist as soon as possible,
and you are doing the right things.
You need to know what is going on, and what the underlying cause is -
so comprehensive assessment as to the extent and cause of his problem
is crucial.
There are many causes of memory loss and confusion, so it needs expert
examination (i.e. is it strokes? is it Alzheimer's? is it from B12
deficiency? etc. etc.)
A solid diagnosis will also help both you and your husband make
informed decisions, in terms of what can be done to help, what the
prognosis is, and what plans need to be in place for the future. You
need to know what you are up against, so you can prepare and plan for
what might happen next, particularly if you are in the US and up
against potentially daunting costs for care.
If he does have Alzheimer's, there are some newer medications that can
slow down the progress of the disease in many people - and obviously,
the time to start those medications is as early in the game as
possible, when the person is the most intact.
Another reason to have a good assessment done is to figure out just
how impaired he is. When my mother-in-law was in early AD, she was
assessed by a psychometrist who put her through the kind of cognitive
tests you might put a person through when looking for learning or
perceptual problems. It was very shocking, because she was much worse
than any of us realized, even though many family members were very
close to her and spent a lot of time with her. She managed to cover up
her deficits, and no one realized that her problems went far beyond a
little memory issue. It was key information to get us all out of
denial and into action.
By the way, I can't imagine what she's thinking suggesting you could
wait and see. Things like this never get better, just worse, so
waiting and seeing is never a good strategy i.e. he may not be as safe
driving as you think. If he has AD, it isn't just memory thats
impacted, but depth perception, reaction time, judgement etc.
God bless, and get him in to see a neurolgist or geriatric
psychiatrist ASAP for both a complete exam and diagnosis, plus
assessment of the current extent and nature of his deficits.
Mary G.
Mike - 19 Jul 2004 23:18 GMT
Very good advice here. Get in to see a specialist ASAP.
If it is Alzheimer's, the sooner the drugs are started, the more time you
will have.
I am sorry you are having to deal with this. It is never easy to have to
face this possibility.
- Mike, Friendswood, Texas
> Donna, absolutely, he needs to see a specialist as soon as possible,
> and you are doing the right things.
[quoted text clipped - 40 lines]
>
> Mary G.
Donna in Idaho \(remove invalid\) - 20 Jul 2004 00:22 GMT
Mary, thank you for your answer. I think I'm really in denial right at the
moment - keep thinking that there has to be something else causing his
memory lapses (heaven knows we all have those at our age!). The appt is
tomorrow morning. I just hope our regular nurse practitioner is there - she
is about to deliver at any moment. That said - I have to go finish the
little quilt I'm making her baby.
Thanks again for taking the time to answer my questions.
Donna

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Donna in Idaho
Project Linus Boise/SW Idaho Coordinator
Website: http://donnakwilts.tripod.com/
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> Donna, absolutely, he needs to see a specialist as soon as possible,
> and you are doing the right things.
[quoted text clipped - 40 lines]
>
> Mary G.
Darryl - 20 Jul 2004 03:45 GMT
>Mary, thank you for your answer. I think I'm really in denial right at the
>moment - keep thinking that there has to be something else causing his
>memory lapses (heaven knows we all have those at our age!). The appt is
>tomorrow morning.
As Mary has indicated, there are many things that can cause impaired
cognition. AD is only one of them.
>I just hope our regular nurse practitioner is there - she
>is about to deliver at any moment. That said - I have to go finish the
>little quilt I'm making her baby.
What's a nurse practitioner? A RN with a little more training? Based
on your initial post, I'd recommend side-lining the nurse
practitioner. Dementia should be treated by nothing less than (as
Mary has suggested) a neurologist or a Geriatric Assessment Unit. In
the chance that it is an innocuous cause, a wait-and-see approach is a
bad choice.
Did the nurse practitioner perform a mini-mental state exam (MMSE) or
a clock-drawing tes? Out of curiosity, which drug was dropped from
your husband's regimen? Is he a type-2 diabetic?
Good luck tomorrow,
Darryl.
p.s., welcome to the club that none of us wanted to join.
We saw the neurologist today and he started him on Reminyl. He will go back
to see the dr in 30 days. All of his lab work and CT scan came back ok, so
there isn't anything physical that they could find.
I'm hoping the Reminyl will buy us some time.
Thanks for all the replies I received to my original post to this ng.
Donna

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Donna in Idaho
Project Linus Boise/SW Idaho Coordinator
Website: http://donnakwilts.tripod.com/
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"Donna in Idaho (remove invalid)" <daawra3553@yahoo.com.invalid> wrote in
message news:hwFKc.254$Fz6.67@news02.roc.ny...
> Here's the history, so far . .
>
[quoted text clipped - 34 lines]
>
> Donna