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Medical Forum / Diseases and Disorders / Alzheimer's / May 2004

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Bob Vaccaro - 05 May 2004 04:17 GMT
I've been lurking in this group over the last several weeks, along with
researching information to try and get a handle on what may be going on with
my Dad.  Over the last three months or so, his short-term memory has gotten
gradually worse.  Initially, he had some forgetfulness, plus some strange
physical problems.  For example, while playing cards, he had trouble pulling
certain cards from his hand, but no problem with others.  He also had
problems with pushing certain numbers on the phone, but not others.  We took
him to the emergency room, worried about a possible stroke, but the CAT scan
and other tests showed no stroke.  He had been on Zoloft, because his doctor
thought there was some depression, and thinking this may be the cause of his
memory loss, was weaned off, but no improvement.  He has seen a neurologist,
who prescribed Lexapro, since he felt depression could be causing the memory
loss.  When this didn't help, the neurologist suggested he see a
psychiatrist - his thought was that, if depression played a role, it could
be treated.  The psychiatrist recommended upping the dosage of Lexapro from
10 to 20mg, but did not rule out dementia. Dad's short-term memory just
seems to be getting worse.  Once in a while he seems to have a good day
(like yesterday), but then a bad day follows.  He can be talking to someone
on the phone, and within minutes, not remember this call ever took place.
He often asks the same questions over & over - a lot of repeating. He
usually knows the day of the week, but continually asks to make sure.I fear
this may be Alzheimer's or some form of dementia, but it also seems to be
happening much quicker than I thought dementia would occur. Does any of this
sound familiar, and does anyone have any thoughts?  Thanks.

Bob
Dennis P. Harris - 05 May 2004 04:40 GMT
> Dad's short-term memory just
> seems to be getting worse.  Once in a while he seems to have a good day
[quoted text clipped - 5 lines]
> happening much quicker than I thought dementia would occur. Does any of this
> sound familiar, and does anyone have any thoughts?  

it's *very* familiar to many folks!  please run, not walk, to the
nearest bookstore and buy a copy of "the 36 hour day" and you
will see that it's very common.

you need to have his primary care doc refer him for a thorough
neuropsychiatric exam that includes congnition testing, usually
the MMSE, see
http://www.galter.nwu.edu/geriatrics/chapters/mini-mental_exam.cfm

they will also test for medication interactions, thyroid
problems, blood sugar, and other things that can reveal an
underlying medical problem that could be causing memory problems.
Evelyn Ruut - 05 May 2004 12:49 GMT
> I've been lurking in this group over the last several weeks, along with
> researching information to try and get a handle on what may be going on with
[quoted text clipped - 22 lines]
>
> Bob

Dear Bob,

It sound VERY familiar.   It is exactly how my mother in law's dementia
began.   There are many other possible causes, and it sounds as though you
have been getting good medical advice to rule those out.   The diagnosis of
Alzheimers is usually a default diagnosis, when all other things are ruled
out.

Dennis' advice about getting a copy of the 36 hour day is right on.
Fortunately early in the game I found this newsgroup and the excellent
advice I received here helped us the most.   It has been three years since
then, and my mother in law has since been placed in a nursing home, but this
group has seen me through it all.

There are a few other resources you ought to try to put together for
yourself just at this time.  Search out if you have a good adult daycare
center in your area.   Also a top Elder Law attorney to take care of the
legal stuff.    If you have a local support group that meets near you, that
can also be wonderful.    Good luck and keep up your courage.   You don't
have to go down this road alone.

Welcome to the group, and I hope you find it as helpful as I have.
Signature

Regards,
Evelyn

(to reply to me personally, remove 'sox")

OcnGypZ - 06 May 2004 21:52 GMT
>Subject: New To The Group

Sounds as though your Dad needs a complete geriatric assessment.

Rather than a CAT scan, FMRI's and PET scans are more useful.

There are different types of dementias.. each presenting different symptoms.
Alzheimer's is just one of several dementias.  Especially with the motor-skill
problems you mentioned, your Dad needs a very thorough assessment.

The online Merck Manual of Geriatrics provides very good descriptions of the
various types of dementias.. and their presenting symptoms.  Keep yourself a
notebook of Dad's symptoms.  It will come in handy once Dad starts the
assessment.

We all hate to be here... but we do it because we love our family members.
 
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