What were the first dementia signs you noticed?

Posted by bclane @bclane, Dec 22, 2024

My husband has vascular dementia as a result of at least 7 TIAs and 1 larger stroke as shown on an MRI. The only one we were aware of was a TIA in 2016. I'm guessing that some or all of the others may have happened in his sleep because there were no obvious signs like there were with the 2016 one.

Anyway, I've been thinking back to things that seemed "off" well before I started suspecting a problem. One thing was that he started mixing up pronouns. He'd refer to a female pet as "he" and vice-versa. He still does and he mostly does it with animals. He'll also tell a male pet that's he's a "good girl" and vice-versa.

When it first happened, it became a joke, but now I wonder if that was one of the first signs that something wasn't functioning the way it should. I'm curious if others can think of things that seemed "off" before the problem became obvious.

Interested in more discussions like this? Go to the Caregivers: Dementia Support Group.

@bclane

I went through that stage where I'd get annoyed and short with my husband. Now, that's not to say, I don't still have episodes of that, but I'm getting much better. I tell myself to follow the old advice of "count to ten" before saying something. And I'm starting to learn that many of the things that were irritating me aren't all that important to begin with.

My husband has always been a pretty easygoing guy and for the most part still is, but he can get stubborn and justifiably angry when I am obviously upset with something he did that he really can't help. I have learned that my tone of voice alone makes a big difference. If my tone makes it clear that I don't like something he did, he gets stubborn, but if I say the same words in a calm tone, he's fine with whatever I said.

What can I say—I'm a work in progress! 🙂

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We are so there. I have to watch what I say and how I say it. My husband is very sensitive to anything I say if it sounds like a correction or question of his behavior. He is getting more irritable. He loves when I smile, laugh, look calm but if I look frustrated ( which I am a lot) I have to be very careful.

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Hi, all caring caregivers! My brother sent this article and I really thought you might like it.
https://www.nytimes.com/2024/10/23/well/mind/caregivers-dementia-mood-changes-management.html?
Becky

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@elliottw

I've known my spouse for 45-years. About 20-years ago I noticed we would see the same TV commercial and she would laugh at the punch line, almost every time. Habit or early sign? She use to play Sudoku all the time. (Concern to keep her brain sharp?). Two years ago she asked me, "Where did you grow up?"

She now tells me stories of travels and accomplishments that I've never heard before that I doubt are true. I listen and nod and after she's done I usually change the subject to something different.

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The "creative" side of dementia is something my husband also experiences. He tells stories about things that I know didn't happen because they allegedly occurred since we've been together. I think it's a case of him trying to fill in blanks in his memory. And there have been at least three times I'm sure of that he didn't know who I was—didn't know my name, was surprised when I told him we'd been married 34 years, etc. I suspect there may have been other times based on the odd looks he gives me. In between, though, he knows who I am and calls me by name.

The odd thing is that when he doesn't know who I am, the "strange" woman (me) in his house doesn't seem to scare him. At least, so far he hasn't called 9-1-1 to report me. 🙂

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@becsbuddy

@elm123 Welcome to Mayo Clinic Connect ! I’m so glad that you found us and have already participated in the discussions. What can MCC help you with?

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My husband is still a nice guy, but no short term memory and got lost driving. I have to do everything, but it’s ok. I just hope he can continue to shower himself.

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@elm123

IT’s been about 3 years since I first noticed my husband had memory problems because he started being unable to drive places he should have known the directions for. Over this time he occasionally told me or other people a few outlandish stories that you knew right away had to be made up. He always forgets where he puts things and then spends hours looking for them. I had a hard time accepting his problem (I still do) because we have been married for 55 years and always depended on each other. Lately he has started accusing me of doing things which I did not do and getting mad at me. After a day or two of this we finally discuss it and he asks for my forgiveness! It’s really hard to deal with. We went to a neurologist and he did blood work and an MRI but said nothing showed up just a short term memory problem.

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Have you considered trying another neurologist that will take more interest & also do a neuropsychological
Evaluation? I can’t believe the doctor is unable to identify a problem based on the symptoms you described.

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@suegia

I found myself getting really annoyed with his stupidity and his lack of logic.
Trying to communicate has become very trying. He asks so many questions that seem rhetorical, but sadly are not. At times he would ask where the frozen food section is in the grocery store that we always go to. He is slow to switch gears His personality quirks somehow disappeared. He just hasn’t been himself. He has his first appointment with a neurologist in 2 weeks. He hasn’t been diagnosed yet. He is definitely off, but he thinks it’s normal.

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Hi @suegia, I can imagine your growing annoyance and impatience with the changes in your partner. Hopefully, the upcoming appointment will provide some answers why this is happening. As you prepare, you might find this discussion helpful:
- What is the benefit of a Neuropsychological testing?
https://connect.mayoclinic.org/discussion/what-is-the-benefit-of-a-neuropsychological-testing/
Is your partner concerned about the upcoming appointment?

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@loosly

My husband is still a nice guy, but no short term memory and got lost driving. I have to do everything, but it’s ok. I just hope he can continue to shower himself.

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Hi @loosly, My husband became resistant to showering and he had always been meticulous. He would shower once every five days after I pleaded with him to shower.
He broke his hip and while he was in rehab, I had the tub taken out and a shower bed installed with grab bars and a shower chair. When he came home, I realized it was easier to shower with him than to give him instructions from outside. When we're in the shower, he often asks, "What do I do now?"
I asked him why he didn't want to shower for so long and he said, "I just didn't know what to do."

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@bclane I noticed things were "off" with my hubby when he would bring me something other than what i asked for out of the frig or he couldn't remember what I asked for and i would get nothing from the frig. Or he would forget his sunglasses when we would go out and he used to ALWAYS remember them. And he starting forgetting to do things at work that he had worked at for 7 years. And numerous other little things that are too detailed to go into. But really made me decide to take him in to get checked was because of the show This Is Us. My hubby was showing some of the same signs as the main character and they took her in to get checked and sure enough, she developed dementia. If it wouldn't have been for that show, I probably would have let it go unchecked for a while. I was hoping and praying it wasn't alz caused by dementia but in the back of my mind I had a feeling it was, so I was somewhat ready to hear it, but it wasn't easy to hear and there was alot of tears from me...not so much from him tho. They say that the people closest to the one inflicted won't see the signs as much as ones who see them every so often, so if you suspect ANYTHING that is off, please get it checked. We all know there is no cure but I feel the sooner you get diagnosed the better you will be able to manage it because it's not just them being defiant or selective hearing or just ignoring you, etc, etc, etc. I was also doing some research about MCI so i could be a little educated and not so blindsided when he started testings.
May you find peace and strength during this difficult journey

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Looking back, my first hint was my husband started having trouble doing the steps at the self-serve gas pump. He can get impatient and I would get annoyed, thinking he was rushing and being ridiculous. I wouldn’t say anything, but I would get out and do the steps and he would complain the pump kiosk wasn’t working right. Then, more and more difficulty, much later I realized I had become the proverbial frog in the boiling water.

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I had noticed some small things that concerned me, like not remembering where a picture was taken after I made the comment I liked the picture of he & I. (It was our son’s wedding).

What actually led to further testing was a follow up appt. with a neurologist after having a TIA then an endarterectomy for a 90-95% blockage of his left Carotid artery. On follow up with the neurologist he could not state who the President was he was asked. I was appalled!!! He talks politics all the time. To me it was unfathomable that he couldn’t answer that. He could say who wasn’t the President naming previous presidents that were not in office but not the present one. That got him an appointment with a neuropsychologist that diagnosed the Mild Cognitive Impairment. The hardest part of those findings was yes, there is an issue. We don’t quite know why, it may stay stable or it could get worse. So now we live with uncertainty and pray.

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