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My wife was diagnosed with Alzheimer's by a neurologist 6 years ago. I think she is moving from stage 5 to 6. It seems I should take her to a specialist at some point, but I don't know when. She sees a GP annually and an Endocrinologist every 3 months.

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No, she doesn't. We changed hospitals and then had a very good geriatrics doc, but he left clinical practice. I'll take her back to the original neurologist. He put her on Namenda and Aricept, which she still takes, which seems to work well in slowing down the progression, and which a UCLA prof showed lost its benefits as soon as it was discontinued.

I wonder if the benefits of seeing a neurologist so frequently are that beneficial. She has been a type 1 diabetic for 45 years and I definitely can see the benefits of an endocrinologist so frequently!
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Does your wife not see a neurologist on a regular basis? This is the person (or perhaps a geriatric) she needs to be seeing. My Dad was diagnosed about four years ago, and he sees his neurologist at least every 4 months. They make the appointment the moment he's done with the current appointment. Once a person is diagnosed with AD or other dementia, the neurologist should be the person prescribing meds, doing evaluations, etc. He/she is the person trained in treating this disease. Dad still sees his GP twice a year also. Does your wife's GP prescribe her Alzheimer's meds and make changes in them? This is the job of the neurologist. I would suggest you find a good one and make an appointment to get your wife this type of care! I'm surprised the neurologist who diagnosed her AD didn't go any further with a course of treatment.
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