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Joan - I think what you have expressed is the ultimate secret terror of all of us-less the physical deterioration than the subtle mental decline that no one talks about. I ready that x per cent of PWP get a form of dementia (the numbers vary from 15% to 40%) and the perception that I am losing it, the "competence" that I have cherished all my life, scares me through and through. I am beginning to have hints of problems in communicating (mushmouth and a voice that no longer "projects") but these symptoms seem to stand for something much greater- the loss of the ability to cope. Still very subtle, but scary nonethless. Nancy S,