My dad has ALZ. On hospice. Can't communicate well. He has a weekly nurse that comes by. But he does everything so fast. Anyway. He says my dad may be having TIA's. But I'm not sure. How do you tell in an Alz patient who cannot always speak clearly and words are not clear? Is it a mini stroke?

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It could be, but many types of dementia change the speech often as well. My brother has this affect with his Lewy's at times. I would definitely check this out. The test of ultrasound on the caratid arteries is simple and fast, as easy as passing an instrument over the neck area. This is for a doc to diagnose, not us, and you have some good input from the weekly nurse.
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Reply to AlvaDeer

You find out by seeing a neurolgist and getting a CT or MRI. The thing is is it worth it. My MIL who is non communicative with ALZ gets seizures. Family decided not to peruse trips to the ER, but asks for supportive care so that she is comfortable
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Reply to MACinCT

The only proof you can ever get is by doing CAT scans of the head. The dead areas show up as bright spots.

the problem with this is you have to have something to compare it with...previous scan.... and the cost of these scans.

when someone has a stroke they do a scan quickly. Before giving a patient the drug to break up blood clots they need to know it is a blood clot and not bleeding in the brain. BUT..follow up scans are not done because the insurance company will not cover it. Since everything that can be done for the patient is already being done, there is no outcome improvements that can result from follow up scans.

so...that is the long explanation...the short one is: there is no conclusive single test, and unless you are willing to pay for it yourself...there will not be multiple tests done to uncover the changes that would show ongoing damage. And even if you know for sure...what would you change?
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Reply to Katiekate

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