Jim did not receive the invitation for the annual potluck at his church. He ran into Susan, who was a coordinator at the church and also Jane’s friend. Susan explained, “Jane had mentioned about her tests for dementia. I’m sure she needs more rest and care, so this year we thought it was best not to send you an invitation. But if she feels up to it, then I can certainly mail it.” Jim was aware that his wife’s dementia might lead to some lifestyle changes but he was not prepared for them to be so immediate.