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JoAnn has the best answers!

My own DH is a brilliant man--like genius level smart, but to talk to him (or try to, I should say) you;d think he was "slow". He cannot hear, so by the time the original comment or question has been posed, you get the feeling he's not "all there".

I have heard and read that deafness can cause neural decline--you don't hear, you stop thinking and you don't "get" all of what is being said.

My kids all think dad is showing signs of dementia. He's not. He just can't hear.
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It takes a while for them to process and comprehend. What you are describing is the progression of the Dementia. Which can also cause hearing loss and eye problems too. They go into their own little world too. Like a little kid. They get engrossed in a TV show or playing they don't hear you.

Not sure if you can "test" it. One day she could be with it and the next day not. One moment she could be with it the next ...

Dementia is a progressive Disease. My Mom had changes every month. Some decline faster than others.
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Lymie61 Feb 2019
I think the hearing loss has been a well known problem for this person for a long time so while hearing loss and dementia may be related it doesn't sound like dementia is the main cause of hearing loss in this instance though hearing loss may be contributing to the behaviors that look like dementia as well as any actual developing dementia.
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