Early in the blogs I was screaming out about his evening behaviors
We thought it was anxiety and/or sundowners
The behaviors keep me on edge, raise my stress levels, cause us to have unpleasent exchanges
So our prior doc thought it was Sundowner’s syndrome and prescribed an anti-anxiety med which he felt would not interfere with the other therapeutic RX’s
He has been taking it for about a month now, no observable change
The new doc had a different take, his first priority was schedule management
Seems the body’s natural rhythms are super important to respect for someone with this disease
Sleeping schedule, pooping regularity, are things we need to pay better attention to
This is going to be hard for me,
I love my current, semi-retired time fluidity
It also means travel, with time zone changes, are going to wreck havoc on him
We have definitely seen that be the case (recall Lewy Lean)
So we need to have a daily routine, a regular time to wake up, eat, go to bed
Probably not terribly different than parenting young children
We are trying to cure what seems to be an evening agitation
The doc seems to think this might also be Environmental Dependency Syndrome (Zelig syndrome):
Environmental dependency syndrome is a condition where individuals rely heavily on environmental cues to quide their behavior and complete tasks.
Damage to the frontal lobe, which is responsible for executive functions and decision making, is often implicated in this syndrome
A specific manifestation of environmental dependency where individuals feel compelled to grasp and use objects they see, even if inappropriate or unnecessary
Such a guessing game all the time
I do know that he wanders around quite a bit, has moved chairs from here to there, put things that didn’t need to go in the trash in the trash…..
Continual need to move around, unable to sit still
He also prescribed a new RX which we need to try to help reduce this
The other thing he said that is common is “shadowing”
Shadowing is when he follows vs walking along side
He does that ALOT and its been driving me crazy
I have always wondered why he doesn’t walk along side of me
I will stop, reach for his hand, so that we can walk side by side
Now I know…..he is following me, someone he is comfortable with, in order to navigate his environment
I don’t know that changes much…..but certainly explains things

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