Diagnosed with MCI: Should I be super concerned yet?

Posted by ranchgirl3 @ranchgirl3, Feb 23 5:01pm

I just took the MoCa test at my doctor’s office and was diagnosed with Mild Cognitive Impairment. I will be turning 70 in 2 months. What that test doesn’t take into account is the minor disorientation I have from time to time. For instance, shopping at the market I have shopped at for 20 years, and I didn’t remember where the butter was. I’m a little concerned this is a bit more than MCI. Should I be concerned yet? i’m wondering if I should start planning for progression sooner rather than later.

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I'm not sure what a MoCa test is but I know my husband with diagnosed early MCI in august 2025 had an MRI and Pet Scan, and some other tests that helped to diagnose his. I'm 77 and I find I forget where I park the car, etc., but if your doctor diagnosed early MCI, I think you should follow through on those other tests. Unless MoCa bundles it all together. I don't know.
I sat next to someone yesterday during my husband's lequembe infusions for Mild (early) Cognitive Impairment, and he's on his 20th infusion. His wife told me, that he was able to remember how to fill out the doctor's form, from the infusions. So early diagnosis and treatment is a good thing. Follow up with your doctor again, to see if what they diagnosed makes you a candidate for Medicare approved "lequembe" infusions. Hope this helps.

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The Montreal Cognitive Assessment (MoCA) is a 10-minute, 30-point screening tool designed to detect mild cognitive impairment (MCI) and early Alzheimer's, with 90% sensitivity. It assesses memory, executive function, attention, language, and orientation. A score of 26 (out of 30 )or higher is considered normal, while 25 indicates Mild Cognitive Impairment.

My husband scored 24 in 2023 ( MCI)
22 in 2024, and 20 in 2025 ( Alzheimer’s diagnosis )
You get the picture.

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Profile picture for 4goakley    Kathy @4goakley

The Montreal Cognitive Assessment (MoCA) is a 10-minute, 30-point screening tool designed to detect mild cognitive impairment (MCI) and early Alzheimer's, with 90% sensitivity. It assesses memory, executive function, attention, language, and orientation. A score of 26 (out of 30 )or higher is considered normal, while 25 indicates Mild Cognitive Impairment.

My husband scored 24 in 2023 ( MCI)
22 in 2024, and 20 in 2025 ( Alzheimer’s diagnosis )
You get the picture.

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@4goakley thank you. You gave me what I was looking for. My score was 22.

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Profile picture for kjc48 @kjc48

I'm not sure what a MoCa test is but I know my husband with diagnosed early MCI in august 2025 had an MRI and Pet Scan, and some other tests that helped to diagnose his. I'm 77 and I find I forget where I park the car, etc., but if your doctor diagnosed early MCI, I think you should follow through on those other tests. Unless MoCa bundles it all together. I don't know.
I sat next to someone yesterday during my husband's lequembe infusions for Mild (early) Cognitive Impairment, and he's on his 20th infusion. His wife told me, that he was able to remember how to fill out the doctor's form, from the infusions. So early diagnosis and treatment is a good thing. Follow up with your doctor again, to see if what they diagnosed makes you a candidate for Medicare approved "lequembe" infusions. Hope this helps.

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@kjc48 thank you!

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In reply to @ranchgirl3 "@kjc48 thank you!" + (show)
Profile picture for ranchgirl3 @ranchgirl3

@ranchgirl3 Best of luck! This whole MCI thing is scary, but when we reach out as you did, and get as much information as we can from others, it helps me "lighten" the worry, a bit.

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I also wanted to add since many people on this site have been asking about lequembe success (the infusions). I've gotten really good feedback on the lequembe infusions. but I found out yesetrday, that lequembe is 36 infusions, - I thought it was an 18 month treatment. Apparently, Kinsula treatments are 18 months. From what I'm reading, and hearing from other spouses in the room waiting for their partner on infusion day, they are seeing progress further into the treatment. Here's hoping ....... HOpe this helps.

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Greetings, and applause for being proactive.
First up, determine your Power of Attorney while you are still considered 'of sound mind' to make the decision. Also, Advanced Directive and update your will.
Not much other advice, except see a Neurologist or Neuropsychologist for professional advice and discussion of meds (and they may suggest the Mediterranean Diet or the MIND diet).
Seems like you do not have Anosognosia like my husband (he has behavioral variant Frontotemporal dementia), which means he has no self-awareness that he even has an issue.
You seem highly functioning, so that is in your favor.
Folks on this platform are very helpful!
All the best to you. 🌻

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Profile picture for judimahoney @judimahoney

Greetings, and applause for being proactive.
First up, determine your Power of Attorney while you are still considered 'of sound mind' to make the decision. Also, Advanced Directive and update your will.
Not much other advice, except see a Neurologist or Neuropsychologist for professional advice and discussion of meds (and they may suggest the Mediterranean Diet or the MIND diet).
Seems like you do not have Anosognosia like my husband (he has behavioral variant Frontotemporal dementia), which means he has no self-awareness that he even has an issue.
You seem highly functioning, so that is in your favor.
Folks on this platform are very helpful!
All the best to you. 🌻

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@judimahoney thank you for your advice. 5 years ago, when I retired, we did set up POA and trust. Also, just did my Advance Directive so I’m all set there. I’m very concerned about how fast this will progress and I understand everyone is different. I am getting bloodwork done tomorrow and have to set up an MRI. It’s all so frightening!

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Profile picture for ranchgirl3 @ranchgirl3

@judimahoney thank you for your advice. 5 years ago, when I retired, we did set up POA and trust. Also, just did my Advance Directive so I’m all set there. I’m very concerned about how fast this will progress and I understand everyone is different. I am getting bloodwork done tomorrow and have to set up an MRI. It’s all so frightening!

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@ranchgirl3
Here's hoping you have someone there to hold your hand. 🤝 😊

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Profile picture for judimahoney @judimahoney

@ranchgirl3
Here's hoping you have someone there to hold your hand. 🤝 😊

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@judimahoney I do, thank you. My husband of 48 years. I am very concerned about him!! I will be giving him this group info for when I progress.

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