Is it MCI or Dementia?

Posted by tay1 @tay1, Mar 17 1:53pm

My Significant Other and I have been together for 29 years. For as long as I have known him, he has had a poor memory. Lately he seems to have more memory lapses - doesn’t remember even recent events. His hearing is really bad too and I don’t know if he is just ignoring me, or really can’t hear. He can’t seem to focus on more than a couple things at a time. He has a cell phone and can’t remember how to do things, even though I have shown him multiple times. This has become a very real irritant to me. He gets upset with me if I ask him if I can see his phone because I don’t know what he is doing - doesn’t explain well enough. He tells me to tell him what to do on his phone and I can’t help if he won’t let me see it. Then he tells me to just show him what to do but he doesn’t remember even if I show him. I lose patience a lot! I have days where I vow to myself that I will not be impatient, and then he does or says something that triggers me and I get upset. My tone can be pretty harsh along with my facial expressions and words. I love him but he is driving me crazy. How do I learn to cope with this?! He is 84 in April. I am 78 and I have a good memory but he accuses me of not knowing what I’m talking about. Lately I feel like may be I am losing my memory and mind. In addition to all this, he walks stooped over and says he can’t stand up because his back hurts. His feet hurt. He has neuropathy. Everyday it is a new health issue. He orders every supplement he can think of or that he reads about. Sorry for the rant but I don’t know how to deal with this. We play memory card games and he is pretty good at that if he stays focused. We play ping pong almost everyday and love doing that together. And we try to walk a little everyday. I think others have noticed his decline but I am hesitant to mention my concerns and they don’t mention it either. What can I do for him?

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@vier44

My husband & I have been married for 57 years - we were high school sweethearts!! He also has similar problems except that he has been diagnosed with Lewy Body Dementia - (which means in addition to memory problems, he "sees things, people, animals that are very real to him_ --- like your husband, - this has been coming on for several years - (since we both had Covid Feb 2020 - we both think it was brought on by Covid but Drs just ignore our idea - Feb 2020 was before testing - before shutdown - before we, the public, knew much about Covid!)
The memory issue was the first thing I & our daughter & son noticed - all of sudden, he couldn't remember how to play cards (500 - & Rook card games -- & he was a good card player) He had trouble golfing, then his eye sight was bad - he had to have surgery for Stramisbus (lazy eye) - he couldn't drive as he was seeing double! His hearing in right ear has always been poor, we've had 3 different hearing aids (all more costly than the last) but his hearing just kept getting worse -(which also contributes to Dementia because it cuts off information brought into the brain by hearing) --- we've finally been able to find a neurologist through Mayo clinic in Rochester, MN who prescribed a PET scan, which confirmed the diagnosis of Lewy Body Dementia. (Hard diagnosis as Drs/research still don't know what caused it or how to stop the progression)
However, there has been some hope - Dr Botha (Mayo Clinic Neurologist) affirms that HEALTHY DIET (Mediterranean Diet with emphasis on GREENS, FISH, CHICKEN, NUTS) EXERCISE - (to make your heart work - weights, balance, walking 1/2 hr/day), WATER HYDRATION, & STAYING SOCIAL will do the most to combat the progression. (having said that - my husband argues that exercise can be vacuuming, lawn chores, etc. -- but Dr Botha suggested he think of Diet, Exercise, Hydration, Socialization are prescriptions - drugs, that will help slow the progression. (My husband takes Aircept, which is a Dementia drug that is supposed to make hallucinations less bothersome (?) - he's been on High Blood Pressure meds for years, & he takes potassium, & daily Vitamin.) He also have been approved for a Cochlear Implant in right ear - the Surgeon (Mayo Clinic) assures us that any help the brain can get to bring information into the brain, will be advantageous!!)

I too, run the gamut of patience, frustration & then angry outbursts at my husband, or at the whole diagnosis. (I have bouts where I'm angry at God for not taking this away - my husband has been a patient, Jesus trusting believer his whole life -- so I question why God doesn't take this away. But I too, Believe Jesus died for me & I hold on to that fact when I am angry!!) ( and of course the people in Ukraine, Russia, Israel, Gaza, & many countries across the world, suffer much more than we do!!)
We rec'd the March 2024 AARP Bulletin - "THE FUTURE OF ALZHEIMER'S" -- that too, gives us hope! If you haven't read it - get a copy - it helps to know "they" are finding ways to combat Dementia/Alzheimer's - and the myriad of diseases that can cause it!

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@vier44 Welcome to Mayo Clinic Connect! I’m glad you found this site and that you’ve posted already! I love that you’ve shared the information the doctor gave on diet and exercise.
Members in this group are great! I know you will like them.
Is there anything specific that you would like to know from them?

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@tay1

Thank you for your reply. You are correct - he doesn’t trust doctors and he has begun to mistrust his primary care doctor. I don’t trust his primary care doctor either and I get the feeling from his doctor that he just rushes SO through and doesn’t really listen. SO goes for his wellness checkup every year m, where they have him draw a clock with hands, remember words that are given to him at the beginning of the exam, etc. I have gone to a couple of those with him and I feel like there is no communication from the doctor regarding the results of the exam. Any issues he has with pain in any areas of his body - back pain, neuropathy, hearing loss etc are referred to a specialist, only at the request of SO and then we have to follow-up to make sure it happens. Sometimes we just do our own research to find a specialist and then SO loses confidence in them too. 😳 SO does his own research online about supplements. He keeps saying he is going to find a new primary care doctor, but he doesn’t take the initiative to do it. I will see what I can do about helping him find a new primary care doctor. Thanks for your concern. We both have good days and bad days - the good peppered with bad - at times!

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Hi, when I knew my husband was acting differently we had his Doc refer to a Neuro clinic. They did 3 hours of testing to come yup with a diagnosis.
I wonder if you need to kick it up a notch and make an appointment with his Doc without him, just so you can get advice and next steps. Maybe he'll end up coming with you if you tell him you are so concerned you made an appointment, and maybe your insurance company website has a search for providers so you can see their ratings and choose a Doc that's a better fit. Good luck to you!

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@judimahoney

Hi, when I knew my husband was acting differently we had his Doc refer to a Neuro clinic. They did 3 hours of testing to come yup with a diagnosis.
I wonder if you need to kick it up a notch and make an appointment with his Doc without him, just so you can get advice and next steps. Maybe he'll end up coming with you if you tell him you are so concerned you made an appointment, and maybe your insurance company website has a search for providers so you can see their ratings and choose a Doc that's a better fit. Good luck to you!

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I am looking for a geriatrician for him and for myself. We both need to find new primary care physicians, and geriatricians at our age might be a better fit. Thanks for your suggestion because it reinforces what I am trying to do. 😊

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@tay1

Thank you for your reply. You are correct - he doesn’t trust doctors and he has begun to mistrust his primary care doctor. I don’t trust his primary care doctor either and I get the feeling from his doctor that he just rushes SO through and doesn’t really listen. SO goes for his wellness checkup every year m, where they have him draw a clock with hands, remember words that are given to him at the beginning of the exam, etc. I have gone to a couple of those with him and I feel like there is no communication from the doctor regarding the results of the exam. Any issues he has with pain in any areas of his body - back pain, neuropathy, hearing loss etc are referred to a specialist, only at the request of SO and then we have to follow-up to make sure it happens. Sometimes we just do our own research to find a specialist and then SO loses confidence in them too. 😳 SO does his own research online about supplements. He keeps saying he is going to find a new primary care doctor, but he doesn’t take the initiative to do it. I will see what I can do about helping him find a new primary care doctor. Thanks for your concern. We both have good days and bad days - the good peppered with bad - at times!

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Does he have insurance that will cover a neurologist? If so, can you ask your doctor to refer one if you need a referral? I am going through this with my mother due to her having memory loss which was started due to a severe UTI and with her not taking her thyroid medication (she had hers removed when she had thyroid cancer several years back). She has been in the hospital three times since February but seems to be doing better now that I got her home healthcare and got her medication back on track and she’s walking every day. But my point is that I ended up taking her to Neurologist and I will be taking her back on May 2. She lives four hours for me so I stay 3 to 5 days with her every time I go. She is 86 and my stepdad is 92 to Neurologist cause it’s about 40 minutes away. Her Neurologist not only did visual and verbal test (which she failed miserably) but he also did an EEG. Since she got started on her thyroid meds correctly and things seem to be improving, he did not want to give her anything to help her with her memory until she has taken her meds on a regular basis. He wants to see if that was the cause of her memory loss and dementia state… Sometimes a UTI or not taking thyroid meds can mimic dementia , But when we go back to see him to see if her memory is better, he will give her something to help her with her memory. There is medication out there that will help clear up the brain fog and slow down the process of dementia. Just an idea to see if you can get to Neurologist … My mom’s neurologist is awesome and very nice and very thorough. Hospital My father passed from Alzheimer and my brother was taking care of him and it is very very hard for someone to take care of someone with dementia. if you happen to get upset sometimes just remember you are only human. May God bless your husband and you!

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Wonderful that you are both doing what you can to enhance memory. It’s not unusual for memory to deteriorate with age. And yes, dementia can start quite late in life. The important thing is to continue to work on patience as it’s an extremely useful skill as you both prices on this journey.

The stooped posture can be indicative of Lewy Body Dementia/Parkinsonism’s. If you can get him to agree to a neuro-psych evaluation it could be helpful.

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