It is 6:30 in the morning, and I have already been awake for an hour and a half.
I came out to start my day, but the last check-off sheet was used yesterday.
So I stopped to find a new one.
Somewhere in that, I lost the thread.
I am standing here, not quite sure what I was about to do next.
Something important. Something routine.
Then I remember—
I haven’t had my protein drink yet.
The fog may not be dementia at all.
Sometimes it is simply my body reminding me I forgot the protein drink.
This is how quickly things can come apart.
And how quietly.
This is the moment the sheet is built for.
Tru here. This entry is by Truthful Loving Kindness (my full legal name) for truthfulkindness.com. For comments or questions, please use that website. Writing is much more difficult now, so I use “ChatGPT” to edit. This improves readability and reduces the time I spend in the writing process.
.
Some days, my hands shake so much I can’t type straight.
Today is one of those days.
This is when the sheet matters most.
It looks like a checklist.
But it isn’t.
It is the part of my mind that still works—
written down ahead of time.
I don’t use it because I am organized.
I use it because without it, the day does not hold together.
It tells me what comes next
when “next” stops existing.
It tells me if I’ve taken medication
when memory is no longer trustworthy.
It reminds me to eat
before my body drops.
It reminds me to check the dog,
the doors,
the small things that matter if missed.
It removes decisions
I no longer have the strength to make repeatedly.
By mid-afternoon, my abilities drop sharply.
Around 3:30, the system starts to fail.
The sheet already knows that.
So it asks less of me then.
Because good design asks less
when I have less available.
This is what the sheet really does:
It lets my morning self take care of my afternoon self.
It lets the part of me that can still think clearly
leave instructions for the part that cannot.
It holds the shape of the day
when I no longer can.
And on days like today—
when my hands won’t steady
and my thoughts don’t line up—
I don’t have to remember how to live the day.
I already left myself the way through.
Five months later.
I wrote the above words in April.
The first version of my check-off sheet was designed about three years ago, in 2023. Since then, I have revised it frequently as my abilities and needs have changed.
But I could not know in April what September would bring.
For about a month now, my cognitive abilities have been substantially lower than they were when I wrote this.
At first, we thought perhaps I had experienced a cluster of small strokes.
Now that seems less likely.
And after a month of waiting for my abilities to return to where they were, I am beginning to suspect that this may be my new normal.
Yesterday was a little better.
This morning began a little better, too.
I am grateful for better.
But I also need to adjust my expectations to the abilities I actually have available now.
The check-off sheet still helps.
It helps a lot.
But now I need so much MORE.
And perhaps this is part of Designing Against Decline, too.
Not designing something once and expecting it to keep working forever.
Not designing for the abilities I hope will come back.
But looking honestly at the abilities I have today—
and designing from here.
That does not mean I stop hoping for improvement.
It means I do not require improvement before I begin living again.
The system I created three years ago has changed many times already.
Now it needs to change again.
Because the purpose was never really the sheet.
The purpose was finding a way through.
And when the old way through no longer works—
I redesign the path; I just have to follow it.
***
Associated LINKS on my own Blogsite:
My personal Facebook profile is under the name “Truthful Kindness,” and you can find more about me on this blog under the “About” tab (although that page was posted long ago and also needs updating). >> https://truthfulkindness.com/about/about-me/
Related: My New “Normal” — July 26, 2014
Apparently, I have been redesigning the path for a very long time.
https://truthfulkindness.com/2014/07/26/my-new-normal/
Attached Picture:
About the image — WayThru
Created from several of my own paintings, WayThru reflects the idea behind this entry: when my ability to hold the sequence of the day becomes less reliable, structures created ahead of time help carry me through. The path may become incomplete, but the guidance continues—and the center remains held.
Contact Options:
Other contact options are FaceBook and “X” (aka Twitter), both under “Truthful Kindness”. On Reddit, i am at “TruthfulKindness” in groups “r/dementia”, “r/lewybodydementia”, and “r/alzheimers”. i dropped my LinkedIn membership quite a few years ago. If requesting “friend” status for any form of Social media, please send a private message explaining that you are a reader of my blog. …
* Admin issues:
* Admin Notes — Began this entry 2026Apr14. The subscription box is now located at the bottom of each blog entry. My full legal name is Truthful Loving Kindness. My formal diagnosis has remained at the stage of Mild Cognitive Impairment, although my Primary Care Physician and several other medical professionals consider it some form of dementia; my PCP records currently state “Dementia without behavioral disturbance, unspecified dementia type.” My September 2026 MRI showed no acute infarct or intracranial hemorrhage, with mild chronic white matter changes. In recent years, my PCP, my husband/care-partner, and I have jointly decided to discontinue specialist consultations, as the distance and emotional strain of repeated evaluations are not worth the cost to my well-being. My symptoms most closely resemble Lewy Body and vascular dementia patterns; however, previous SPECT and PET imaging showed the most significant brain changes in the temporal lobes, creating overlap with the logopenic variant of Primary Progressive Aphasia (PPA). Nothing in this blog is meant as medical, legal, or service dog advice; what I share here comes from lived experience—an attempt to design around decline and make daily life more workable—so please use your own judgment and consult professionals who understand your specific situation. Text Copyright © Truthful L. Kindness, 2026Sep21. You can learn more about me under the “About Me” tab (note: that page is due for updating). Comments are welcome—please filter them through truthful loving kindness toward all concerned. As of 2026, I use ChatGPT as an editor, which improves readability and reduces the time I spend in the writing process. I do not mind re-posting of my work; however, if you do re-post, you must clearly indicate that the writing is not your own, prominently identify my authorship as Truthful Kindness, and include a clear link to my website so that questions and comments can be directed to me personally: truthfulkindness.com.
*** categ: Jrnl, Sx, Dementia Symptom Tips; *** tags: activities of daily living, adaptive strategies, check-off sheet, cognitive fluctuations, cognitive loss, daily routine, dementia strategies, Designing Against Decline, living with dementia, memory aids, persons living with dementia, person with dementia ; *** Add to Pgs/ *** S&S Categ: Memory/Recognition, Planning, and Routine.
PS of Ai short summary: A check-off sheet helps me navigate cognitive loss by holding the structure of my day when I cannot. As my abilities change, I am learning to adjust expectations, redesign my supports, and keep finding a way through.










