I've provided a lot of details in my other posts here about her behaviors, so I'lll keep that part brief.FWIW I generally like her doc. But I have raised concerns with him before, privately, and was surprised to see hat his office basically said evertyhing was fine because her labs were good. She did say they gave her a basic "are you having thought s of jumping off a cliff" depression screening, which she passed. They set her a follow up for 6 months out. (She's 76).
Today was the appointment and quite honestly, I dragged my feet calling the doc because I didn't know what to say. So the appt came and went, with(thankfully) her labs being fine, and a followup appt 6 mos out.
Here's the thing. I see issues. I see confusion quite often, trouble understanding things. Some daily tasks are too much for her (the remote control for instance). She relies a lot on notes. She sometimes shakes. She is often irrational when presented with something and shuts it down, although that may be from lack of understanding combined with overwhelm. She is childlike, dependent, clingy, some of the things she says are, I'm sorry, but just embarrassingly dumb. She is also heavily anxious to the point of dangerously raising her blood pressure when scared, all the time and loops on things.
That said, she can also be demanding, stubborn, and refuse to do or try even small things if they are new. So it's possible she refused anything other than a blood test since she prefers to "heal herself."
i have raised all of these issues with him and she comes back with a clean report. I'm not sure what to say to him because she's not doing the typical Alzheimer's things, like forgetting (except when she;'s stressed - when she's baseline, (these days her memory is better than mine). She's not forgetting what the car keys are for. She's not making appointments and then insisting she didn't do it. She recognizes people. She is having trouble doing simple things on bad days, but generally can manage her finances (well maybe not completely, because she wasn't provided for before my dad passedI but she can manage her acct, etc.
All this makes me think that maybe she's not got dementia although something, now as in the past, is definitely not right.
I've already raised these things with the doctor. What is the best way to appraoch it again? Should he have done something different? What should I be looking for? What should I say?
She would likely resist any meddling of mine in her health affairs (so it has to be on the down low) and resist any test her would ask her to take. He may have also decided it's best not to stress her, since any test would make her anxiety loop for months. When I take her to the doctor, she is so stressed that day and before and after that she can barely function.
What should I be watching for/asking about? And shouldn't se have more frequent checkups at her age?
Thx in advance