Discussion about this post

User's avatar
TerseNurse's avatar

I have worked with a lot of demented people over the years, mainly patients, but also family members; from mild dementia all the way to end-stage dementia: Vascular, Lewy body, alcoholic encephalopathy, Alzheimer’s, etc. Generally what kills these people is a fall resulting in injury; or aspiration pneumonia. Dementia is a terrible and sad condition, it is cruel and it steals human dignity, and it is exhausting and heartbreaking for the caregivers, and there is no cure. It doesn't get better. I have to tell families: there may be better and worse days, but the trend will inevitably be toward worse and worse. It's a hard road that I wouldn't wish on my worst enemy.

There is absolutely no doubt in my mind that Trump is demented.

I've only been swung at by a demented patient a couple times, and those were during episodes of delirium. Most people with mild or moderate forms of the disease try very hard to pass themselves off as unimpaired. Often, especially in the early stages, they use humor to mask their condition, sometimes quite successfully. They use clues to answer questions correctly, like a strategically placed calendar (or teleprompter), or they evade the question with a joke or non-sequitur. It's quite interesting, you can talk to a person who at first seems all there, and you get about five minutes into the conversation and realize that they are totally on another planet. Conversely, if you talk to them for less than a few minutes, and just ask the ‘standard’ questions, you can miss their condition entirely. Virtually every person I’ve met who has dementia will insist and will go to great lengths to 'prove' that they do not have dementia.

The disease presents in such odd ways: some people who were kind, gentle and nice all their lives suddenly become cruel, insulting, aggressive, and paranoid. Others realize that something is wrong with them, but they can’t quite put their fingers on it, and they are perpetually sad and afraid. Others, lucky ones, are just cheerfully and pleasantly confused.

One sweet old lady wished me a Merry Christmas every time I visited, she never recognized me from week to week, the number of her ex-husbands varied from 3-5, and she had once dated Elvis Presley. Point being, people with mild to moderate dementia can generally hold up their end of a conversation, if you ignore the blatant untruths, the repetition, and the occasional bizarre statements. Does this sound familiar to you at all?

Expand full comment
575 more comments...

No posts