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We watch tv together and Lyn often misses the story/plot or doesn’t accept that it’s just ended. It’s a bit like being with a child. I guess this is our life and relationship now. Our GP suggested a Geriatrician but I was totally underwhelmed . I was expecting some sort of help and direction but all we got was a “”meet and greet “”.. social 1 hour chat, $400 bill and invitation to come back again..for more of the same???
Question……what do geriatricians do and has anyone had a good experience with one ???

I agree about the $400 useless visits. She is better off with her Medicare PCP.

Yes, your life is now changed drastically, and it is hard to accept. I have sympathy for you for that reason alone.

My education in dementia was from the used book store. Some great reading for you would be "The 36 Hour Day" (by Nancy Mace and Peter Rabins.) Get a copy pronto. The best book I ever read about dealing with dementia.
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Reply to Dawn88
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So sorry you are going through this. My father had dementia for years. He and my mother were in their 90s and living at home. We hired a really great caregiver who engaged with him by giving him activities and insisting he converse with her and it seemed to help him be able to interact with other people. He had was in his own little world a lot of the time. You might want to consider getting someone in now. It will make it easier on you to have help. He never went to a geriatrician or a neurologist. His primary was great. Eventually we had to place my father in a nursing home.
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Reply to Hothouseflower
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You’re correct, this is your life and relationship now. I’m sorry no doctor will have any real answers as sadly, there aren’t any fixes or lasting helps for this harsh diagnosis. She may benefit from a calming medication to help her agitation, something the GP can help with. Please be sure you’re getting regular breaks, you need time away to endure this journey. Use adult daycare for your wife, hire a part time helper to stay with her, or use a respite services within a facility if you want to travel. Getting her used to help that isn’t you is vital for you both. I’m sorry you’re in this place and wish you both peace
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Reply to Daughterof1930
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We found the PCP to be the most helpful through the journey.
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Reply to brandee
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For me PCPs know a little about everything and a lot about nothing. I took my Mom to a Neurologist who tested her and talked with her. I was only there for when he looked at me to confirm and I shook my head yes or no. He explained to her whatcwas going to happen. He was not great on prescribing meds unless really needed. We saw him about every 6 months until she was placed in LTC.

I do believe knowing the right Dementia is important because of Meds. I think its Lewy Body and Parkinsons mimick each other but the Med used for one if used on the other can kill the patient. So you need to know for sure if its Parkinsons or Lewy Body. I would trust a neurologist over a PCP in making that diagnosis.
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Reply to JoAnn29
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Don't waste your time or money on any "specialized" doctors and just stick with your wife's PC/GP, as none of them at this point can reverse any damage that's been done to your wife's brain.
And as you know, vascular dementia is the most aggressive of all the dementias with a life expectancy of just 5 years, so at this point you just need to make her life and yours as stress free as possible and just enjoy whatever time you may have left with her.
When my late husband was first diagnosed with vascular dementia(he died a little over 2 years after being diagnosed)the very first book I read was The 36 Hour Day, and that gave me such great insight into just what my husband was going through. Please read it if you haven't already, and just remember that it's much easier to go along with whatever your wife is saying than trying to correct her or argue with her as that will only make you both very frustrated.
I wish you the very best as you travel this very difficult road with your wife.
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Reply to funkygrandma59
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I don't think your wife technically qualifies as and elder (so not sure why the geriatrician recommendation). You may benefit more from a behavioral or cognitive neurologist (a neurologist with expertise in dementia). I wouldn't trust her diagnosis at such a young age to a GP (jack of all trades, master of none).

I'm hoping that at her young age she has gone through a thorough physical exam and labwork to make sure she has something cognitive rather than something else that can be treated. Often, this is how dementia is diagnosed: by the process of eliminating all other possibilities.

Geriatricians are used to working with people over 65 and their specific issues. If it were me, I'd want to see a neurologist.
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Reply to Geaton777
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Sandra2424 Jun 29, 2026
I don't think the wife is 55 years old. I believe the poster meant they have been married for 55+ years. I think she is probably the correct age to see a geriatric specialist. Why do you think she is a "young age." If they got married in their 20's, she may be in her 70's or even 80's,
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Doctors do not give you much help navigating the daily issues of dementia, no matter what type of doctor they are. Pick up a copy of Understanding the Dementia Experience by Jennifer Ghent-Fuller and The 36 Hour Day as well. Those books for $25 will help you more than 5 $400 visits to a geriatrician or a neurologist will, at least in my experience.

My mother was obsessed with her dead relatives during the later stages of her vascular dementia journey. At first I'd tell her stories about where her mama was......out of town, the phone was broken, etc, until one day she yelled, "YOU'RE FULL OF sh!%" in my face. So I told her mama was gone for 40 years now. She actually took it in stride, then went back to looking for mama in the closets at her Memory Care Assisted Living facility the next day. Ativan helped her relax a bit in her never ending quest to find her deceased family. Tell your wife a therapeutic fib or tell her the truth, she'll forget what you tell her anyway. Once a person with dementia gets an idea in her head, you cannot chop it out of there with an AXE. #Truth.

Stick around here and ask questions. Many of us have been in your shoes for years and can give you advice based on experience which is very useful.

I'm sorry you're going through this and wish you good luck and Godspeed with a difficult situation.
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Reply to lealonnie1
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