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My Darling Husband is 76 and knows about his recent diagnosis of mild to moderate late onset AD. He knows he’s a little “fuzzy” but doesn’t agree with the diagnosis and has not told anyone. He has lifelong friends (yes - 75 years!) that he speaks with weekly. They are surely noticing his periodic confusion, repetitive questions and other changes. DH loves his friends and finds joy in their shared memories of ‘back in the day’ growing up in Manhattan. Detailed memories in sharp focus! On one hand I am thinking they have concerns but don't want to “question/embarrass” their friend. On the other hand they might be concerned, or choose not to call because they don’t understand his situation and are uncomfortable.
I am leaning towards telling them something, although I fear notice to his friends would be a betrayal in his eyes. However I also want them to understand and keep in touch.
Have you faced this question? What worked for you with your loved one?

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Most likely they notice the changes, which a few of them could be experiencing as well. For now I think you could just let it go, but as it advances, you might warn them, give them specific ways to speak with him, such as not correcting him and telling him he already told that story. Let them know that he will not forget them, as his past is still firmly in his memories, that he is still himself in most ways, and that he needs them in his life. And make it clear that you also need them to be there for him.
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Reply to ArtistDaughter
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When my dad was diagnosed at 76 with frontotemporal dementia, he also did not understand or agree that anything was wrong with him. In the early days, my mom worried a lot about whether to tell his friends, neighbors, etc. she eventually did mention it and none of them judged him or excluded him. They were all very natural and sympathetic. One volunteered to drive him to some farther-away appointments since he could no longer drive. That helped my mom a lot. Later, things got more difficult and my parents moved near me and his friends still kept in touch both with him and with the two of us up until his death and helped me draft his obituary. Good friends!

I don’t know whether he was ever aware that anyone had shared the diagnosis. It’s hard to know what goes through the mind of someone with dementia.
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Reply to Suzy23
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Putting a name to his periodic confusion isn't likely to make his friends less uncomfortable, in fact in my experience labelling someone with Alzheimer's is more apt to give some of them the excuse to exclude him.
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Reply to cwillie
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I would let friends know and ask they not reveal that you told them. As many have experienced don’t be surprised if friends fade away as your husband’s progression continues. It’s common, though unfortunate, many people don’t know how to handle it so they just choose to avoid. I’m sorry you’re in this place with your hubby
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Reply to Daughterof1930
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I would think if they are good friends, they would ask you. Then you just say yes he has ALZ. You don't have to say more than that. Just ask that they continue to include him.
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Reply to JoAnn29
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Thank you all for your insightful comments. Very much appreciated. I think I'll just hang back for a little while, maybe say something as it becomes more evident.
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Reply to DMcD55
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Your husband's friends probably understand his symptoms all too well. Some of them may be faced with similar cognitive issues or at least questioning their own symptoms of aging. Real friends take each other as they are.
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Reply to RedVanAnnie
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Your husband may not be as hindered as my mother is but I can share my approach to those situations since it may help eventually.
I have told my mother’s friends, many of whom are in different parts of the country. Several make a point of staying in touch and it is wonderful to hear her conversations with them on the phone since she still remembers the special times they shared and she doesn’t seem to get lost during the conversation. They often have to contact me first since she doesn’t usually answer her phone or it is lost or not charged. I then call them when I am visiting her. Others either text me for updates or when a mutual friend is wondering how she is doing and wants to contact her they ask me the best way for the person to be in touch. When they send her cards they usually send them to me so I can help her remember who they are from.
Two of her longest friends (though close to my age)are local. They contact me to make plans to take her out for dinner or other things and I sometimes invite them to things I am planning with my mother. I will admit that sometimes I give them hints that I think getting together would be good soon if they are able since they are busy with their lives and don’t realize when it has been a while. I do the same with my niece and her family who are also local.
On her own my mother would let these relationships drop by the wayside since she has never been good at writing people and no longer really calls most people except me and my brother. They understand what is going on and I am glad that I can help her maintain these friendships to some degree. She is a very social person and I think the interactions are very good for her, even if I do have to spend a lot of time serving as her social secretary!
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Reply to Animallovers
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They already know and would have noticed.

I'd let things continue as they are.
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Reply to brandee
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Great question! I struggled with this for a long time when caring for my 85yo mom. It’s hard to find the balance between supporting her current needs in ways that also respect her dignity and privacy. She’s always been such a social person (but private about her personal life.) It’s been hard to see that part disappearing and impacting her life & friendships as her dementia has progressed. At first, I was able to fill in some of the gaps for her to keep relationships going. Over time, I’ve had to do more and more as her ability to talk on the phone, engage in conversations, memory, and initiation skills have declined. Her friends slowly started to notice. A few pulled away, but most friends & family just accepted (as they are also aging and experiencing similar things.) This year, I finally did start sharing her diagnosis with people (as a little “heads up” warning) whenever the person or situation might require more abilities than mom can give now. I do it discretely without mom knowing. All of them (close friends, relatives, dentist, tax pro, hair salon, etc) have responded with such kindness, understanding, and respect for her. It’s been wonderful to see and a big relief that it was the right decision!
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Reply to MomCare3Amigos
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