With the exception of these recent stories that have to be dreams she is very very sharp -- 92 but lives alone, takes cabs to her doctors, pays her bills, cooks for herself (and us), finds errors in her taxes that the accountants don't see, reminds us of what we need to do, etc. She is on heart meds, cholesterol meds, mild diabetes and gout meds. I noticed that this situation seems to have started after a gout flare-up then calmed down/went away and then started up again after another gout bout. She was taking colchicine (SP?) for the flare-up and takes ongoing allopurinol (sp?) every day. Are an inability to distinguish vivid dreams from reality known side effects? We argue the stories through and she defends them/tries to find ways to make sense out of them and then realizes it was a dream but then seems to pull back belief in pieces of it. Not sure if this is a medicine reaction or the start of dementia? On a few occasions in the same time period she has been convinced that something has happened before or that she has been someplace before. For example, when something happens -- little things like I stub my toe while doing a particular task, she will say OH you did that last time you did that task too! And I know I didn't. Re the dreams, an example is that after I went to a wedding and had told her about it, she took a nap and then later claimed that a woman she knows had helped plan the wedding i had attended and was distantly related to the groom's parents. Or that friends we had taken her to visit on our vacation had impossible connections to people in her every day life. Weird stuff like that. There has been a lot of family stress (a death as well as estrangement from a close family member). She is handling the stress almost too well.Very philosophical about it, accepting of the situation, not obsessing like the rest of us. Could this dream/reality confusion be a way of focusing on something else, having something else to talk about by creating dreams that bring new scenarios and activity into her life? I realize that at 92 I'm so fortunate that she is here and so active and independent but since longevity runs in the family - my grandmother was 100% sharp until her death at 91, I'm very concerned. This is a first sign and i really don't know what to do. I don't want to "label her" or embarrass her by proving all her facts are wrong by confronting the people involved so at this point, we are arguing it through I'm at a loss. I believe we should discuss it with her doctor but she says she needs to study it and log it and see what patterns she can identify.She is a caretaker at heart and prides herself on being sharp as a tack and I don't want to shake her confidence yet I don't want to let her slip away by not challenging or addressing these obvious "blips". Ideally I want to nip them in the bud if possible. Any ideas?