Alzheimers care and treatments: Consult with Mayo Clinic?

Posted by japlok @japlok, May 12, 2025

My wife was just diagnosed with AD and is currently on Donepezil. She will be taking a MMSE test in a couple of weeks to see if she qualifies for Leqembi or Kisunla. Does anyone recommend trying to get a consultation with a doctor at the Mayo in MN or stick with my current doctor? I'm looking for the best 'team' to help my wife and don't want to miss any opportunity if one is there. I have done nothing but read about the disease and tried to find any information on advancements to cure AD or slow it down significantly but haven't found anything that is promising. I read about using ultrasound to allow for the medication to attack the plaque quicker and also something called Perispinal Etanercept where an FDA approved drug for arthritis is used for AD treatment. I just need help with our path forward.

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

Profile picture for paul55 @paul55

My wife has just been diagnosed with mild cognitive impairment and AD. She is going through the process to begin Kinsula infusions--hope to start in May. Our neurologist is in the Twin Cities and seems fine, but I wanted to get a second opinion, consult, at Mayo in Rochester. Thinking Mayo would be on top of any new developments, treatments, etc. Anything to give us more hope. Got through the initial process so she will have a consult, but we were told there is a waiting list and it might be 3 months to a year. Disappointing, to say the least, tho I understand there are lots of folks getting this diagnosis.

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@paul55 I am taking my husband(74) to Mayo in Rochester for the four day testing regimen next week. We were on the wait list for four months, after his neurologist made the referral. When I inquired without the referral it was a 6 month wait to make an appointment.
I got a call in January for a March 30 appointment. I am not sure if they schedule quarterly or bi annually.
I am relieved to finally have a diagnosis as to what type of dementia he has. I hope that the results will help plan for our future.
Hang in there and remember patience is a caregiver’s mantra.

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Profile picture for upgirl2013 @upgirl2013

@paul55 I am taking my husband(74) to Mayo in Rochester for the four day testing regimen next week. We were on the wait list for four months, after his neurologist made the referral. When I inquired without the referral it was a 6 month wait to make an appointment.
I got a call in January for a March 30 appointment. I am not sure if they schedule quarterly or bi annually.
I am relieved to finally have a diagnosis as to what type of dementia he has. I hope that the results will help plan for our future.
Hang in there and remember patience is a caregiver’s mantra.

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@upgirl2013 thanks for your information. Hope things go as well as possible. Just wondering what you told your local neurologist was the reason you wanted a referral to Mayo? Just that you wanted a second opinion or something else, or was it your local neurologist idea. Based on your info, I am thinking of asking our neurologist who is a Alzheimer’s specialist, for a referral if it will speed things up. But obviously I don’t want to alienate our local neurologist. I think any good doctor would not object to getting a second opinion, but who knows.

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Profile picture for paul55 @paul55

@upgirl2013 thanks for your information. Hope things go as well as possible. Just wondering what you told your local neurologist was the reason you wanted a referral to Mayo? Just that you wanted a second opinion or something else, or was it your local neurologist idea. Based on your info, I am thinking of asking our neurologist who is a Alzheimer’s specialist, for a referral if it will speed things up. But obviously I don’t want to alienate our local neurologist. I think any good doctor would not object to getting a second opinion, but who knows.

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@paul55 Mayo must have changed their policy because in the past they required a referral before they would even consider you for an appointment. I would not hesitate to ask your local doc for a referral. That should not be an issue. I told our doctor it was for a second opinion. If your neurologist has an issue with it, maybe time to find a new doctor.

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Profile picture for paul55 @paul55

@upgirl2013 thanks for your information. Hope things go as well as possible. Just wondering what you told your local neurologist was the reason you wanted a referral to Mayo? Just that you wanted a second opinion or something else, or was it your local neurologist idea. Based on your info, I am thinking of asking our neurologist who is a Alzheimer’s specialist, for a referral if it will speed things up. But obviously I don’t want to alienate our local neurologist. I think any good doctor would not object to getting a second opinion, but who knows.

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@paul55 my husband’s neurologist is based in Green Bay and saw my husband twice in person and twice on a Telehealth visit. One year ago I asked for a definitive diagnosis and the neurologist said MCI with a possibility of early onset Alzheimer’s. On our last Telehealth visit I started with the request for a referral to Mayo. I was relieved that his response was very positive. The neurologist was willing to keep my husband on Aricept and the supplement Membrin indefinitely. My husband’s symptoms and mental capabilities were changing. My husband has scored 13/30 on the MoCA test two years in a row. I am frustrated that we do not know which type of dementia that we are dealing with. If your local neurologist is professional, he/she will give you a referral and continue to follow Mayo’s suggested protocol. Good luck!

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Profile picture for trishaanderson @trishaanderson

@proth1018
Thank you for taking the time to give me such a detailed response.
We live in Scottsdale and have been with Mayo for many years, and yes, we think they are the best.
My husband was diagnosed with MCI in 2012, and frankly, there wasn't a whole lot they could do, but support us. We have tried just about everything that was available at the time and it probabley did buy him some more time. By the time the new infusion drugs were being used, my husband's Alzheimer's was already too far along to qualify.
I do agree with thegobalnomad1 the HABIT program was great very much worth the time and money. We both learned a lot and really enjoyed not only the staff but the other couples. It was just so nice to be with other people who understood.

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@trishaanderson @theglobalnomad1 @jlharsh and everyone, you may also be interested in following the Mild Cognitive Impairment (MCI) Blog https://connect.mayoclinic.org/blog/living-with-mild-cognitive-impairment-mci/

It is a blog on Mayo Clinic Connect written by the 3 Directors of the HABIT program and team members. HABIT stands for Healthy Action to Benefit Independence & Thinking®

Here's more information about the HABIT program: https://connect.mayoclinic.org/blog/living-with-mild-cognitive-impairment-mci/tab/resource-5394/

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Profile picture for trishaanderson @trishaanderson

@jlharsh The HABIT program we attended in 2017 at the Scottsdale campus was 2 weeks, with a 1/2-day reunion 6 months later.
Our doctor at Mayo had referred us 3 years earlier, but my husband refused to do it at that point.

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@trishaanderson Our HABIT reunions in Jacksonville are monthly and my husband wouldn't miss them! He balked a little at going to the HABIT program at first but had just been diagnosed and realized we had to do as much as we could to learn more. He agrees it is THE best program for anybody dealing with this. I think we learned at least a semester's worth of info, all of it helpful, interesting, and life- changing for both of us.

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Profile picture for theglobalnomad1 @theglobalnomad1

@trishaanderson Our HABIT reunions in Jacksonville are monthly and my husband wouldn't miss them! He balked a little at going to the HABIT program at first but had just been diagnosed and realized we had to do as much as we could to learn more. He agrees it is THE best program for anybody dealing with this. I think we learned at least a semester's worth of info, all of it helpful, interesting, and life- changing for both of us.

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@theglobalnomad1, your HABIT reunion experience as a caregiver sounds fantastic, and hopeful! Some comments are just so peaceful to read and yours impacts me this sway. I love, love, love this! hope you don’t mind me digging a bit.

What convinced your husband to go to the initial program? You mention it has been life-changing for both of you. Would you share how this has affected you specifically?

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Profile picture for theglobalnomad1 @theglobalnomad1

@trishaanderson Our HABIT reunions in Jacksonville are monthly and my husband wouldn't miss them! He balked a little at going to the HABIT program at first but had just been diagnosed and realized we had to do as much as we could to learn more. He agrees it is THE best program for anybody dealing with this. I think we learned at least a semester's worth of info, all of it helpful, interesting, and life- changing for both of us.

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@theglobalnomad1
Our program was in 2017, and they only did the one 6-month reunion. They may do monthly ones now. I think it's such a great support group.

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