Hello — I just read your definition of “stages” with great interest. I’ve found the 7 often-used stages to be lacking. My story in brief: my darling husband of 22 years was diagnosed with vascular dementia 1 yr ago. He is 81. He has type2diabetes, a pacemaker but otherwise is in ok health. His brain mri, however, was “teeming” with micro infarcts. Some days he looks so fragile and is so “out of his head” ; then he can be fairly “like himself”. What stage is that? Barbara

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I’d really have to see him to tell you, or at least hear more about how he acts and speaks. You said he seems fine sometimes and was only diagnosed a year ago, so he may be early-moderate. I would definitely need more information about how he is.

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Rachael Wonderlin has a Master’s in Gerontology and is the author of two published books with Johns Hopkins University Press. She owns Dementia By Day, a dementia care consulting company.

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