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Very Young Onset – No Answers Yet, Just Holding On

BugziePal88
BugziePal88 Member Posts: 10
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Hi everyone,
My name is Cole, I’m 36, and my husband is 37 (turning 38 in July). I’m Autistic, and I’m very good at recognizing patterns — which is how I started putting pieces together that something was very wrong. Looking back, my brain started tracking the weirdness 2–3 years ago, but honestly, most of our marriage has been peppered with things that most couples don’t go through. It’s been rough. Isolating.

In February, he had a severe memory lapse that screamed dementia to me. I couldn’t think of anything else that would cause such a severe slip. I don’t know how many of us are out here dealing with very young onset — like, really young onset — but I feel like I’m breaking through a ceiling. Shortly after joining some forums, I read about a woman who passed at 33, and that is the closest I've come to someone my age dealing with this.. I've talked to someone 10 years older too.

Since that event, I’ve been documenting every oddity I can — and combing through our history for things that make more sense in retrospect. I brought it to his PCP, who brushed it off, suggested couple’s counseling (because of the personality shifts), and flat-out said “It’s not going to be dementia.” 🙄

Eventually we got into psychiatry. He was given the SLUMS test and scored a 20 — which for his age is deep in the dementia range. They sent him for an MRI. It came back showing microangiopathy and diffuse volume loss. That was March 29. Since then? Crickets.

We did get accepted by neurology at a nearby research hospital — but the soonest appointment is January. Yep, 9 months from the MRI. No treatment, no diagnosis, no real direction. Just “wait.”

My husband is a nerd and wanted a 3D print of his brain (gotta love him), so he asked for a CD of his MRI images. I’ve been going through them myself. Some of the slices seem tilted or uneven, which makes it hard to confirm what I’m seeing, but I think I’m seeing signs of both vascular damage and possibly Alzheimer's patterns. I’m no expert… but the problem is, I’m also not being given access to an expert.

So here I am. No diagnosis, no roadmap, but full responsibility. I’ve had to take over all finances, all driving (I told him I don’t think it’s safe for him anymore — before a formal diagnosis, which was a heartbreaking call to make). We have a 10-year-old son, and the weight of it all is just… enormous.

I called the Alzheimer's helpline last night and they gave me some resources (which I appreciate), but mostly emphasized how rare this is — yeah. I know. And here we are anyway.

My next flicker of hope is May 29, when we see a new PCP who says she has experience with geriatrics and a love of “difficult cases.” I’m cautiously hopeful that something finally clicks into place then.

Thanks for reading. I’d love to hear from anyone else navigating this absurdly early path. It’s lonely, and it’s terrifying.

— Cole

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Comments

  • Quilting brings calm
    Quilting brings calm Member Posts: 2,814
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    It’s very hard to get o to any kind of specialists. I know 10 months is discouraging, but they really are not blowing off. When you see the PCP, tell him about the SLUMS score and ask if he can have donepizel. It supposedly helps slow the symptoms down. A look so doublecheck that he’s had bloodwork to rule out low B12 or thyroid issues. Those can have similar symptoms and are treatable.

  • Lgb35
    Lgb35 Member Posts: 136
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    DH is 62 and I am 55. This is so devastating when you are younger and working and raising kids. My kids are grown but I am raising our 8 year old grandson. You can be the advocate and ask the PCP to order tests. Ask for an Amyloid PET scan. This will tell you if it’s Alzheimer’s or another form of dementia. This allows you to have a better picture when you finally do see the neurologist. A definitive diagnosis is more important when you are younger and need to use the compassionate allowance when applying for social security disability.


    hang in there!!

  • BugziePal88
    BugziePal88 Member Posts: 10
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    b12 and thyroid are ruled out. He does have a mix of apnea/depression/anxiety/adhd but other than that everything else has been cross-checked.
    My husbands memory has been shown to be around for 3-5 minutes. It’s hard to clock as I only know he remembers or doesn’t based on interactions. But things like, his emotions being negative tend to be remembered easier than everyday talks.
    he says he has no access to empathy most of the time now. Though, appearently cannabis makes him feel empathy for a little bit while active.

  • Timmyd
    Timmyd Member Posts: 113
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    If he has been gainfully employed for most of his adult life, then see if you can get a free consult with a social security disability attorney. Get a few consults if possible.

  • SDianeL
    SDianeL Member Posts: 1,611
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    So sorry about your husband’s diagnosis. A couple of other questions/suggestions: do you have a DPOA and HIPPA and medical POA’s? You will need them. Read the book “The 36 Hour Day” and look for Tam Cummings videos on YouTube. They will help you help your LO. 💜

  • BugziePal88
    BugziePal88 Member Posts: 10
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    I do have a full care binder including DPOA MpOA and HIPPAs


    I will have to read that book next

  • weareallunique
    weareallunique Member Posts: 29
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    Recent research; of course may not apply in your LO's case ;

    https://pubmed.ncbi.nlm.nih.gov/40227745/

  • Jgirl57
    Jgirl57 Member Posts: 638
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    Sorry about your DH. The medical offices are slow moving and what initially seems urgent to us, I’ve learned is not urgent in the scheme of things with this disease . I do think it is good that you are researching and making observations on your own. That will help as you learn more and travel this path. Glad you posted here ( a good way to ease some isolation) and I hope you find success with the new doctor. It took me about two years to accept the snail pace of the disease and managing appointments

  • BugziePal88
    BugziePal88 Member Posts: 10
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    I just don’t understand how it’s not urgent that I’ve had to take full control of finances and driving. Like… that feels like something that should come after diagnosis, not before…

  • sandwichone123
    sandwichone123 Member Posts: 965
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    As you're becoming aware, healthcare providers also have their biases. One of the most common is that it "can't" be Alzheimer's or other dementia in a younger patient. This can make it very difficult for people especially with much younger onset to get a diagnosis.

  • Timmyd
    Timmyd Member Posts: 113
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    I remember when my DW at age 55 finally agreed to see her PCP about memory problems. I was with her doctor during that visit. The doctor, who knew my DW for years, spoke as if our concerns were unfounded and this was likely just stress related. I left and my DW was administered the in office cognitive test. The doctor came out a few minutes later and looked at me as if they had seen a ghost. It was a complete 180 in attitude and demeanor, and the doctor started sheepishly talking to us about brain MRI and neurologist referral. Your average PCP seems completely unprepared to recognized EO ALZ.

  • Jgirl57
    Jgirl57 Member Posts: 638
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    It was tricky for me when I had to start handling all finances, driving and most other day to day tasks as we pursued diagnosis . Most stuff I had to do without DH knowing and that was after learning that from this forum. Basically you have to take control to survive even before diagnosis process is complete . Our first 2-3 years were very very stressful and frustrating .

  • harshedbuzz
    harshedbuzz Member Posts: 5,190
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    There are a couple factors in play here. One is that there aren't enough neurologists specializing in the dementias to handle the number of people who want appointments. This situation has been made worse since the availability of infusion drugs— people who might previously been seeing a PCP or geriatric specialist would need a neurologist or memory center to access these meds. I've been on a wait list at a well-regarded memory center for a year. Another piece is that these in-take appointments can be quite extensive— often there's a half-day appointment for history and screening, then tests are ordered and done at another date, then there's an appointment to review the results. Depending on the doctor and the information from testing, there's a high likelihood that you come away with a general MCI diagnosis with follow-up in 6-12 months.

    Taking over IADLs like driving and financial decisions is a family decision; it is rare for a neurologist to make that call. Many physicians don't share the diagnosis with the patient at all. Dad's doc did but dad was diagnosed in the middle stages and had behavior issues. By that time he'd already done considerable damage to his assets— day-trading away $360K while mom refused to limit his internet access. I can appreciate that you'd be more comfortable restricting his independence having a diagnosis but it's critical to note that it is not a good practice to remind a PWD of their condition or try to reason with them about why they're no longer allowed to do things.

    HB

  • BugziePal88
    BugziePal88 Member Posts: 10
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    wait… what? The person shouldn’t know they have a diagnosis or be told why things are happening or they are t allowed to do that thing? Why? That seems like a lack of dignity. Even if they don’t understand, or forget, at least that isn’t on you.

    That just… doesn’t feel right.

  • jehjeh
    jehjeh Member Posts: 111
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    I think this varies from person to person. Some families share the diagnosis with their loved one and that goes well. In my case, DH already speaks of wanting to die, stop being a burden on me... after suffering relatively minor medical issues. A diagnosis of dementia would only serve to push him further into a dark place. I don't want him to know. It will do him no good and only make things worse.

    I think it's an individual call.

  • Goodlife2025
    Goodlife2025 Member Posts: 57
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    I have found sharing the diagnosis is one thing, but then having conversations about the disease's progression and what stage she is in, to be another. Those ongoing conversations are unhelpful, hurtful to her, and does no good as she soon doesn't remember the discussion. In fact, she often remarks she thinks she is doing "better" these days. So I let her think she is.

  • Quilting brings calm
    Quilting brings calm Member Posts: 2,814
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    it’s not that having to be the adult ( finances, driving, etc) isn’t urgent. It’s that there’s only so many patients a neurologist can see in a day. They don’t really have a lot of slots for new patients who have basically been diagnosed with dementia. His SLUMS score along with ruling out other things tells them it’s dementia. You could ask for a referral to a neuropsychologist in the meantime who just does the 2.5 hour tests to get a more definitive diagnosis. There’s not really a lot that can be done except the new infusion drugs and don’t think they’ve been tested on people his age. There are a lot of side affects. You can read up on those. I wish we could be more positive for you.

    Regarding telling a patient a diagnosis. Most refuse to believe it because they know what it means. Those whose short term memories are already gone can’t remember it. The conversation and the reaction is then repeated multiple times a day. It becomes cruel after a while. My mom heard the diagnosis every time she went to the doctor. She never once appeared to understand what the word dementia meant. We ended up just discussing how old age means you often have a poor memory.

  • Jgirl57
    Jgirl57 Member Posts: 638
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    you are correct…., it doesn’t feel right, but as the disease progresses all logic and reasoning goes out the window ( for most patients but not all). You will learn what is good for you and your family especially since you have a young child. I am someone who likes order and logic and I had to really adjust my thinking and I thank this forum for helping me with this. Your DH is so young that you are indeed in a different situation than most . Keep an open mind but continue to be a vigorous advocate for him and maybe the squeaky wheel that gets the oil and push for earlier appointments and answers.

  • harshedbuzz
    harshedbuzz Member Posts: 5,190
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    @BugziePal88

    Some physicians defer to the spouse or family regarding sharing the diagnosis. Some spouses and family are very protective and become angered should a doctor use the "D" word in the presence of their LO.

    One thing that is hard for people who are new to dementia caregiving is that the rules that exist outside of dementia do not necessarily apply. Safety trumps happiness and absolute transparency and honesty are not as important as feelings.

    One size— is not— fits all here. It's one of those decisions can be very nuanced; what is best for one PWD might not be for another. Having been down this road with my dad and watched others decide for 2 of my mom's sisters, the husband of a longtime family friend and another friend's mom drove home the need for an approach that was individualized to the PWD.

    My dad was informed of his diagnosis by both his neurologists. He had a form of alcohol-related dementia which meant he wasn't supposed to drink. It would not have been ethical to withhold that information given that there was treatment to reverse his cognitive losses considerably with a sober lifestyle. This didn't go well. He had anosognosia and was unable to appreciate the degree to which he was impaired. Telling him he had dementia felt like gaslighting to him and made him even more suspicious and accusing at first. Mother trying to remind him why he wasn't allowed to drive only angered him and nearly led to violence. Over time, he would tell people he had Alzheimer's but the term became meaningless to him.

    With my aunts, neither was told. The sweet one wasn't fighting to do the sorts of things she couldn't or shouldn't. And the feisty one was beyond telling by the time she was diagnosed. My friend's mom felt her symptoms were a normal part of aging and she, too, was easy-going. The family friend didn't share with her DH. She and he had moms who died with end-stage Alzheimer's and she didn't want to worsen his depression.

    YMMV.
    HB

  • sandwichone123
    sandwichone123 Member Posts: 965
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    When my dh was diagnosed he was aware of his diagnosis, but later he was not. He would talk about how healthy "we" were and what "we" were going to be doing years down the road, although he was living in memory care by then. Later he heard nurses giving report saying he had Alz, and he was very upset. In fact, he was so upset that when the memory care (erroneously) sent him to the emergency room, I wouldn't tell the doctor while we were in front of him.

    The doctor was really confused as to why a young man (early 60s) with a wife and no health problems was living in assisted living (his memory care is licensed as an assisted living).

  • HollyBerry
    HollyBerry Member Posts: 198
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    A line we use, often, is "you're not dumb, you just have memory problems." She knew the diagnosis when she received it but I'm not sure she remembers it now. She definitely is upset by not being able to do things and in the moment, that's what she cares about. What the future holds isn't on her radar any longer.

    Cole, can you find an Alz. research center and see if your husband can be enrolled in any of their studies? that was super helpful for us in the early days because she signed up for every study possible when she had MCI and that put her in the pipeline for a PET scan that insurance wouldn't have covered. It also connected us with the university geriatrics clinic and geriatric psych. Even though he's not geriatric, they are the specialists in dementias and might be your best resource. It may not be neuro that you need after all.

  • l7pla1w2
    l7pla1w2 Member Posts: 251
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    It isn't always straightforward or wise to share a diagnosis with the LO.

    My DW was in early stages when she had a neuro-psych work-up. The diagnosis was Alzheimer's. DW said, "That's nuts. They're a bunch of quacks and don't know what they're talking about." She got angry every time she saw "Alzheimer's" in her medical record. Telling her that she couldn't remember things because she had dementia was only going to make her angry. When she asked about her medical record, I would tell her that the doctors are just using "Alzheimer's" as a shorthand for memory problems. She seemed to accept that.

    My point is that the psychologist did share the "Alzheimer's" diagnosis with us, but DW wasn't going to accept it. There was little point in reiterating it to her. However, because she couldn't accept the diagnosis, either because of denial or anosognosia, I couldn't seek help by phone or support group, because DW would ask me why I thought I needed support. After all, she didn't have a problem. [sic]

  • BugziePal88
    BugziePal88 Member Posts: 10
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    so the neurologist that he scheduled with is with KU medical they are a research hospital. I’ll have to look at like center since you can’t get us until but I am super super thankful today I talked to his psychiatrist. I told him that I spent 18 he had to read brain MRIs and he didn’t question me or anything. He just said find and I said my husband has Alzheimer’s and vascular dementia. Mixed. He said that sounded just about right and that we would talk about diagnosis on our next appointment which I promptly for Wednesday so I think we will official diagnosis and access to some resources as of Wednesday. I have had issues with doctors before so it’s not a new thing for me to have to do my medical work myself, but I am God smacked that it’s as prolific as this. I cannot imagine seeing an MRI excepting it and being like yes you are young and you will fit with our studies, but we will not see you until January when you have a neurodegenerative condition in May that is crazy

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
Read more