For the person suffering from dementia as well as the ones closest to them, it may be an extremely frightening disease. On the other hand, early detection of dementia symptoms might make everyone feel better prepared. More equipped to handle the ambiguity, emotional upheaval, or perplexity. Fortunately, Dr. Richard Restak’s book, How to Prevent Dementia, was released on October 17, 2023. Some early indicators of the condition are covered in the book. The physician reveals in the book that there are four main dementia early warning indicators. He refers to the symptoms of dementia as the “Four A’s” and describes how they might manifest in routine activities like brushing your teeth. He stated that the exterior manifestations and internal feelings of an Alzheimer’s patient are driven by four deficits.
1. Amnesia may be a sign of dementia
According to Dr. Restak, forgetfulness is a common aging process. Thus, it only warrants concern when it occurs frequently and involving items that ought to be commonplace. For instance, if you routinely lose track of details like your address, name, or family members’ names. He adds that while this is a typical aging symptom, it might not always indicate dementia.
2. Or aphasia
The term “aphasia” describes a problem of comprehension and communication. That is, a person’s capacity for speaking, writing, and reading could deteriorate. On a daily basis, this could appear to be someone who mispronounces a word or has forgotten what it means. Dr. Restak points out that this could not be a reliable indicator of dementia either. Why then include them? The solution is easy to understand. Diseases and people have a significant characteristic. Like diseases, we vary from case to case. No condition fits neatly into a box or checklist, and some symptoms may apply to some people but not to others. Rather, diseases and humans have certain characteristics that may fall into one category but not another. Consequently, even though these dementia symptoms might not apply to everyone, they can significantly help some people learn how to deal with and manage the condition.
3. Appropriate Indices of Dementia: Agnosia and Apraxia
One illness that affects the senses is anemia. It makes it impossible to identify well-known individuals or locations. This can be experienced by touch, taste, smell, sound, or sight. Among the instances are failing to identify a family member, house, or preferred destination for a Saturday excursion. Aphasia, on the other hand, is the final of the four symptoms of dementia and manifests itself when performing routine actions like brushing your teeth. Muscle function and strength are affected by the illness. Although apraxia can cause a person to forget to brush or even have difficulty holding the toothbrush, Dr. Restak cautions that the condition goes far deeper than that. When someone has apraxia, they frequently are unable to “tie all the actions together” or perform them in the right sequence. “An individual suffering from apraxia might be able to identify and even name a toothbrush and toothpaste, but they might not be able to perform the simple act of pressing toothpaste onto the toothbrush.” He composed. “All the muscle parts are there, but they are not able to work together.” Individuals in advanced phases could also find it difficult to take a shower or get dressed.Restak wrote in How to Prevent Dementia that “many, if not all, expressions of Alzheimer’s can be explained by reference to the four A’s.”
4. Alzheimer’s versus dementia
The title of the book is Dementia Prevention. Still, Dr. Restak makes several allusions to Alzheimer’s. This is due to the long-held belief that the two illnesses are very similar. While this is accurate, there are a few significant distinctions between the two, and it turns out that one frequently leads to the other. In general medicine, the term “dementia” refers to brain changes brought on by aging, illness, or trauma. the term used to describe a collection of symptoms that impair a person’s capacity to operate and carry out daily tasks. Conversely, Alzheimer’s is more common in the old and senior population and frequently results in dementia.
5. Having a Conversation with an Expert
It’s advised to get in touch with a medical expert right away if you believe someone you know is showing dementia symptoms. They will have a better understanding of your symptoms and be able to conduct tests that will help determine the exact cause. But the discussion may also be frightening, awkward, and emotionally charged. There are a few things one can do to facilitate a more seamless communication. First, make sure everything is quiet, peaceful, and devoid of distractions like the TV. After that, get ready for an emotional roller coaster. Just provide the facts, but do so in a kind and perceptive manner. Summarize the important points in brief phrases and words. Permit the other individual to finish speaking. It might also be advisable in some circumstances to enlist expert assistance. For example, you can probably get emotional support, resources, and sometimes even medical guidance about what’s ahead from a religious leader, a primary care physician, or a certified therapist. In any case, the first step to learning to live with and conquer the obstacles brought on by dementia is being aware of its symptoms.
My Husband Made Me Justify Every Penny I Spent with Explanatory Notes — So I Taught Him a Lesson He’d Never Forget
Budgeting is important. But when my husband demanded I JUSTIFY every dollar I spent, even on essentials like diapers and tampons, I realized this wasn’t about money. So I played along, but he had no idea I was about to teach him the most expensive lesson of his life.
I never thought marriage would turn into a daily accounting session. Yet there I was, a mother of twin babies, writing down why I needed to buy diapers and shampoo like I was applying for a loan from the world’s most condescending bank. But trust me when I say this… the reckoning that followed was worth every humiliating entry in that little notebook.
A heartbroken woman | Source: Midjourney
Let me start from the beginning…
My husband, Ethan, and I had been together for six years, married for three. Before our twins arrived, we were equals. I had my marketing career and he had his finance job. We split expenses evenly and never argued about money.
“Look at us adulting like pros,” Ethan joked after we finished our monthly budget review. “Most couples fight about money, but we’ve got this down to a science.”
I laughed and clinked my coffee mug against his. “That’s because neither of us is trying to be the boss of the other’s wallet. Novel concept, right?”
Then I got pregnant with twins… and EVERYTHING changed.
A pregnant woman | Source: Unsplash
We agreed I’d take a year off to care for our babies before returning to work. It seemed like a solid plan at the time.
The twins, James and Lily, arrived in a whirlwind of sleepless nights and endless diaper changes. I barely had time to shower, let alone worry about household finances.
But as months passed, I noticed the change in Ethan. It began with small comments, dropped casually like breadcrumbs leading to something darker.
Two cute babies on the bed | Source: Pexels
“Holy cow, we’re burning through formula like it’s free,” he remarked one evening, eyebrows shooting up as I added it to our shopping list.
“Yeah, turns out babies don’t photosynthesize,” I replied dryly. “They need actual food! Crazy concept.”
He sighed. “At this rate, I might as well just hand my paycheck straight to the cashier and call it a day.”
An annoyed man | Source: Midjourney
The comments continued, gaining frequency and edge. One night, as I rocked Lily to sleep, Ethan appeared in the doorway, waving a receipt like it was evidence in a murder trial.
“Another grocery run? What is this, your third pilgrimage this week?”
“No, it’s my secret affair with the cashier,” I whispered sarcastically. “We needed diapers, Ethan. Unless you’d prefer the twins start using the backyard like the neighbor’s dog.”
A grocery bill | Source: Midjourney
The breaking point came on a Tuesday night. The twins were finally asleep, and I managed to cook an actual meal instead of ordering takeout.
Ethan sat down at the table, looking at the roast chicken with approval. “Wow, real food that doesn’t come in a delivery bag. I’m impressed.”
“Thanks,” I smiled, pouring water. “I figured we deserved something that didn’t taste like cardboard for once.”
A man looking at his chicken roast and smiling | Source: Midjourney
He took a bite, then set down his fork with the deliberation of someone about to detonate an explosive. “I’ve been thinking about our spending.”
My stomach tightened. “What about it?”
“I think you need to be more mindful about spending since you’re NOT earning right now.”
I blinked. “I’m sorry, what was that? The sound of your foot entering your mouth must have distorted your words.”
A shocked woman | Source: Midjourney
“You’re not earning right now, Lauren,” he repeated firmly. “I think you should track what you spend and justify it. It’ll teach you to be more economical.”
I laughed sharply. “Oh, that’s rich. Tell me, what’s the going rate for a 24/7 nanny, housekeeper, and personal chef these days? Because I’m pretty sure I’m saving us about five grand a month.”
“Don’t be dramatic,” he snapped. “I just think it would be helpful for you to understand where the money goes.”
“Oh, I understand perfectly. Into keeping your children alive and your house from turning into a biohazard zone.”
An angry man | Source: Midjourney
“Why are you making this into such a big deal?” he asked, exasperated. “I’m the only one bringing in money right now.”
“Fine,” I said, pushing back from the table. “You want receipts? I’ll give you receipts. And I hope you enjoy sleeping in the guest room tonight, because the Bank of Ethan doesn’t extend credit to this particular bed.”
The next morning, I found a notebook on the kitchen counter with a bright yellow sticky note: “Every purchase needs an explanation. This will help you learn better budgeting!”
I stood there, my twins balanced on each hip, staring at that patronizing exclamation mark as tears threatened to spill.
A notebook on a table with a sticky note | Source: Midjourney
When Ethan came into the kitchen, I was still standing there.
“You can’t be serious about this,” I said, nodding toward the notebook.
He poured himself coffee, calm as he could be. “I am. It’s just a good habit to develop.”
“A good habit? Next you’ll be asking me to raise my hand to use the bathroom.”
A man smiling | Source: Midjourney
“Very funny. Just write down WHAT you buy and WHY.”
“And if I don’t?”
His jaw tightened. “Then maybe we need to rethink how we handle household finances.”
“Meaning what, exactly? An allowance? A gold star when I’ve been extra thrifty? Or maybe you’d prefer if I just start bartering… a load of laundry for a new tube of toothpaste?”
“Just try this for now. Period.”
A stunned woman | Source: Midjourney
“Sure thing, boss,” I replied, my voice syrupy sweet. “Anything else? Should I start calling you Sir? Perhaps bow when you enter the room?”
He rolled his eyes and headed for the door. “Just fill out the notebook, Lauren.”
I looked down at James and Lily, then back at the notebook.
“Well, kids,” I whispered. “Looks like Mommy’s about to teach Daddy a lesson in creative accounting.”
A woman with a calculative glint in her eyes | Source: Midjourney
For the first week, I played along. Every purchase was meticulously documented with an explanation that walked the line between compliance and defiance.
“Milk – $4.99. Because apparently the twins can’t survive on water and good intentions.” They need calcium.”
“Diapers – $19.50. Unless you’d prefer I use your dress shirts as alternative wiping materials.”
“Toilet paper – $8.99. For when nature calls and doesn’t send a text first.”
Ethan reviewed the notebook each night, his mouth tightening.
An annoyed man holding a notebook | Source: Midjourney
“Is all this sarcasm really necessary?” he asked, skimming through the pages.
I batted my eyelashes innocently. “What? I’m being thorough. Isn’t that what financial responsibility looks like?”
“You know what I meant.”
“Do I? Because from where I’m standing, it seems like you’ve mistaken me for an employee rather than your wife.”
A woman with a cunning smile | Source: Midjourney
Week two arrived, and with it, my counter-strategy. While Ethan was at work, I went through his wallet, our credit card statements, and his personal account. That evening, when he sat down to review my entries, he found something unexpected.
“Six-pack of craft beer – $14.99,” he read aloud, his voice rising. “Note: Essential for husband’s ability to watch sports without becoming insufferable.”
His eyes widened as he continued.
“Online poker deposit – $50. Note: Because gambling is a ‘hobby’ when men do it and ‘irresponsible’ when women buy a $5 latte.”
He flipped the page, his face reddening.
“Takeout lunch – $17.45. Note: Could have packed a lunch for $2, but that would require advance planning and basic kitchen skills.”
A furious man looking at a notebook | Source: Midjourney
He slammed the notebook down. “What the hell is this?”
I looked up from the laundry I was folding, the picture of innocence. “Oh, I decided to be extra helpful and track all household expenses. Comprehensive budgeting, right?”
“This isn’t about me,” he snapped.
“Oh, but it is. You’re part of this household, aren’t you? Or does the great financial overlord exist outside the rules he creates for his subjects?”
A woman with a grim stare | Source: Midjourney
Ethan stood up and walked out of the room.
“Don’t forget to document tomorrow’s coffee run!” I called after him. “I hear financial transparency is all the rage these days!”
But I wasn’t done yet.
For the next few days, an uneasy truce settled over our home. Then came the invitation to dinner at his parents’ house. Perfect.
A table set for dinner | Source: Pexels
“Mom wants to see the twins on Saturday,” Ethan said.
I nodded, a plan forming. “It’ll be nice to get out of the house and interact with adults who don’t ask me to justify buying toothpaste.”
My in-laws, Mary and Victor, had always been kind to me, especially Mary, who had been a source of support since the twins were born.
Saturday arrived, and I packed the diaper bag with extra care, making sure to include one special item.
Baby diapers in a bag | Source: Midjourney
Mary greeted us warmly, cooing over James and Lily. Dinner was pleasant enough, and as we finished the dessert, Mary turned to me.
“Lauren, honey, you look exhausted. Are the twins still not sleeping through the night?”
I smiled, seeing my opening. “Oh, you know, between the babies and the homework, sleep is a luxury.”
She tilted her head, confused. “Homework? What homework?”
A puzzled older woman | Source: Midjourney
“Oh, didn’t Ethan tell you about his exciting new financial literacy program?” I reached into the diaper bag and pulled out the notebook. “Ethan’s been teaching me the value of a dollar while I’m on maternity leave.”
Her eyebrows shot up. “Is that so?”
“Mmm-hmm. He makes me write explanations for everything I buy. Like a seventh-grade economics project, but with more sleep deprivation.”
A woman looking at someone in a dining room | Source: Midjourney
Mary’s expression shifted from curiosity to disbelief. “He what..?”
Victor leaned forward, frowning. “Son, please tell me this isn’t what it sounds like.”
Ethan’s face drained of color. “It’s not… Mom, Dad, it’s just a budgeting exercise.”
“A budgeting exercise?” I asked, grinning like a Cheshire cat. “Let me read you my personal favorite entry: ‘Tampons – $10.49. Note: Because Mother Nature’s monthly gift doesn’t accept returns and I left my cork collection at my parents’ house.’”
A startled man | Source: Midjourney
The silence was deafening. Then Mary erupted.
“ETHAN!” she thundered, slamming her hand on the table. “Are you out of your mind? Is this how we raised you to treat your wife?”
Victor shook his head. “Son, I’ve never been more ashamed.”
Ethan sputtered, “It… it wasn’t like that! We agreed —”
“She’s home raising YOUR children!” Mary cut him off. “What exactly do you think that’s worth per hour? Because I can tell you right now, you couldn’t afford her if she sent you an invoice!”
An angry older lady | Source: Midjourney
I slid the notebook toward her. “There’s more. I started tracking his expenses too. For educational purposes, of course.”
Mary flipped through the pages, her expression darkening. When she reached the section with Ethan’s expenses, she let out a laugh that could only be described as predatory.
“Oh, this is rich,” she said to Victor. “Apparently, $50 poker games are essential, but Lauren needs to explain why she bought baby wipes.”
Victor crossed his arms. “You expect your wife to care for twins without pay, then make her grovel for necessities? What kind of man have you become?”
A disappointed senior man | Source: Midjourney
Ethan finally broke. “ENOUGH! I GET IT! I SCREWED UP!”
He grabbed the notebook and ripped it in half, then stormed out. The door slammed moments later.
Mary reached for my hand. “Sweetheart, are you okay? Do you need money?”
I squeezed her hand. “No, don’t worry about the money. As it turns out, I’ve become quite the budgeting expert.”
The drive home was silent. When we pulled in, Ethan turned off the engine but didn’t move.
A man driving a car | Source: Unsplash
“That was a nuclear-level humiliation back there,” he finally said.
“Imagine that feeling, but every day, in your own home… from the person who’s supposed to be your partner.”
He turned to look at me. “I didn’t mean to make you feel like that.”
“What did you think would happen? That I’d thank you for treating me like I was embezzling from the family cookie jar?”
A woman sitting in a car | Source: Midjourney
“I was scared,” he admitted. “The responsibility of being the only provider… it freaked me out. But I handled it all wrong.”
“That’s the understatement of the century.”
“I’m sorry, Lauren. Truly. I was an ass.”
“You were a world-class, gold-medal-winning ass, Ethan.”
A small smile flickered across his face. “I deserve that.”
A guilty man | Source: Midjourney
“I need you to understand something,” I continued. “I may not be bringing in a paycheck right now, but what I do has value. Massive value. I’m not spending your money… I’m investing it in our family.”
He nodded. “Crystal clear.”
The aftermath was transformative. Ethan never mentioned tracking my spending again. He started coming home earlier, taking the twins so I could have time to myself. Small gestures that spoke louder than any apology.
A man giving a woman money | Source: Pexels
And from that day on, he never questioned me about money. Not once.
Because every now and then, when a hint of his old controlling self surfaced, I would simply look him dead in the eye and ask:
“Would you like me to start another notebook? I still have your mother on speed dial.”
And just like that, he remembered not just the humiliation, but the lesson beneath it: that partnerships aren’t built on balance sheets and justifications, but on trust, respect, and the understanding that some contributions will never fit into the narrow columns of a ledger.
I never thought I’d need to teach my husband how to see me as an equal again. But sometimes, the hardest lessons are the ones that leave the deepest marks.
A woman with a triumphant smile | Source: Midjourney
This work is inspired by real events and people, but it has been fictionalized for creative purposes. Names, characters, and details have been changed to protect privacy and enhance the narrative. Any resemblance to actual persons, living or dead, or actual events is purely coincidental and not intended by the author.
The author and publisher make no claims to the accuracy of events or the portrayal of characters and are not liable for any misinterpretation. This story is provided “as is,” and any opinions expressed are those of the characters and do not reflect the views of the author or publisher.
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