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Hope or Cope?

We finally got an "official" diagnosis on Monday - "amnestic MCI with concern for Alzheimer's." DH's next steps are a PET Scan, bloodwork, and another MRI.

Now, I just keep swaying between hope for a "cure" (improvement) and acceptance of the diagnosis. Do we fight the disease or do we learn how to live with it?

I vacillate between Dean Ornish and Teepa Snow, or Dale Bredesen and Tam Cummings… do we try the MIND diet, or KETO Flex… if you've been obsessed with research like I have, you know exactly what I'm talking about.

As I'm wavering between mindsets, is this just a normal pendulum swing of emotions, as we adjust, or is it a wrecking ball (waste of our time) trying to find ways to improve DH's cognition? Have any of you had any luck finding a way to improve your PWD's cognition, or is it best to focus on strategies to manage (and maybe enjoy) the time we have left together?

We've done so many of the things recommended… we have a will, POA, DPOA, advanced directives, etc. I've read "The 36-Hour Day" two times already, watched hundreds of Teepa Snow videos, and obsessively read what feels like a zillion posts on ALZConnected.

Someone on here said learning about Alzheimer's was like drinking from a firehose… that's how it feels for sure… extreme pressure and overwhelming volume.

What do you think? Where is my time best spent… hope or cope?

Comments

  • Call me Gram
    Call me Gram Member Posts: 181
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    Thank you, SDianeL. Your advice is always so helpful.

    Yes, I think making a plan for future care will be our next step (starting in January). Our adult son asked us to visit MC facilities where we live, as well as ones close to our adult children, so that we could share our preferences with them. He wants to know what our wishes are for the future, in case something should change and it's our kids who are the ones taking the next steps. I like that they want to be involved, and that they plan to honor what we want should the need arise.

  • Call me Gram
    Call me Gram Member Posts: 181
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    edited December 2025

    Thank you, Michele P. I appreciate you sharing your experience.

    I have looked into the Mayo Clinic's HABIT program. It appears to be provided in only three of their locations, none of which are close to where we live. I considered trying to sign us up for the one in Florida, and making it a warm-weather getaway. But, DH is not interested in traveling that far. He said he would consider the program if it were near us. Do they do it online like they did during Covid? Maybe I will email them and ask.

    I have the BrainHQ app and I love it. I don't subscribe to it, but I get one free game a day. DH tried it and only experienced frustration, which turned to mild anger (at the app, not at me), so I dropped it. At least maybe I will benefit from using it myself. I have found that my brain is getting a healthy workout these days, especially having to remember everything for myself and nearly everything for DH, as well.

    January is always a good time to start eating better and focusing on health, so I am going to try to incorporate some of the Ornish plan into our lives. Even if it doesn't improve DH's cognition, it could be good for me to take better care of myself in this way. We will see how that goes.

    You are right about living life to the fullest. That needs to be our number one focus right now, while DH is still mostly himself. Why don't we listen to that advice when we are young and have the energy for it? LOL! Instead, I spent too many days stressing out over things that don't even matter now. Ah well, one day at a time, right?

  • Call me Gram
    Call me Gram Member Posts: 181
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    edited December 2025
  • Timmyd
    Timmyd Member Posts: 425
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    I like this approach. If PWD is the type who enjoys exercise, the challenge of brain exercises, is agreeable with diet changes, then forge ahead. I would be hesitant to pursue these things if they come at the expense of today's quality of life.

  • jfkoc
    jfkoc Member Posts: 5,362
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    I suggest hoping for a great day and coping with a bad one.

    Coping means to learn everything you possibly on how to make the best of tough days. A lot will depend on your behavior so read about valadation (Naomi Feil), watch and read Teepa and get a copy of I'm Still Here by John Zeisel.

  • Call me Gram
    Call me Gram Member Posts: 181
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    Thank you for this! I am currently listening to an audiobook called Creative Care by Anne Basting. Once I've finished that, I will read or listen to I'm Still Here.

    I also plan to watch some of the videos about validation by Naomi Feil. I appreciate your suggestions!

  • Call me Gram
    Call me Gram Member Posts: 181
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    edited December 2025

    Full disclosure… I feel like I'm cramming for a college exam. 😁 But, I know every minute of learning all I can will help me be a better care partner for my DH, and help me prepare for the worst.

    I guess I just answered my own question… Hope for the best, but prepare for the worst. 💜

  • jfkoc
    jfkoc Member Posts: 5,362
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    Call me Gram…

    Ann Basting…i have always been a believer that the creative soul is always inside out loved ones I had never heard of Ann. Perhapy she is the new wave of care.

    Thank you!

    https://www.tedmed.com/talk/how-to-meaningfully-reconnect-with-those-who-have-dementia/

  • Call me Gram
    Call me Gram Member Posts: 181
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    Persevere,

    You were not cold at all. I appreciate your candor… and I do wish mashed potatoes were the answer… yum! 😉

    We are all in this together - please always be frank with me because that's exactly what I need. I tend to be a person who sugarcoats things, but that is not helpful in this situation at all. I need to face this monster of a disease head-on and know what I'm in for.

    Thanks,

    Gram

  • Call me Gram
    Call me Gram Member Posts: 181
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    Jgirl57,

    Thank you for sharing your experience. It's helpful to have some idea of what to expect, although I know all cases are different. I think it was Emma Heming-Willis' book where I read the quote, "If you've seen one person with dementia, you've seen one person with dementia." (Based on the DBAT staging tool, I think "we" are in mid-to-late stage 4.)

    I have been looking into aromatherapy. I am sure it would help to calm me, even if it doesn't help DH. Ultrasonic? Reed diffusers? Any suggestions? My sister uses a spray at bedtime, spraying it directly onto her pillowcase.

    Gram

  • Call me Gram
    Call me Gram Member Posts: 181
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    jfkoc, I hadn't seen that Ted Talk. Thank you!!!

  • Jgirl57
    Jgirl57 Member Posts: 899
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    Gram, I use the reed diffusers because I like them . I use citrus in the kitchen, rosemary in the living room and dining room and lavender in the bedroom and bathroom. Can’t hurt and Lane S often shares articles about aromatherapy benefits. I think for all of us caregivers, we need to do whatever we can to preserve our own health.

  • Goodlife2025
    Goodlife2025 Member Posts: 490
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    The topics discussed on this site are so difficult and I very much appreciate the eclectic views expressed here. I share, we all share at one time or another your moments of doubts and wondering if we are enough. BUT we are, we all are doing our best and that is enough for this day. Sleep well everyone.

  • Janey63
    Janey63 Member Posts: 9
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    I love this! "I suggest hoping for a great day and coping with a bad one"

  • Lilydaisy
    Lilydaisy Member Posts: 117
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    There are many good posts above. In my experience with my DW, who was diagnosed with MCI 10 years ago, there should always be hope for improvement or stability. But also good coping skills because your faith and patience may be tested. MCI doesn't always lead to Alzheimer's though it often does, as in my DW's case. She is still doing reasonably well though has no short-term memory at all.

    We have enjoyed these years despite the expectation of harder years ahead. She has done better than many. My advice then: live in the moment. If you are fortunate you will have many years together. I hope so.

  • Lethe
    Lethe Member Posts: 125
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    You are sadly absolutely right and we all get there sooner or later. Thats why this forum is so helpful to me. I see myself in so many folks here. How I felt upon hearing the not surprising (to me diagnosis) to what is inevitably in store and how to manage it with grace and the ever present need for sleep.

  • Russinator
    Russinator Member Posts: 381
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    I could have written these exact words when talking about how I feel.

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