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Many years ago one of the children in my family went through a battery of tests to try to understand why he couldn't perform in school. The conclusion was congratulations!, it wasn't dyslexia or ADHD, and he was very intelligent. Uhm, thanks, but he still can't seem to get a grade above 50%. (sigh)
Just because they have ruled out ALZ or any other dementia shouldn't mean they can send you home with no answers. She is clearly impaired, if it isn't dementia then what is it, and how do you deal with it? Insist on an answer.
For a lot of people, writing a sentence and NOT putting a period at the end might not be a big deal. For someone like my mom, given the stringency of her early education and given the fact that she completed her BS at the age of 81, her clinical team had a pretty good idea of what they were comparing to--someone of average intelligence of better and someone who was used to paying attention to details.
For my mom, it was a subtle change in her "executive functioning" and ability to sequence a language task. It's also the sort of thing that is part of "things you do without thinking" track; to me, I knew that it meant that there were going to be findings, and that they were not going to be of the "oh, your brain is fine" sort.
I friend reminded me yesterday about a story I told her during my mom's workup for dementia.
The neurologist gave my mom all the basic tests; clock drawing, remembering three words, etc. He then asked her to write a sentence. My mom wrote a very coherent sentence, but I noticed that she didn't put a period at the end of it. A felt a frisson of dread at that moment; 12 years of Catholic School education and no period at the end told me what I needed to know, although EVERYONE else, including mom's regular doctors thought that she was "sharp as a tack".
The cognitive testing --6 hours with a neuropsychologist, testing intelligence, reasoning and sequencing, among other skills, showed that mom was no longer able to live on her own and manage her life. She was diagnosed at that point with Mild Cognitive Decline, which sometimes advances to dementia; in mom's case, she had stroke a year or two later, which caused Vascular Dementia.
I hope that you get your answers.
Your mother is/was someone special - to complete a BS at age 81 - WOW!
And thanks for sharing the rationale behind this.
How did they determine that she is not suffering from dementia? Did they do brain imaging, basic neurological testing AND 6 hours of paper and pencil neuropsych testing?
Has she seen a geriatric psychiatrist?
For everyone, she was reluctant to do the testing, initally. (Actually, she had been part of the norming group for this rehab center, 20 years earlier).
She said to me; " If they tell me I'm crazy, I won't believe it". I said , "mom, they are not going to tell you that; they just want to figure out what is going on in your brain right now"
That comment alone (about "not being "crazy") told me that she was no longer processing with a "full deck".
The good thing was that the testing demonstrated to Bro and SIL that what was going on with Mom was real and not "something she was doing to herself".
And kept me sane.
My LO has Vascular Dementia. It was revealed by MRI, but, I wasn't too surprised, because Primary had already diagnosed, AND I looked through my LO's recent checks and found one where her writing looked like a foreign language. It was odd letters mixed together and it didn't appear to be her writing, but, IT WAS. Pretty sad, but, revealing.
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