Memory clinic refused my Mother's referral - where to go next?

Kef

New member
Apr 29, 2024
2
0
Feeling very frustrated and exhausted by the process of trying to get my Mum some sort of diagnosis and not sure where to go from here. I have noticed subtle changes in my Mum for the last 5 years, things that we originally laughed off like her forgetting minor things but I just put it down to her having a lot on her mind and didn't think much of it. Since then, she sadly lost her partner 2 years ago and also the house that they shared and we started living together again last year which is when I noticed a significant decline in her memory, her ability to hold a conversation, and her driving capabilities. I noticed she really struggled with dates, times, getting simple sentences out, and her driving was getting dangerous and worrying so I started to approach her with my concerns and was met with denial (ending in a lot of arguments). My brother noticed too and I had a few friends / family members make comments about her being very different / not herself. She kept blaming her grief which, although I knew probably contributed to her decline, I did not believe was the full story.

It finally came to a head in October last year when I got a call from her work asking me to pick her up as they were concerned for her and no longer thought she had the capacity to safely carry out her role. They were really good about it but they basically said they noticed a number of instances where my Mum had struggled to remember key things, was struggling with the technology, holding conversations, and just didn't seem herself at all. She went on sick leave and promised to see her GP. I attended the appointment with her and the GP ran through some memory tests (which she failed, each time), asked some questions of me about what promoted the appointment (I gave some examples), and the conclusion was that she should no longer drive and to try her on some anti-depressants until a brain scan could be arranged.

The long and short of it is that radiology rejected the brain scan referral as they believed she should see the memory clinic instead, and then the memory clinic rejected that referral because my Mum has a history of drinking alcohol and they want her to be 2 years sober before they will see her (she has been sober nearly a year now). We have since been back and forth with the GP and because the memory clinic rejected that referral radiology agreed to take up the original referral and she had a brain scan last week which showed nothing (no stroke, brain tumour, etc.). The memory clinic is still refusing to assess my Mum despite the GP saying she thinks she "probably has some form of dementia" and the only way to push the referral is if she develops any further symptoms. The GP advised that she still shouldn't drive or return to work, but how am I going to communicate that to my Mum when technically there is nothing wrong with her??

I'm just at a loss of what to do next, she can barely use her phone, operate the TV, she still can't drive, is in no condition to go back to work, she doesn't know what day/month/time it is at any given point, and yet we have no official diagnosis to explain to her work why she can't return. I'm only 28 and I work full-time and I no longer live with my Mum so I'm really struggling to deal with everything, she is very needy and requires a lot of help with simple tasks and she keeps asking us what's going to happen and I have no answers for her. I know 100% that something is not right with my Mum, I have been extremely close with her my entire life and I barely recognise her anymore and it's like I've lost her already. My Grandma had dementia and I'm seeing so many similarities.

Is there anything I can do to get her assessed despite the referral rejection? I'm even thinking of writing a letter of complaint about it, as I think it's hugely unfair that they won't assess her and want us to wait until next July to be seen. She will soon run out of sick pay and will likely lose her job as she definitely cannot return in the state she's in, but will have no support for this as she has no official diagnosis. My brother and I are dealing with this on our own so any advice would be really appreciated, thank you.
 

LadyLouise

Registered User
Jul 14, 2022
82
0
So sorry about what’s happening. Please call the Alzheimer’s Society helpline if you haven’t already. Your Mum can get various benefits and support based on her actual symptoms and how these impact her daily life, the lack of a firm dementia diagnosis isn’t needed. Think about all of the people who are clearly unwell but waiting for diagnosis. It’s easier with a diagnosis but support shouldn’t be withheld while a diagnosis is pending. Also talk to Acas about her rights for when her job is terminated on medical grounds, to make sure they go through the right processes and that she gets everything she is entitled to. If your Mum is a union member ask for their support too.

As to driving, I suggest you put this firmly back in the hands of the GP and explain that you can’t persuade your mum. You could ask them to write a letter to her advising her not to drive, and if you haven’t already, it may be time to take her keys.

If you don’t already have POA, you should try to get this set up urgently if your mum still has enough capacity to do so.

Sadly, having an official diagnosis probably wouldn’t make explaining things to your Mum much easier. So just come up with the best story that she is most likely to accept. She might not feel unwell, so you may have to get creative. Could her job be ‘allowing her to retire early because of how hard she has worked’? Or at least that she is on a long holiday or a sabbatical? Or if this is too suspicious, say that the company is having to cut back And is imposing early retirement on a lot of employees.

Sending lots of positive thoughts your way.
 

Kef

New member
Apr 29, 2024
2
0
Hello - thank you so much for this, I really appreciate this advice, particularly regarding her work and I will definitely look into this as we go forward. It's really helpful to know that I can speak to the Alzheimer's Society without a proper diagnosis for my Mum as well, I definitely need some specialist advice on how to handle the situation and see if there is any support available for her so I will be sure to contact them.

We did have to take her keys away from her a few weeks ago as we caught her sneaking out in the car, it's been very difficult trying to explain why she can't drive and she says she understands but then asks for her keys back a day later (and the cycle goes on). It's the repetition that I struggle with, but I'm trying to be more patient with her as I know she can't help it. We are going to have a proper sit down with her today to explain the scan results and how we have to wait for the memory clinic to see her, I'm not looking forward to it but I hope we can frame it in a way that doesn't distress her more.

Thank you so much for your reply and help.
 

SAP

Registered User
Feb 18, 2017
1,438
0
It won’t be much comfort to you but many mental health services including those for people with memory lose, will not see someone with significant alcohol intake issues and this can really muddy the water but I also suspect it is a way of gate keeping. Grief anxiety and depression also can cause significant memory issues and your poor mum sounds like she has been through the mill. She’s done well not to drink alcohol for a year.
Getting a diagnosed has a few benefits but frankly not that many. And as @Kef has said there is a good chance your mum will reject any diagnosis or even remember it.
 

Jaded'n'faded

Registered User
Jan 23, 2019
5,305
0
High Peak
To say they won't see her until she has been alcohol-free for 2 years is a completely arbitrary decision and you should challenge it. Ask what science it is based on. It is ridiculous to say they can test her at 2 years but not after one year. Point out also that their decision is also discriminatory - she is being denied the right to be seen, diagnosed and possibly given any meds she may need.
 

LadyLouise

Registered User
Jul 14, 2022
82
0
Hello - thank you so much for this, I really appreciate this advice, particularly regarding her work and I will definitely look into this as we go forward. It's really helpful to know that I can speak to the Alzheimer's Society without a proper diagnosis for my Mum as well, I definitely need some specialist advice on how to handle the situation and see if there is any support available for her so I will be sure to contact them.

We did have to take her keys away from her a few weeks ago as we caught her sneaking out in the car, it's been very difficult trying to explain why she can't drive and she says she understands but then asks for her keys back a day later (and the cycle goes on). It's the repetition that I struggle with, but I'm trying to be more patient with her as I know she can't help it. We are going to have a proper sit down with her today to explain the scan results and how we have to wait for the memory clinic to see her, I'm not looking forward to it but I hope we can frame it in a way that doesn't distress her more.

Thank you so much for your reply and help.
Sending positive thoughts your way! Many people with dementia don’t have a diagnosis, but this shouldn’t stop you accessing any kind of support.