I started to notice the changes about a year ago when I talked to her at neighborhood get-togethers or chatted with her when she was out walking her dog. Because I have a partial hearing loss, I first thought it was me. I must have misunderstood her words, or maybe they were muffled so I lost the context of what she was saying.
After a while, though, I started to realize that it wasn’t me. I may not have heard every word she said, but I knew that her sentences often didn’t make sense. She’d start talking about one subject and end up on another one altogether. She would forget a word and substitute another with a similar – but not equal – meaning (“big” for expensive, “little” for cheap). Every now and then she forgot the names of neighbors she had known for a long time.
Lately, other neighbors have started to talk about the changes they’ve observed. At first, we approached each other carefully because we didn’t want to set off any false alarms: “Have you noticed…?” “I’m not sure it means anything, but….” She is a well-loved neighbor; smart, funny, generous in spirit, and it breaks our hearts to see her struggling. Although an official diagnosis has yet to be made, we are pretty sure she isn’t going to get better.
Before Nancy retired, she had a high-powered job running the Special Ed program for a local school district. Although she loved her job, it was stressful, so she retired as soon as she was eligible for a pension. Not one to sit around, she filled her days with family, friends, and volunteer work. When her son and his wife had their daughter, Nancy embraced her new role as a grandmother. She happily looks after the baby several days each week and tells anyone within earshot how much she loves her granddaughter and relishes being her part-time caregiver.
Her son and daughter-in-law live fairly close and have witnessed the changes too. Although she doesn’t want to discuss it when her son tries to broach the subject, she apparently has willingly given up control of paying her bills. Her good friend and across-the-street-neighbor looks in on her regularly and helps her with once simple tasks that confuse her, like sending emails with attachments.
Her son wants her to be able to stay in her home for as long as she can. She is happy and, so far, there doesn’t seem to be any reason for a change. Fortunately, she lives in a neighborhood where everyone knows – and looks out for – each other.
So, we, the neighbors, worry and we watch. Worry for her and for her family; watch as someone we care for goes through a decline… one we are terrified to see in ourselves.