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My dad is in mid-level dementia. He can’t make sense of time or what day it is usually. He is basically pretty confused on a day-to-day basis. However, when I went over there today, he was just like his old self before he got dementia. I was totally shocked, is this normal? How long does it last? Will it happen again? Has anyone else experienced this?

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The simple answer to your question is...yes, someone with dementia can have more clear headed days than others.
Enjoy those days while they last as there will come a day when he will be too far along in his dementia and will no longer be "his old self."
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I think our minds overall are pretty mysterious in many ways.

My father had a stroke which left him very confused. His speech was affected badly and he needed speech therapy for quite awhile.

He was never the same man as he had been after his stroke occurred.

He would mix up words and say something like a ‘gallon of paint’ instead of saying’a gallon of milk.’

He knew what he wanted to say but his brain couldn’t follow the signals.

Occasionally, he could speak clearly and concisely. It would always surprise me when he had moments where he could speak clearly, just as he had before he had his stroke.
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My mother has advanced dementia.

Bedridden, cannot read, barely moves a muscle, incontinent, thinks she’s 20 or in her 40s, thinks she’s a student or teacher, claims she’s never heard of family members who send her cards, and asks for her parents. Swears I am not her daughter.

Yet she is incredibly articulate, having lost no verbal skills.

A few times a year the staff catches her trying to climb out of bed. She’s been found in the chair in her room. Once this happened, PT was brought in to encourage her. She told them off and stopped moving again for months.

I never know what to expect when I visit. Maybe 90% of the time she thinks I’m just a friendly stranger. But when she does recognize me, she leans in, locks eyes and rages at me. I flash right back to being a little kid. It’s truly shocking. Fortunately staff and my husband have witnessed it. I want to run out the door and never return. I would have to call that “lucid” because she recognizes me, knows she’s old and yells at me for the usual stuff.

Dementia is BAFFLING!
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againx100 Oct 2023
So sorry her go to with you is rage. I would run and never look back. Ugh.
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Well dementia is an umbrella term and each type of dementia has it's own symptoms and timeline, so "normal" is a relative term. But my mom who had multi infarct vascular dementia (not formally diagnosed) had moments of clarity pretty much right up until her death, although by then she was mostly non verbal and completely physically dependent.
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Love-and-Hope Nov 2023
Thank you for your post. Helps me to validate my own experience. My mom (88) has vascular dementia. In assisted living with caregivers now. Some days she is amazingly lucid and asks very pertinent and intelligent questions about herself, her family and where they are (all are dead for a long time), where she is, why she is there, and asking why can't she go home. Actually secretly plotting to call someone and ask them to come and get her and take her home, because she knows we won't help with that. Very sad, and so hard on her.

It is shocking and frightening to me when it happens, but then I realize that it's just another one of those moments or time frames, so I just go with it, knowing it will soon pass - which it does.

Dementia is such a horrible condition and so hard not only the loved one, but certainly the caregivers. My prayers go out to all caregivers dealing with this.
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Yes, it is common to have better days and worse days. Lewy's dementia is kind of known for it's going up and down. This is more common in earlier stages.
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It's a roller coaster ride! You just have to go with the flow. It's more like good moments and bad moments with my mom. Never know what you're going to get. But the more lucid times decrease and the "crazy" times increase.
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Dementia boggles the mind - literally and figuratively. It discombobulates the mind of the person it impacts, but it also messes with the minds of their family and friends.

My FIL is still early stages. He also has a personality disorder that made it quite perplexing to differentiate between dementia and the NPD for several years because of his poor decision making for years prior to the dementia (meaning that the progress into dementia seemed slower to us because he's ALWAYS made terrible choices, stretched the truth to fit his narrative, and "remembered" things differently that everyone else anyway).

But he most definitely still has a good number of very lucid days right now mixed into the days when he's just not there. DH or his sister will call each other and say "He's baaaccckkk". as a warning to be prepared for shenanigans (he's in a nursing home) because his non-lucid days actually tend to be slightly quieter than his lucid days as far as the insane number of phone calls and demands.

We were flabbergasted to find that he is still quite capable of designing and executing quite elaborate manipulations on his lucid days. And then the next he's completely unable to figure out how to swipe his phone to open it and answer a phone call or turn the volume down on the tv.

It has taken US quite a bit of adjusting because right now we are seeing a lot more of the lucid days interspersed with the non-lucid days. I keep warning my DH and his sister that the lucid days will start getting fewer and farther between and that there is a super good chance that his crazy manipulative side is just going to mesh with the non-lucid side and become the new and chaotic next thing.
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Jenn83 Oct 2023
Wow. My dad was so similar. It’s almost like the dementia heightened his mental illness or personality disorder or whatever it was.
Hang in there! You’re not alone.
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Totally normal. I went through that phase with my husband. Now there's days I can't make any sense of what he's saying. My daughter and I just look at each other, shrug our shoulders, and go on with what we were doing.

Each day is a new day, new experiences, and the unknown.

You're not going to change anything that's happened in the past, what's happening now, and what's going to happen tomorrow.

You're dealing with a disease that has turned someone you loved into someone else. It's difficult from day to day wondering when it's going to end, if it ever does.
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NoTree Oct 2023
Exactly! We'll said!!
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CoolBaptist, we all feel for you! DrosieD is right on. The clarity comes and sadly, goes! This is year six with my wife, 91yo. 4 yrs ago she forgot who I was. You learn to just roll with the reality of the moment no matter how painful. My worst moments are when she has a husband bashing day. She tells me how horrible 'Wes' is; not realizing I'm right there everyday with her! Last Dec, my wife 'plateaued' for 2 weeks. She was clear headed, sweet, and a sheer pleasure again. She knew I was a 'special friend' that she loves but not her husband. Then, she was gone again with her paranoia and short-temper. Just last month, she 'came back' to me for a short couple of days. It was wonderful being called Wes and Sweetheart again; but it disappeared with the next nap. It's an emotional roller-coaster for sure. Just like the roller-coaster, enjoy the fast and exciting times he DOES returns, and look forward to the next one while going uphill.
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Yes everyday can be different . My Dad would sing all these songs from the 1920's , 30' s and 40's and Know all the words and Be as Lucid as me But Other days Not Know words and I could tell when he got flustered and was confused .
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Absolutely…..every person is different. My Mom goes in cycles. However the lows are getting lower and the highs are not as high anymore.
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Enjoy him where he is, with you in the here and now today or with you 30 years ago tomorrow. Sometimes you can learn family history you didn’t know on those days he’s in a different time but in my experience it’s all “normal” and nothing is normal all at the same time!
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Yes, my mother had dementia and wasn't too clear who my brother and I were anymore. When we called to her window (not allowed inside) to say goodbye because she'd contracted Covid and they figured she wouldn't survive it, she was sitting up in bed bright-eyed and bushy-tailed, greeted us by name and asked us what we were doing standing outside her window in the rain. ("Oh, nothing, Mom -- just playing in the puddles." 🙄)

Once she recovered from Covid -- during which she slept about 20 hours a day for two weeks -- she was back to her old confused self and lived another seven months.
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Yes...They are referred to as "windows". xoxo
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Aloneagain Oct 2023
I had never heard that before, but it's very fitting.
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In my experience, yes.
Read Teepa Snow's website.
She explains all levels of dementia and which parts of the brain are affected.
I have been astounded by my (now passed) client who had advanced dementia and spoke jibberish. Every once in a while, she would say "Hi" or respond "Okay" or "Hi Sweetheart." We don't know how the brain neurons - synapses connect as they do. Often, dementia is still a mystery to scientists.

And, there isn't any normal. It is what it is and people are individuals with different brains losing cells at different speeds/time.

Gena / Touch Matters
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My mother had lewy body dementia. At one point, in the nursing home, she turned to me and in an unusually clear voice asked me if she had had a stroke and if that was why she was there. I was shocked. I simply said yes and she seemed to slip back into that far away look with a weak and rambling nonsensical voice. A few years later, my wife developed early onset Alzheimers. When her aphasia became bad, she reverted back to speaking in her native German and even then it was just mostly gibberish. One day, she turned to me and in quite clear English told me not to feel sorry for her. I tried to hide my surprise and tears as I assured her I would not.
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WendyElaine Oct 2023
What a beautiful, though absolutely heart rending moment. I believe they are always in there, just not able to communicate it.
I am sorry you had to lose your wife in this very painful, very lonely way. But what a gift she also gave you.
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My grandma had what she called her "dummy days." She wouldn't know me, would say mean words. The next day she would be nearly normal and would apologize for her dummy day the day before. I find it sad that she knew the next day that the day before had been a dummy day.
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taimedowne Oct 2023
That implies that there is some level of underlying awareness and that there is a lack of self-control. It would be interesting to understand what physical process leads to that lack of self-control.
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I am interested to understand what precipitated the apparent cognitive reversal. The lab we are funding is presently investigating the Microbial Hypothesis for Alzheimer's which contends that AD could be caused by a bacteria - likely one from the mouth. We see improvements when oral health care is improved, and when patients are placed on antibiotics for a separate condition (often a UTI). We even see slight improvements when the patients get some badly needed exercise - because the deeper breathing increases the oxygen levels in their brains which is critical to the health and proper function of the neurons. If anyone can share if they can recall any physical, chemical or enviromental changes that took place before the "returning to an earlier cognitive state" in their loved one - I'm all ears. Thanks.
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ChoppedLiver Oct 2023
I believe that pain plays a part in the cognitive decline. If my Mom is pain (which she almost always is in...it just depends upon how much she notices it), she cannot keep to a topic for more than one round of a question. However, when that pain is reduced, she is much more clear-headed and can actually have a conversation that lasts for minutes.

I noticed that about me...When I am in pain, I find it difficult to stay on task, read a book, or talk. All I want to do is lay there and watch television and talk in simple sentences....and sleep.

My Mom had a UTI. Yes she had pain with the UTI, however, since she has constant arthritic pain, it wasn't noticeable to us. Within 2 hours of taking Cipro, she was able to walk and talk in full sentences. Prior to that, she couldn't remember how to stand, or even move her legs and her speech was limited to yes and no.

I like your theory on oxygen levels, however, I would have thought we could see it on the oxygen sensor. I didn't.

Exercise? I'm not sure it plays a part, other than to remind the brain how to move given certain signals. To me it appears that sometimes you have to remind the brain of what to do. For instance, these days, sometimes my Mom cannot remember how to stand (which includes being able to balance) from sitting on a chair. However, if I can successfully get her to stand just once from sitting in a chair, she can do the same movement over and over with ease, until her muscles are too tired to do it anymore.

I'd be happy to run some tests on her. She is still verbal, just not as verbal as she used to be.
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My husband was diagnosed 7 years ago. He is 85. He can ride a road bike with strapped in pedals for about 1 hour until he is tired. A sport he has done his whole life. It amazes us he can continue to do this activity with perfect balance.
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Yes, people with all kinds of cognitive issues can have "good days". Those days are to be cherished since they do not last long.
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CoolBaptist: Your dad can rally at times. Ergo, enjoy those times.
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My grandmother had some form of dementia, maybe Alzheimer’s , I’m not sure . She lived with my aunt , was very confused all the time, mostly talked jibberish to herself . She thought you still had to get up and walk over to the TV to change the channel . She thought it was the 1950’s . My aunt had just reminded her not to get up . Aunt went in kitchen ( next room ) to make lunch . Grandma got up to change the channel , fell and hit her head on the piece furniture the TV sat on . Had a brain bleed . My aunt said my grandmother was completely lucid in the hospital , understood everything , spoke in complete sentences . The surgeon told her she had a very slim chance of surviving surgery to stop the bleeding . Grandma said she did not want brain surgery and to let her go.
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Yes - it is very common. Especially at the beginning stages of dementia.
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When my mom lived with me, she thought that I was a nurse, a man, or the "other" Andrea.

When she moved to a facility, she always knew who I was. But, she forgot my sister.
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My mom has Lewy Body..Read up on that. Mom can seem very clear and then another day very confused. 5 years of fluctuating cognitive function. She is unsafe living alone. Even staff in assisted find her dementia odd.
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@taimedowne
Underlying awareness for fleeting moments? Yes.
Lack of self control? No.
The physical process that leads to uncharacteristic behavior is a deteriorating brain - Swiss Cheese at first then dead and dying gray matter that look like burnt charcoal. This is an awful disease without ability for “self-control” and blaming the victim isn’t helpful. Continuing to meet them where, when and who they are at each moment is the truest form of love.
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Well ... yes ... and has he been unclear for other days ? What does his physician say or is it suddenly ... how does he seem ? Angry or Happy on those days or back to his old self on those days ? Depends if he was diagnosed correctly which is sometimes both or misdiagnosed until it's too late. Ask a Dr for sure !
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