I didn't think I would get a chance to actually talk to the doctor before Mom's appointment (it is at 8:45 tomorrow, Tues), so instead I wrote down my concerns and will try to get the receptionist to give the note to his nurse to it pass to him to be read before her appointment. Maybe that will work - we'll see. Basically, I said that I didn't want to offend Mom by bringing up the confusion/forgetfulness in front of her, but if he brought it up as a common thing that he wanted to test for or even one that he routinely tests for, then that would work better. The other thing I said I wanted him to be aware of was that neither my mom or my dad seemed to realize how serious this was. Mom hasn't bothered to start dieting because she wanted to wait until she saw the doctor on Tuesday. Even though the nurse who gave her the test results told her to lose 50 lbs. And the doctor had previously told her to lose weight. Now she is sicker than she thought and she is waiting until tomorrow to diet! And my dad is in denial also. It is like if they don't think about it, it will go away. So anyway, I asked the doctor to please impress upon them the seriousness of the situation. And maybe go into the details of what will happen if she gets to stage 4. Like Pink Grandma said, "sometimes it takes scaring the you know what out of them before they will take the disease seriously" Well, I am hoping the doctor will do that. It may sound cruel, but if that is what it takes to get her to start to diet, and therefore prolong her life, then it has got to be done. One other thing too - I asked the doctor if counseling might be appropriate to help her adjust to such a huge life changing event. I think that she needs to find other outlets for her emotions besides food. She also needs it to be able to come to grips with the fact that she has this disease and it is not going away. I don't know if it would be covered under her insurance, or if we could find somewhere that is half way affordable. But maybe Mom would try it. I am not looking forward to this appointment, it is going to be very awkward.