Revealing diagnosis
How and when does one begin the process of revealing the diagnosis?
Comments
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I guess it depends &you & your family. I told my people immediatelIy. My sister didn't believe it & neither did her husband. They were dismissive of my information. My husband was with me when the physician told me I had MCI. He has been very sportive.
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Thank you for your response. I haven’t told my husband yet. Only my daughter knows.
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didi no real need to put off telling people you have ad. it is now part of your life as it is mine. the sooner you embrace your new situation the better. latter when your in public and a smpile task is taking longer you can say give me a minute i have alzheimers and you won't think a thing about it. you will find that your number of friends gets smaller but the real ones will understand. be kind to yourself, learn as much as you can,join with others that are in the same boat.dive into daily life get out note paper. i have alzheimers believe me i get it………
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Thank you. I am actually awaiting final testing for a diagnosis. I have elevated p-tau but negative for amyloid (forgive me, I am a novice at terminology). I will have a lumbar puncture in March for a definitive diagnosis. I guess I've just noticed marked changes in my memory leading me to believe there is something going on.
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In the information I received with the results from my Lumbar Puncture, it is first noted that the laboratory used the "ADmark Phospho-tau Total-tau / AB42 test". A simple google search of this term indicates that several testing companies utilize this test (Quest Diagnostics, Athena Diagnostics, Mayo Clinic Laboratories, Allina Health Laboratory, ACL Laboratories, etc).
The test results provide four parameters: Amyloid-Beta 42 (AB42), Total-Tau (T-tau), Phosphorylated-Tau (P-tau, this is apparently a very bad kind of tau), and ATI (Amyloid-Total Tau Index)
Per the lab report I received, If P-Tau is less than 54 pg/mL and ATI > 1.2, then the results are not consistent with Alzheimer's (i.e. something else would be causing any memory problems, not Alzheimer's).
You are borderline with Alzheimer's if P-Tau is from 54-68 pg/mL and/or ATI 0.8 - 1.2.
The test confirms Alzheimer's if P-Tau > 68 pg/Ml and ATI < 0.80 -
I broke my arm in April 2024. Never thought about cognitive problems causing a fall but in some way I can understand. I’ve seen a neurologist for migraines recommended by my doctor. After my last office visit my neurologist got me in for pychiatric testing which came back with a dementia diagnosis. I’ve noticed trouble finding words and other early signs. Now I know after doing research at pages in this website that falls can be associated with dementia.
It is scary because my father died at age 81. No one was told if he was diagnosed with Alzheimer. My husband has been with me the whole way plus one friends. I have so many emotional swings but telling my best friend was helpful. I feared what others would say.0 -
My VA appointment was canceled do to the VA had no one to take me for my first appointment let's what happens next week/ I will keep my fingers crossed.
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That is very helpful information. my p-tau was .18 with the amyloid negative. What does that sound like?
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Hi DIDI, I have just rejoined this group and I was reading several responses. Please, DIDI, do not listen to anyone making medical suggestions!! Your doctor will tell you when you see him your diagnosis!!
I am a former RN BSN. One must be careful on these site when members overstep even though their intentions are good.
Take care
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Oh, thank you for your response. I am so confused and frightened right now. The uncertainty of a diagnosis gives me both hope, yet fear. I appreciate your kind encouragement.
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Please tell him.
I told all my family as soon as I decided what I was going to do as far as infusions etc and My husband and myself became educated on Alzheimers.
It is best to let the family go through th process with you. (of course my opinion)
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I would echo what dlubritz posted. I'm not a Doctor, you should ask them for their interpretation. To add a bit more to dlubritz's comment, different labs utilize different tests for determining AD. I shared my lab report, just to show that my report included information to help interpret the results (i.e. if number A is above such-and-so while number B is below this-and-that, then you probably do or don't have AD). Thus, for me, it was anti-climactic going to the Dr to get his take on the results as I was aware of the meaning of the test results as soon as I received the results.
But as dlubritz hints at, since numbers of certain parameters (like p-tau) are measured differently in various tests, non-experts like us can't just make general conclusions about AD from any particular test.0 -
I so appreciate seeing everyone helping and encouraging each other. This is not a journey to take alone, you need support of your family and friends. Then you'll need the support you find in support groups. DH & I began this journey 13 yrs ago, and I never dreamed of attending, much less leading eventually, a support group. It is where you are with people who totally understand what you are going through. Your family/friends understand on some levels, but they aren't walking the walk constantly.
It is very personal how & when you tell people your diagnosis. We told are DS & DIL immediately - they were aware that 'something' was going on. We gave ourselves several days of us - just us - to wrap our heads around what this meant. DH was 53, this wasn't something we'd expected. Then we told our closest couple friends - there were tears and prayers. Then we did the very unexpected - invited our very closest groups of friends to our house. They knew something was up, but again didn't know any details. After a bit, DH said he needed to talk and he shared what the neurologist had shared with us. He shared the upcoming tests, etc. And the hardest part was sharing he was put on immediate disability. His voice cracks, he had tears, I had tears, everyone had tears. But the beautiful thing that happened was the men immediately went to DH to hug him, & the women to me. And that's how it still is 13 yrs later - this group is close. That's our story, not everyone wants to be that open, but at DH's age we knew this was how we'd handle it.
eagle
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that’s beautiful - thank you for sharing
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thank you for this information. I feel like I don’t have enough info from my doctor to interpret a diagnosis. I am going to request a phone consult with the doctor to help me know what I’m facing.
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I had a phone consult with my doctor’s nurse asking if the elevated p-tau test result (negative amyloid) could be a false negative or if this was actually indicative of AZ. I am scheduled for a lumbar puncture in March I suppose for further diagnostic testing. The nurse was so kind but the bottom line she said is that the elevated p-tau in itself is a diagnosis for AZ. Obviously, I’m devastated. I plan to tell my husband later this week.
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You are doing the correct things didihamrick - asking questions and seeking answers. I can't imagine how difficult it was for you to have that discussion with the nurse, but bravo for you, you did it. That was brave of you. Of course you are devastated, this is the journey no one wants to go on. However, a strong support system makes a world of difference. Personally I'm glad your going to tell your husband. Just take a deep breath and say this is what I'm dealing with. He might ask questions you can't answer, that's fine or he might just get very quiet for awhile. You've had time to adjust to thinking about the possibility of a diagnosis, you are going to be telling him something out of the blue.
We want to help you as much as we can. That's why we are here. I think your being very brave.
eagle
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Oh thank you so much. I had my first mini-meltdown today when I told my therapist. It's the first time I've spoken it out loud. I felt like I'd been kicked in the chest by my own voice.
Good advice on allowing my husband to have time to process this news too. I guess I do have great hope that he will be supportive but equally as frightened that he will shut down emotionally at a time when I need him most. [Dear God, I can't believe I'm talking like this to strangers online!]
Anyway, today I have felt like a HOT MESS. Your kind words and encouragement helps.
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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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