There's a balance to be struck between telling it 'as it really is' and potentially painting a picture that is too rosy. My wife is past noticing now, but she would once have said that it must be awful to have dementia, apparently oblivious of her own Alzheimer's Disease. Compassion is important but so is knowing when it is not enough. It's maybe the title of the ad that bothers me most. My ultimate vow was to do what was needed for my wife irrespective of what she or I wanted. That did not mean slogging on, running myself into the ground and, ultimately, failing to give her the care she deserves. It did mean a tough but vital decision about how to get her that care when my efforts were no longer sufficient. Perhaps that hardest and best decision could feature in a follow-up.