Probably not a good way to communicate a diagnosis ...but on the other hand, my OH has vascular dementia and Parkinons and a host of other things (he is 84) ....I always go to the doc with him, and she explains thing to him but he does not understand ...so I have to shout out what she is saying (he is also quite deaf) ...he has no concept of the illnesses he suffers from ,,,and refuses to discuss the consequences and long term problems .....he also refused a hearing aid, a mobility aid and several other things ! He is in denial there is anything wrong ....so trying to address his problems is difficult (walking with difficulty, falling over frequently and injuring himself ! not wanting to eat ....the list is endless !) I told the doc all this, and his daughter,( in case they think he is trying to kill himself and I am not trying to stop him !) ...the doctor said let him do what he wants (as in climb ladders, use power tools, cut trees ....aargh ! I despair !) ......and his daughter said I know my dad and you will never stop him and I understand !......so I am relieved that at least no one will blame me ! I do try to stop him, though, without success ! As in your case, he opens mail, but doesn't understand what it is and has difficulty reading it anyway ....a lot of it, as we live in France, is obviously in French ...which he never understood anyway !! all I do is look through the paper recylcing bin before throwing it away just in case ...I have often retrieved bills bank statements etc all bill are paid by bank prelevement, so they would be paid in any case, but I worry about account numbers etc being stolen ....but I am like that !!!! c'est la vie ! Good luck ....we need it !! 