If you read Jim Brady's book, which is a difficult read at best, you will notice that there can be brain improvement with high amounts of therapy and vocational support if you are at middle age rather than late age. I was determined to help my 80-year-old mother after her stroke in the same area of the brain as Brady's, but no therapy helped, and I only aggravated the neurologist and spent a lot of Medicare money trying. Let's just say her brain was "fried" and she never walked again, and she gave up talking. She could think, which I saw in her eyes, but expressing it was hopeless. She never forgave me for keeping her in the nursing home. I could see it in her eyes. I still believe that improvement is possible in the earlier years. I have no idea if my husband had seizures, but he was on seizure medicine after brain surgery, and concealed very problem possible. His behavior was strange while on the medicine and it was almost impossible for me to tolerate having him in the house 24 hours a day and cooking three meals while caring for five young grandchildren. I hired a nanny.
The details in the Brady book can be helpful for some people if they are at a younger age. The vulgar language used was a bit to get passed, but with enough therapy, Brady showed that improvement can happen. I would think that with MCI, the improvement would be much easier to achieve. Dorisena