What to Make of Improvements to Cognition and Incontinence
Today a dear friend visited DH and confirmed what MCF staff also reported recently, that DH's cognition has improved greatly, almost like talking to a normal person, and no longer needs/wants to wear Depend. His long-term memory is very much in tact while short-term was impressive as well. He even noticed my name on the pizza box asking whether I was the one who ordered the pizza. He's no longer aggressive or combative. He urinates on his own and no longer wears Depend. What the heck is going on??? Sprinkles was added early October and nothing else has changed. He still doesn't want to engage in activities and just stays in his room. He's still confused about day/time although he knows it's January. He denies liking the Far Side, although it has been his favorite comic strip for many many years, and says the book (given to him on the last visit) was confusing. But he remembers liking the chocolates that another friend had brought on the same visit. He even walked our friend to the door to bid farewell as a proper host would.
Has anyone else experienced this change in their LOs? While I'm pleased to hear the positive updates, I can't help but feel cautious about being too optimistic. Is this the cognitive fluctuations in LBD that I've read about? How long do these fluctuations last? Should I even ask questions? or should I simply enjoy this peaceful period for as long as it lasts?
Comments
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Well amen to enjoying it while it lasts. I suspect it is the fluctuations that are characteristic of LBD. Sounds like my partner, who also primarily stays in her room....
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Part of the journey is occasional temporary improvements you should enjoy when they happen but don’t expect it to last. There can also be dramatic declines that are temporary before returning to previous state. The latter sometimes indicates another medical issue e.g. UTI that you have to investigate.
The temporary improvements sometimes coincide with trying alternative treatments and give false hope they are working, but it’s just coincidental random ups and downs.
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Truly, truly enjoy the moments you get.
Hold them in your head and heart.
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My DH had empathy and continence return after a med change almost 2 years ago. He was incontinent again after about a month, but the empathy remains to this day. Be thankful for the improvements.
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Commonly Used Abbreviations
DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
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