Should I accept the "diagnosis" of Alzheimer's from my wife's doctors?

1 answer | Last updated: Jul 13, 2011

An anonymous caregiver asked...

Friends often ask me, "When was your wife diagnosed with Alzheimer's Disease?" My usual response is that AD is a diagnosis by default--through the process of elimination, all other possible causes for her behavior have been ruled out. Plus, the only definitive method of diagnosis is a post mortem brain biopsy. It upsets me to see the reaction from many that my answer is not adequate. It's usually an unspoken reaction but I often get the feeling that they don't think I've done enough to determine if she really has AD. And this makes me doubt myself, frankly. Do I accept the "diagnosis" of our primary care physician, her neurologist and a third general practicioner?

Joanne Koenig Coste

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Joanne Koenig Coste is a nationally recognized expert on Alzheimer's care and an outspoken advocate for patient and family care. She is the author...

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Joanne Koenig Coste said...

If, in fact, your PCP, a Neurologist, and a medical third party have all diagnosed your wife with Alzheimer's disease (AD), I truly believe you will feel relieved when you See also:
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See all 57 questions about Diagnosing Alzheimer's and Other Dementias are able to accept the viability of their conclusion. There was a time not so long ago when brain autopsy was the way of confirming the diagnosis of AD. We have come a long way since then and now diagnose through an appropriate medical, psychological, and neurologic workup that includes social history and neuro-psych testing. This workup is specifically designed to diagnose AD and to also rule out other possible causes of the process that brought your wife for an initial evaluation. You alone know if you have 'done enough to determine if she really has AD' and if you have had the workup completed for AD, then rest assured you have indeed done everything possible. Try to slowly understand the disease process and walk beside her in this new world of Alzheimer's. Please take care of you. There was a time not so long ago when brain autopsy was the way of confirming the diagnosis of AD. We have come a long way since then and now diagnose through an appropriate medical, psychological, and neurologic workup that includes social history and neuro-psych testing. This workup is specifically designed to diagnose AD and to also rule out other possible causes of the process that brought your wife for an initial evaluation. You alone know if you have 'done enough to determine if she really has AD' and if you have had the workup completed for AD, then rest assured you have indeed done everything possible. Try to slowly understand the disease process and walk beside her in this new world of Alzheimer's. Please take care of you.

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