<s>[INST] momexperiencingmilddementiafor2 yrs brokehip totally gpne for 3 weeks after surgery then came back infollowing 2 months gradual progression of denentiasymptoms to severelevels..then started aracept immed improvement within hours...back85 percent ofcognitivefunct andspeechfor2weeks...then 3days sharp decline now upswingfor 3 days back to about 75percentfunctioning...is thistypical...stillneeds 24 hr care tho... [/INST] Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-:1)Do an MRI scan to ruled out any euro deficit2)Correct B-12 and anemia by injectable medicines 3 times weekly then every month once I hope I was able to ad Chat Doctor.  If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks, </s>