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Sounds like FTD, frontal temporal dementia, to me, my husband has that. It's under diagnosed, and much more difficult than Alzheimers for the caregiver. Do as much reading as you can on this and see if you see a match. Particularly with the loss of understanding words, or speaking challenges.
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Unitetogether Mar 2020
HI, Can I ask you if someone with FTD could have lack of appetite? Do you know?



Thanks
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Hi, I agree with others on you need to take him to at least one appointment to see what he has. I care for my husband (age 60) to. I can relate to can't do this anymore. It seems like as time goes by, it gets a little easier however never wanted. Your husband has a memory issue, and mine is not caring to communicate with me, and he is able to. Get him diagnosed is my suggestion.


Hug to you,
Unitetogether
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Am a retired Psychiatric Crisis RN . I think time for a thorough neurological work-up- spouse should agree.Need to rule out a host of things that can be fixed ,or,if not,then remediated early. Godspeed.
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DonnieJean Mar 2020
That is my plan so far. It just takes so much time waiting around for appointments. I feel he is slowly melting away.
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he might have vitamin deficiency. that happened to my husband. just a thought.
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I'm so sorry you are going through this! I know you are burned out. There is something seriously wrong with your husband. It could be a lot of things: medications, ADD of some spectrum or feeling lack of confidence. My husband was losing his memory before he died. It's easy for us to tell you to be patient, but it really burns you out! I miss him and wish I had been more patient, but did the best I could. Do be your husband's advocate and don't let MDs brush it off! Try to remember that pastors generally are expected to do too much anyway. His fear of not remembering could also make it worse. I hope the Lord will continue to give you His strength to do what needs to be done.
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Fist of all, I pray that God will surround you and your husband with His Presence and Peace - and that you'll find the right doctor(s) and get the right diagnosis. Is your church part of a synod or convention? There should be resources available for both of you through your church. Don't hesitate to ask for help....it's what the church is commanded to do for one another!
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Your husband may have always had some amount of Attention Deficit Disorder and now aging and perhaps some Dementia are exacerbating his problems.
Anger is more common than you might think. Even when the person being taken care of is gravely ill and dying, a caregiver may feel anger at difficult behaviors and negative verbal exchanges.
I am glad you found this forum and can share your story. It helps to articulate your frustrations. A Caregiver Support Group might be helpful, too, if you find one near you.
Good luck to you. Let know how you are doing.
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DonnieJean Mar 2020
I'm working with a counselor on my frustration and anger issues. I was brought up in a family where you just picked your feet up and went on with life even if you were sick. My husband is the type that will allow me to do everything for him while he's feeling poorly and I don't always want to. He didn't use to be that way. I find that the situatioin allows me very little time to take care of me. The counselor has helped me understand that it's okay to help him but not at the expense of me and my health. I know he is terribly frustrated too. We are going to have to work together or this "thing" will eat us alive. The first thing I have to do is see a lawyer and get our affairs in order just in case his memory continues to deteriorate. Thank you for your prayers and advice.
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Your husband has memory problems but not a diagnosis... and it appears he has had this problem for a long, long time - as long as you have known him. Improving his oxygenation at night should help, but it will take awhile to notice a difference and it will - hopefully - return him to his more mild form of memory problems. Aricept keeps dementia from getting worse, for awhile. If his childhood trauma was accident related, he probably has some scar tissue causing difficulties with remembering. So, accept he has memory problems and always will from now on.

For better diagnoses, please see a neurologist. He can also schedule some therapy classes to help with trying to expand his memory capability or to devise work arounds.

Together, design reminders throughout the home, his office... Maybe he can start keeping a journal/appointment book to remind him of important tasks, appointments... Maybe keep reminders posted on the frig and a bulletin board at this office.

If he isn't able to use these reminders, it may be time for early retirement. Please consider taking up the tasks your husband is incapable of remembering: cooking, paying bills, shopping... and probably driving. Let him help with all tasks he is capable of completing.
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DonnieJean Mar 2020
His parents were missionaries in Africa so he grew up there until he was 18. He has lots of good memories, but also so bad ones from the boarding schools. So there was no physical trauma.

He has seen a neurologist and we like her. She is also a psychiatrist. We will go back and see her and see what she thinks. She is the one that ordered the MRI. It only showed age-related findings.

I am going to start putting reminders around the house. It will keep me from having to remind him several+ times a day to do things I've asked him to do.

He has no problem with driving except he will panic now and then, and he does our laundry and washes the dishes and vaccuums the house and does most of the outside work, but his indurance has definitely gone down in the last 2 years. That is probably due to his AFIB he's being treated for.
Thank you for answering.
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TRyan to keep your patience while you seek out a doctor whom will listen and help. If necessary, get people in your writing who have noticed the impact of his behavior to write them out and provide to a new doctor. A neurologist would be a great start in care. Preferably someone who deals mostly in the type of impairment such as cognitive issues your husband has with comprehension. Our son 39 is diagnosed with Asphsia, but hearing, UTI and many other factors maybe playing up his issues. Dont stop seeking answers. It is tiring going from doctor to doctor to hear the same old thing. Remember you hired the doctor and you can fire just as easy.
Best of luck.
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Many older firends and loved ones of mine exhibited these same horrible symptoms. However, they never were scatterbrained when young so I am not sure if your husbands problem is the same. In my case, some of my loved ones became completely mentally well again after stopping their prescribed statin and or diuretic. For some , it was too late. If your husband is taking a statin, a diuretic, or any kind of mind altering so called antidepressant, stopping some so called meds may improve him a lot. Howevr, if he has been taking these so called meds a long time and or if his problems are not
'med" related, it may be hopeless.
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DonnieJean Mar 2020
My husband doesn't take any statins or diuretics. He takes Cymbalta, Metropolol, Xyrelto, Aricept, Allegra and another heart pill.
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You have the patience of a saint.... because him leaving the toddler in the tub alone would have been enough for me to ring his neck.   I am sorry you and your husband are dealing with this unexplainable condition of his that is obviously worsening.  Is it possible it has always been this bad and you were so busy taking care of your children that you didn't have time to focus on all the weird things he was doing?  Most of us do not have the financial resources to go from doctor to doctor but you've got to find someone who will work with you to find an answer.  Maybe you can go somewhere like Mayo to find a "think tank" type neurologist who can figure this out for you.  I wish you all the patience and luck.
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DonnieJean Mar 2020
I've certainly never forgotten it. He's lost his wallet and keys hundreds of times, and his favorite saying is "I don't know". I sometimes think it's just a habit. When I think back, many situations pop up of him doing something off the wall. I am just exhausted and tired and waiting for things to get better.
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First of all, I am glad that you are here.

What you describe sounds challenging, not just now, but all those years of raising children and being a minister's wife while coping with his peculiar behaviors.

As to his current health issues: yes, sleep apnea can cause problems with memory. I hope that he can adjust to the CPAP machine. It may take trying different masks to find what works best for him.

I hear that you are exhausted and angry. It's okay to be angry, it's a normal emotion. You are only human and you're coping with what probably seems like an endless, Sisyphean struggle. And from what you've described, I suspect that the frustration and resentment has been building for some time. So, how are you caring for you? Do you have ways of nurturing or re-energizing yourself? Counseling can be good, although it sounds like your situation makes couples counseling complicated due to his memory problems. Perhaps individual counseling would help you right now.

Most of all, remember to be kind to yourself.
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DonnieJean Mar 2020
Thank you! I am working on pampering me. It's hard because that's not really my nature. I often wonder if his behavior is simply his personality. If it is, he's not the man I married or he did a good job of covering it up. You know there are times when people mess with your head and I have often wondered if he was gaslighting me. I don't know how I would deal with that. To know someone is deliberately attempting to alter your mind is just plain evil.
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I believe I read and understand what you are saying? I have,had this same situation too a degree with my mother . She is exactly where and what you are saying your husband is displaying . Just for me one thing that helps me reduce my anxiety is realizing that In most cases When finding myself becoming frustrated with her in these moments of her being delusional or in denial or oblivious of a situation.
I Learned too accept and remember that her memory and actions ,reactions of life are stored and processed differently For her at different stages of life from a medical and physiological aspect .
All of our body’s are influenced and developed differently throughout life by many many things, mostly we have control of ,understanding the outcome to our body’s mentally , physically . . Then some influences not so much ,we only experience the result of them too our body’s in later years Of life by our expressions and actions !

For me I must always keep in mind she is different than myself and ageing ,has influenced us all differently we find ourselves becoming like our parents or different in many other ways emotionally and physically than years earlier .
This May sound elementary but acceptance and serenity is truly the goal for myself, and anyone else who experiences this type of behaviour from someone in their life or ourselves as we age !

Keeping in mind that I cannot change her or their memory ,beliefs or lack of memory
of something That we both experienced.
Knowing the truth and reality of a situation You experienced together now is totally in another mindset of that person from what Is factual is so frustrating and disappointing it makes you crazy or can make you very frustrated !
First for me too compartmentalise this behavior and realizing that issues Or actions Surrounding this person or persons is key !
This Allows me too become a way less stressed , and have A more peaceful outlook on dealing with that person or persons state of mind and actions presented from them today, which in most cases is not a socially acceptable behaviour and completely opposite from our view and actions in life today . Leaving us too wonder why are we even socialising, married or a relative of a person that In public or in any capacity you have no commonality whatsoever .
a person and their behaviour , mannerisms you being associated with someone like this today in some cases is totally embarrassing , irresponsible , insulting , demeaning and outright just stupid behaviour of attention or relationship i can focus on and just dropping her and replacing with something else .
These actions and behaviours I am mentioning did not come easy it took a lot of therapy and self inspection (introspection ) of myself because I my case it became a necessity that is how crazy i was becoming ,you don’t have too go to this level just by writing this your way ahead of this hopefully this helps you because for me it saved me from becoming cold and callus towards my mother . less stressed me of all stress and some of those feelings and frustrations of looking for differences rather look for the commonalities
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DonnieJean Mar 2020
I don't know how you deal with that at all. You most definitely are a saint. I hope you get someone to help you out. Thanks for responding.
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I’ve read some answers, forgive me if this has been offered already. Primary Progressive Aphasia (PPA) is something my mother has and I feel she was experiencing the receptive language problem (understanding incoming language) much sooner than the expressive language signs (word finding difficulties, odd substitutions for words). It just wasn’t as evident to us until I think back to prior events. I used to work with children with auditory processing problems and it’s very similar. Visuals work, but with PPA it progresses to the point they don’t work as well anymore.
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Has he had his hearing tested? Hearing loss frequently leads to complaints of hearing but not understanding, inability to remember what wasn't heard correctly in the first place, and more. If he has not had a thorough hearing test, I strongly suggest it.

If hearing loss is found, it needs to be treated asap with properly fit hearing aids. It sounds like this has been going on a long time, and some of this might be personality related, but if a hearing loss is found, it is going to take time, patience and practice to get him hearing better. It's a rehabilitation process, not as simple as just putting devices in his ears.

Sonce the other avenues you've investigated have not revealed answers, this bears checking, as I have seen this a lot as a hearing specialist and how much life improves when hearing loss is addressed. Good luck to you both.
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I’m sorry for you, but if I could say perhaps you could offer your husband more compassion and understanding, and stop expecting something he clearly cannot provide. My sisters dementia came on slowly then ramped up. It wasn’t her fault, and it took me awhile to realize that arguing about her lack of memory was helping no one. It’s scary and really frightening to see your loved lose their memory. One day I took my sister to the grocery store as she could no longer use an ATM card or know to give or receive exact change when dealing with cash. I’ll never forget that day.

As we were heading back to the car she literally out of the blue said to me that her brain is dying., not knowing what to say I just said oh no it’s just a little broken. But, those words are imbedded into my mind, and was heartbreaking, and made me really think and realize how frightened she was, and probably still is.

She is close to 68 years old, and has had MRI, EEG, CT scan, and several mocha/ memory type tests (which she failed all miserably) the MRI showed nothing, and her neurologist said her brain MRI was unremarkable and what he would expect to see for a person of her age.
But neurologist knew and expressed she had dementia, and started her on dementia meds.
Currently she is on LTC living in a nursing home, the facility isn’t huge but she can’t find even her room half the time. Her long term memory is still somewhat intact, but her short term memory is extremely bad.

She is on a plethora of Meds including ariceft, namenda (personally i question if they help anymore) also on Lexapro, trileptal, zyprexa. I’m aware of black box warnings but I believe sometimes the benefit does outweigh the risk.

Your husband doesn’t sound like a candidate for any anti psychotic, but I included because it’s in her list as she also has underlying mental issues.

In so many ways I was frustrated like you seem to be, but if I can offer any advice it would be to have empathy for his situation. Once you come to terms that he really has a serious decline in his memory and probably doesn’t forget things just to aggravate you then perhaps you can learn to expect less from him, and realize he’s sick with a condition that is robbing
you both. Also, I’d find another Dr. for a second opinion.

i have not read all the posts but I should have, I just spotted someone mention TBI, and my husband of 72 has TBI, and PTSD, heart issues and takes a lot of drugs, he also is no longer the man I married but like my sister I see a similar memory decline beginning, many silly things like goes out to mailbox on Sunday for the mail etc. Unfortunately he is adamant that he’s fine. Anosognosia sure is real!

Take deep breaths and seek help now, just start calling until you find satisfaction. Read read read what you can find on the internet, that helped me a lot.

As I just finally read all the previous posts, I’d like to add my sister has also seen four different psychologists, and has also been evaluated by a neuro-psych. All, have diagnosed with dementia.

If your husband does have a form of dementia I highly agree with other posters to get your legal affairs in order ASAP. Durable POA for financial, and a Medical POA so doctors will talk to you, and HIIPA won’t or shouldn’t be an issue.

There is no one stop shop book I’ve found that prepares you for everything you may encounter but keeps notes, dates, and info you find valuable.

Several times I’ve read post from ppl here way smarter then I, often I think
if they could join forces and write that book. Obviously several things would be different because of different state laws, but that too could be addressed.

Im certain it would be a best seller!!
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Emmdee Mar 2020
Thanks so much for this post! Its fantastic, and full of LIFE!

I have had experience of looking after my husband for seven years after his diagnosis with Lewy Body dementia (etc), he was very awkward sometimes, and needed full care with bathroom and feeding. However, we always managed to have fun somehow, and he loved getting about in the car - until he couldnt work out how to get in! I used to utilise a technique similar to how I used to get ponies in a horsebox - lead them round in a circle, then quickly aim them straight in - it worked a treat, both for the stubborn ponies, and also for my confused husband!

You are definately looking for advice in the right place, there are wonderful people here - thanks everyone!
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Aricep can slow cognitive impairment, but rarely fixes it. If you can't make short-term memories anymore, you may not want to call it dementia, but that is pretty much the effect. He can't help it. I am so sorry that you both are going through this. It is good that they are looking for physical causes, but this is most likely your next normal. Please look up "Teepa Snow". She has the kindest approach to this.
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hickoryhunt Mar 2020
Teepa Snow describes what dementia is like - it was such a comfort to me as my husband’s caregiver. When he was first diagnosed with MCI, he said it was like his card catalogue for his brain had been dumped on the floor - everything was still there but so hard to find! I love that analogy. We get through by laughing together about everything - the silliness relieves my the frustration.
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Does he shuffle his feet when he walks? There is another brain disease that will cause this along with the same symptoms as dementia, it’s called normal pressure hydrocephalus. Have him checked for this, it is treatable if that is what he has. If not at least that will have been ruled out, it could also be as ArtMom58 suggested a former brain injury causing his troubles. Good luck and good wishes to you both.
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hickoryhunt Mar 2020
Shuffling is also a symptom of Parkinson’s disease, which has its own dementia, and does not have to have the tremors often associated with it.
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You need to visit another doctor for a second opinion right away. Also if you are distressed now you may want to look into care support and long term care.
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Just a thought: did you husband ever have a traumatic brain injury (TBI), or even have a blow to the head as a child? Did he play contact sports as a kid? Undiagnosed TBIs (heck, even diagnosed TBIs) cause havoc, but especially as people get older. If he's 67, that means he was born and grew up in a time in which head injuries were treated with bed rest, but sometimes not even that.
My 86yo mother, now in a nursing home, was in a severe car accident at 18 in which everyone else died. She was thrown from a convertible and she was in the hospital for 6 months with broken everything. She was not a good mother -- not very loving, quick to judge and impossible to be around if things didn't go right. I've only thought about this connect to a TBI in the last couple of years. Too much story here to recount.
I just did some googling and a couple of sites said that an MRI doesn't always pick up a TBI. One said this: "Because microscopic injury to the brain may be a cause of problems, however, even MRI may not be able to detect any abnormality in a patient with TBI."
It's just a thought. I'm sorry you and your husband are dealing with this.
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DonnieJean Mar 2020
As far as I know he has had no traumatic brain injuries. His family called him HopALong Catrastrophe because he was always having accidents but nothing involving his head.
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My husband is 69 (married 6 years) and I am having very similar issues, except he is retired. He is having the 4 hour neurological testing next month which will help us to pinpoint what is going on (MCI confirmation, Alzheimer's, HF Autism, Dementia, Parkinson's etc). If there is any way you can see a neurologist and have this test performed, it may help you to obtain a diagnosis....or rule out some things. I totally understand how you are feeking.
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DonnieJean Mar 2020
The neurologist was going to give him those test, but Medicare would not pay on them. But she said that since his MRI results were good, she wasn't concerned about it.
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Until I read Garylee's and Beatty's posts I did not know there was an actual name for the first thought that popped into my head.
I was thinking if there is a Dyslexia for people with reading problems there has to be something like that for auditory problems.
I also thought of ADHD as I think I also have that but when I was a child it was called..."you're not paying attention and doing your work..I know you can do better"
So I think further testing with these things in mind might help even if it does not lead to a diagnosis it is 1 or 2 more things that can be ruled out.
I also have to wonder was he in the service could this possibly be due to chemical exposure?
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DonnieJean Mar 2020
No, he was not in the service. In my day it was also called, "sit down and do you work before you get paddled; your just lazy!"
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Has any of the doctors suggested a more detailed test called a neuro-psych testing? This tests the crossroads of thinking and physiology. It helps pinpoint what areas are the difficulties, such as able to have a complex, vocabulary-rich conversation but unable to balance a checkbook. It is a full day of testing, but can be broken up for endurance issues.
Also, you mentioned Aricept. The medications for dementia can slow progression of the disease, but do not reverse it. If it is helping, you would not improvement attributed to the drug. Sorry.
I hear your frustration, and it is so difficult. Please consider seeking counseling to assist you in dealing with this situation. There are many faith-based counselors, and some main-stream ones that do not advertise themselves as faith-based. Inquires will help sort that out.
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Dementia is not just an old persons disease. There is such a thing as early on set dementia and in its most extreme form is labelled young onset dementia. Young onset dementia is known as young as 30, early onset dementia more 50s and 60s.
Mild cognitive impairment or MCI is NOT dementia, but can be the forerunner to dementia. Please note that not all people with MCI develop dementia. It takes very regular testing to gauge when a person has slipped from MCI to dementia, particularly when they have the capacity to showtime, or put on a good act to try to fool a geriatricians testing process. In my mothers case, she would practice for days in advance of her appointments. Although her scores were progressively worse the doctor could not see the crossover during those appointments. You can imagine her surprise when just weeks after a test my mother went into respite care for a fortnight and on the first night was immediately recognised as needing to be in permanent care in a memory care unit.
Dementia is very challenging and very difficult to accept, both for patient and carer. Diagnosing dementia is not an exact science so the best we can do is take the advice of medical professionals who have experience in this field. The choice is yours and your husbands. You either accept the diagnosis or you find the funds to doctor shop to only come up with the same diagnosis that preceding doctors have made.
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DonnieJean Mar 2020
His neurologist told him that MCI could or could not turn into dementia. No one in his famly has dementia. For some reason, I don't feel like it is dementia. I think it is a combination of many things and they are all going to have to be treated one by one. Exhausting!
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I get that you are frustrated and tired. I don't get your anger and resentment. You say you have been married 40 yrs. You made a promise to him for better or worse. He must be terrified. Sounds like he may have something going on in the brain for sure that Drs. Just haven't found yet. I once dated a guy who had some of the same symptoms you discribe. Drs couldn't find anything that caused the odd behaviour. Then he started having seizures. Bad ones to. So scary for both of us but I'm glad he had them otherwise we never would have known what was going on with him. Because of the seizures Drs were able to find that he had tumors that hadn't been seen before. He was slowly dieing and needed to have brain surgery to remove them. We were lucky. His chances of coming out of surgery alive were slim and if he did make it Drs said he would have some brain damage. He lived and at first he had problems talking walking and understanding things. But after a while he came back. With all the love and support and courage to over come his injury he made a full recovery. It was amazing. So I believe if you don't give up on him and find some help through this, you would be surprised at what you will find. Your man doesn't want to be this way. He can't help how you feel about it. To disgaurd him is wrong unless you never wanted him in the first place.
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DonnieJean Mar 2020
I appreciate your opinion and honesty. Exhaustion can do many things to a person. Frustration can do the same. I am doing the best I know to do. I may have come off as noncaring but I treat him well......in that he never has to want for anything. I'm not sure that is good for him though. Me being tired and wishing I had some Calgon to take me away, I think is normal now and then.
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I also wondered about Asperger's/high functioning Autism or ADHD? Or other sensory processing 'differences'.

Has your DH ever had his auditory processing tested?

Is it worth a diagnosis now? Maybe not. Are there other symptoms now on top? Maybe? A sudden change actually sounds like dysphasia (from minor stroke?)

With my son, I have to have his full attention to have a hope of communication. He is more focused on visual things so I try to add hand gestures or props too.

Sister is not visual! House a jumble of clutter as she cannot see it. As soon as she puts something down it blends into the background & becomes invisable. I believe this is also a sensory issue, sort of visual processing 'difference'. Sounds like your DH!

You are ruling out what you can medically - I think that's all you can do. Spouses are going to notice any difference way before any scans or tests pick things up - this must be so frightening & frustrating for you both.

I suppose what I would do to make life better right now is to add a bit of silly to lighten the mood "bit of Mondayitis today... and it's Friday..". And look for things he is still good at, washing the car, cooking, whatever it is that he can still feel productive & valued. Experiment with communication. Wave the shopping list around when discussing it. Jingle the car keys when explaining you have to leave in 5 mins for that appointent. See if visual stuff helps?
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Sounds like my 17 Y/O son who has an auditory processing disorder. He hears the words I am saying but his brain does not process it the way I say it.
He has other Learning Disabilities so it took until he was 15 to get as far as we have in learning his disabilities.
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Beatty Mar 2020
Auditory processing - just saw your post! My son struggles with this too. He tried out the hearing aides (nicknamed 'glasses for ears') at about age 8 which made a huge improvement although he still often focuses on background noise (fans, computers, traffic) in preference to human voice (especially mine!)
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Getting my husband (now 66) out of the ministry two years ago was one of the best things FOR ME that happened. I no longer had to stand beside a man that I did not respect, did not trust, did not even like; I no longer had to put on the "happy pastor's wife" smile while our home life was miserable. I had planned to tell my adult children when we were all together at Christmas that I was leaving in January. I was done after 40 years of marriage. And then a week before Christmas he got two dementia diagnoses (one based on MRI -- FTD, and one based on how miserably he failed the MMSE, mild neurocognitive disorder). I can go back almost thirty years and see signs and symptoms that things were wrong. I should have spoken up much sooner. I won't go on but I just want to say this:

It is time for your husband to stop pastoring. Selfishly I say this for your sake. You cannot continue to keep up appearances, it will break you. It did me. Do not let yourself continue to live in two worlds, the real world at home and the world you step into on Sunday mornings. Remember that God is El Roi, the God Who Sees. Nothing is hidden from Him, so don't try to hide it from others.
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Judysai422 Mar 2020
Amen!
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It is time for a specialist to do more testing. Anger does not help a person with memory loss. Your husband is scared of losing control.
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Have any of you heard about the DEAR program from Dr Vincent Fontescue https://www.youtube.com/watch?v=7ewpc6b-Sfw&t=1787s. He has a method of helping people with memory loss of activating the senses through smell.
This is his website for his clinic https://www.healthybrainmd.com/conditions-we-treat
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