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I can usually tell when she is having a TIA by her slightly slurred speech, inability to speak, or stand, etc.
When she had the large one that I witnessed, she fell out over the diningroom table and was unable to respond or control her body although she wasn't out cold.
It took about a week before she was able to respond again, and then about 6 months before she would start a conversation, or at least say something without being spoken to first.
Dementia is something that doesn't have a definitive diagnosis really. there's is nothing to point to and say "That's dementia" except her confusion, change of personality, severe change of lifelong habits, etc. These things can be subtle or extreme, and can come and go. In my mom's case, although she will remember things and people when reminded of them, she doesn't seem to have any running memory of her life or the things she has experienced. She knitted constantly her whole life, it was an obsession of hers, but now although she still can, she has no interest in it at all. It's like that with a lot of things, She was always a very active person, but now she mostly sits and stares at me, she needs to see me and be around me most of the time and if I'm not in the room with her she will look for me over and over, but when i ask if she's ok or needs or wants anything, she says no, and smiles at me.
sometimes it drives me a little nuts becuase I can't tell what's going on in her head, but then I realize that there really isn't much happening up there.
i hope this helps, I haven't really studied up on the science of it all, it's hard enough to live with it day-to-day.
Since we discovered the TIA's she has improved a lot, though it took some time. But now I think that since they do keep happening even though they're small ones, it all just adds up to overall dementia and confusion etc. etc.
I have to just trust the doc's at this pint and assume there is mothing more to be done and that they will keep occuring. It's hard to watch her slowly decline and sometimes I wonder if one massive stroke would be more merciful on her. My mom was a lifelong member of Mensa and having her brain betray her like this is heartbreaking to watch.
As for my treatment of her, I use all the advice and support that are given for alzhiemers patients because basically the symptoms and disabilities are the same, although I have heard mom's condition refered to as "Vascular Dementia".
I don't want to alarm you, but this has been a long, drawn out rollercoaster for me, I hope it won't be for you, but I want you to be prepared.
Keep strong and stay in touch, Ted.
If your mom has only had one and doesn't have high blood pressure or other things, her doc might think it was just a fluke, but it's hard to tell when some one is having them and my mom's went undiagnosed for a while.
Has the doctor done an MRI to see if the damage is bad? that was how they could tell that my mom has had many, and that they will continue. But her doc and nuerologist also seem to take it in stride, mom is 82 and I have to agree with them that any kind of invasive brain surgery would probably harm her more than help.