I visualize a steep hillside, with lots of loose rocks, occasional stunted trees, or boulders, or small ledges to break the fall. And that seems to be the way that Miklos is declining. He falls swiftly and then plateaus for a few weeks or months.

In the past couple of weeks, his short term memory has grown considerably worse, and he shows much more confusion, often struggling to decode simple instructions.

There is also a steep decline in his physical health. He used to get up, shower, shave and get dressed, have breakfast, and then possibly sit in his recliner for a nap. For the past week or so, he has stayed in his pajamas most of the day, complaining that he just isn’t feeling very good. And staying in bed rather than napping downstairs.

His heart is strong. His lungs are strong. But he is clearly slipping on the loose skree of this mountain top.