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Important thing now is that there have to be answers. You will need to stick together as a family, and start that diary of everything, time date and action.
A call to the MD is important now. If he refuses to make an appointment your Mom will have to call and ask what steps she can take next.
I am so sorry you are dealing with this, and it makes it doubly difficult when the elder resists treatment and diagnosis.
Hope you will update us, Hillery; welcome to Forum and so sad it has to be under these circumstances.
Dad needs to be seen, blood test taken and a mini-psych eval.
It could be as simple as a UTI or a low level virus. It could be some slippage of memory that can be helped.
Better to know than to wonder and be frustrated.
Sending a warm hug
What troubles me, frankly, more than anything is the fact that he's losing weight. That can signal cancer or a variety of other issues going on that have nothing to do with dementia. In fact, the reason for his weight loss could be why he's acting odd to begin with! Who knows? It could be something like a UTI that's advanced into his kidneys from going untreated. UTIs notoriously bring mind confusion along with them. My father was hallucinating once when he had a UTI! Do you know if your dad has trouble urinating? I know that's a tough question to ask him......but maybe your mom has noticed something in that department, ask her.
If worse comes to worse and he flat out refuses medical care of any kind, you'll have to wait for something to happen. He falls, for instance, or has blood in his urine or is having a violent rage............then you call 911 and have him shipped off to the ER for evaluation. THEN you can find out exactly what's going on. The ER is usually one-stop-shopping and it has been for my nearly 94 year old mother. It's really crappy that we sometimes have to wait for an emergency to happen before we can get our STUBBORN-AS-MULE parents to ask for and take HELP, isn't it? I swear on a stack of bibles I will NEVER do this to my children.
Wishing you the best of luck getting to the bottom of what's happening with your dad. Sending you a hug and a prayer, too.
And I would also say that you need to start looking into options for your dad to live, as this will only get worse, and if you and mom aren't equipped to handle him, you will at least have a plan of action ready. Best wishes.