system
58 year old, slowly grown fatigued, forgetful, indecisive. What could be this?
human
My husband is 58 years old, 5-ft 10-in tall and weights 185 pounds. He is active. He has taught 4th grade for over 30 years and this past year was especially difficult (troubled kids, families...) Starting about March of this year he has slowly grown more fatigued, forgetful, and indecisive. I don't even "know" this new guy. He went to his doctor and was said to be "fine". He is not fine. Ideas? Recommended tests? Depression?Thank you for your thoughts.Patricia Baer
gpt
Hello Patricia.I have gone through you post. From what i could gather, your husband has been a teacher for last 30 years and was fine until about 4 months back when he started getting more fatigued, forgetful and indecisive. At this age, after family troubles, he might develop reactive depression, which might manifest as low mood, poor attention and concentration resulting in forgetfulness, a deterioration in sleep and appetite with occasionally expressed sadness. A more sinister development at this age might be some organic lesion of the brain like cerebro-vascular disorders or dementia, though 58 is a little early for dementia, which at the initial stages might present like this.At the initial stages, these findings might be missed by a physician who is not sufficiently trained in eliciting these disorders, particularly the subtle signs. Therefore i suggest you visit a qualified psychiatrist and get him evaluated, clinically and using both neuroimaging as well as neuropsychological tools, to get to the problem and then follow the management plan as prescribed.Hope this helpsRegardsDr A Rao Kavoor