My husband has a medical test this afternoon, for which we have to fill in a form with other medical details. I put in the fact that he has vascular dementia, and therefore may have some problems remembering the instructions that are given during the procedure (he gets much worse when nervous). He has now come into the room and asked me 'What's this about vascular dementia?'. I told him that was what was causing his memory problems, and was why we had regular visits by the CPN, get Alz. Support visitors and went to see a psychiatrist every few months. He seemed surprised. He definitely remembers the diagnosis when he was told, after a brain scan, that he did not have Alzheimers, but not the part that showed the bits of his brain that had disappeared due to vascular problems. It appeared to come to him as brand new news, despite him having the condition for several years. Now, he comes from a family that revels in medical detail, and if he had anything else, like diabetes or dengue fever, he would tell the entire world in much more detail than the world probably wanted to know. In the past I have tried gently suggesting that it might be an idea to mention that his memory was giving him problems in some social situations, without this appearing to have registered at all. Do I now try to make dementia part of everyday conversation, or carry on with him saying he is suffering from 'old age', or what?