A diagnosis changes everything

My dearest friend in the world was recently diagnosed with Alzheimer’s at a relatively young age.

We met when we were new moms, and while my family moved far away after only a few years, we have maintained an incredibly close and meaningful relationship through all the joys and sorrows of life for over 30 years now. She is my rock.

And now I can hear she has regressed a little every time I talk to her on the phone, and our distance is too far for me to see her regularly.

How do I handle the inevitable changes? How do I let her know I love her when she doesn’t recognize my voice anymore? How do I maintain any kind of relationship long distance? I have no map for our last journey and it is breaking my heart.

Any advice would mean so much to me.

— Left Behind

My first suggestion is that you should visit your friend in person as soon as possible. Book your trip today. Bring photos to look at together, take walks, listen to music, and simply be present and experience your time together with gratitude.

I think it would be a good idea to book a room nearby, stay for a few days, and keep your daily visits short — if that works best for her.

It can be mentally challenging and emotionally heartbreaking to be with someone whose memory is failing. Your friend might have good days and tougher days — or mornings might be better for her than evenings. Don’t stress her by trying too hard to prompt memories from her, but go with her flow — wherever that takes both of you.

Down the road, you can still let your friend know that you love her, even if she doesn’t recognize your voice. If speaking by phone becomes impossible, send cards and postcards, and express your affection and gratitude.

There is no return from this heartbreak, but this is your opportunity to honor your friendship by holding her hand through this part of her journey.

“Dreading the

Dogs” has a very close friend who always brings her three dogs along when she is a houseguest.

A good and safe kennel is the answer.

— Dog Lover

When I got my dog, the first thing I did was to line up in-home help and a quality kennel as backup. Dogs and humans have to adjust to this separation, but I believe it’s vital.

Have you ever had your question published in the “Ask Amy” column? If so, I’d love to hear from you. Did you accept or reject my advice? Was the issue you wrote about ever resolved?

As part of our ongoing conversation about human behavior and its consequences, I’d love to learn how things turned out for you.

Please — get in touch! Write to me at askamy@ amydickinson.com — write UPDATE in the subject line, and tell me your story.

I welcome the opportunity to be back in touch.

Contact Amy Dickinson via email, askamy@ amydickinson.com.