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10 AM to 4 PM?
That means he's likely sundowning, so progressing dementia
=/
LOL! He's not Sundowning he's just old!
It's a stereotype as old as time: Old people get up early and don't like staying up late. It's not a sign of dimensia it's a sign of age.
A proper outward sign of dimensia would be issues with balance. Has he been stumbling? Does he seem to lose his balance if he has to make a sharp turn or during quick turns of his head? Trouble with stairs or ramps? That sort of thing.
Wow, I hadn't heard of that before.
https://en.m.wikipedia.org/wiki/Sundowning
Alzheimer's maybe. Bleccch.
Not to dox myself too hard, but I've worked in EMS with a specialty in elder care.
Joe needs some rest and a different, less stressful job. He is most certainly sun downing and it's bordering on elder abuse with the attempts to gaslight people into believing it's a cold.
I'd love to see Biden in an advisory role or as a source of wisdom for the next DNC candidate.