I have to be very careful, Tom's trust in me is vital, both now and in the future. He will sometimes say. This is a perfectly reasonable position to take, of course. He just laughs. There is very little self-awareness.
Conversation is extremely difficult.
On the telephone, which we often are, it's OK, if I let him make the running. If he is in our house with several other people he makes no attempt to follow the conversation, but will cut right across with something he wants to say. He very much misses the holidays he used to take nearly every year in California, staying with friends. I do not think he would be welcome now, personal hygiene and table manners are beginning to fail, and this is an area where I really do not know what to do. People living alone often become slipshod in these ways, even without a brain disorder.