Navigating the Ups and Downs

I am here and then I'm not I understand and then I'm lost. I am up and then I'm down I smile and then I frown. I never know who I will be I only know it's no longer me. My new friend Lewy is quite a handful - even on good days! While there are so many things I really grapple with on a daily basis with this disease, fluctuations (or severe changes) are some of the most difficult. These fluctuations may occur at any time, which make trying to deal with them incredibly difficult. I do not know when they're going to happen, or for how long, or in what form they will take. For me, these fluctuations are both physical and cognitive and can occur day to day, week to week, or minute to minute. The cognitive fluctuations I face are things like lack of concentration, confusion, slow or delayed responses and reactions, inability to find words, decision making, impulse control, and task management. Anything dealing with executive functioning. The physical fl...