Why don’t people notice?

This is really a rhetorical question to which I know the answer. I still find it interesting that with so many signs of problems Kate successfully conceals her Alzheimer’s from most people. The reason is that other people see such a small part of her behavior. The time they are with her involves ordinary social conversation that she is able to handle as well now as she could in the past. I, on the other hand, am with her so much and get to see much more than others. This morning, for example, she let me know that she had called Ellen to arrange lunch and go to see a movie this afternoon. Although I had told her yesterday that the movie does not start until 3:00, she had forgotten. That would mean a long time between lunch and the movie. She called Ellen, and they worked out plans to do something in between lunch and the movie. Had I not intervened, they would have worked out things on the spot.

I told Kate she had an hour until Ellen was to pick her up. She said she was coming in anyway because of the heat and humidity. Thirty minutes later she was still outside. I told her she now had less than 30 minutes until Ellen arrived. She came in and started to get ready. She did a good job getting ready. Ellen came almost 15 minutes early; so she only had to wait 5-7 minutes before Kate was ready. This is part of a daily occurrence. Nothing too serious, and Ellen would probably never have connected it to Alzheimer’s if Kate hadn’t told her. Even then she may not have noticed anything. Most things are simply unseen by others.