Losing her self?

When I spend time with Margie, I often repeat lines that she has enjoyed. One of these is, my beloved Margaret Anne, that almost always causes her to smile in deep satisfaction, her eyes often warm. Yesterday a couple of times that I said it she shook her head slowly to say, no; no? What does this mean? Is this further loss due to dementia and Alzheimer? Or feeling unhappy with this existence? I will watch for how she reacts in the future. Is this further decline or loss of consciousness or new awareness or identity?

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