My husbands PCP is also a close friend. I think he was in denial until I told him I wanted my SO to see a neuropsychologist. His friend then referred us to a geriatrician who specializes in dementia. That is where we got the diagnosis of MCI in March 2023. We then saw two neuropsychologists for months after. Never saw a neurologist. No medications just a ton of supplements all prescribed by the neuropsychologist.
Along with continued exercise, a Mediterranean Diet that includes meat, socialization, and brain games. We do it all.
When I asked the geriatrician whether he needed to start Aricept or other meds he said- no. Continue whatever you are doing. He knows little about any of the supplements but felt good about what we are doing to keep things from progressing too fast.
Every individual with cognitive impairment has a different brain and body and needs a good doctor to SEE THEM. Some may need helpful meds, but for others meds may not be helpful.
Balanced exercise is the best medicine that all his docs agree on. My husband goes to the gym and walks. But all that may be prolonging life in his body. We need the brain to keep up.
This disease that causes confusion to the patient also is confusing to caregivers and doctors.
In the end all we can do is enjoy the moment.