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I cannot really say for your Mom. The only thing I can say is that probably she was not as bad as you thought she was and thus the surprise! My father-in-law has stage 6 Alzheimer's. Last Nov. he was very sick due to some drug overuse and he went to the hospital. For one month or so, he could not walk and he was very idle. We all thought, ok this is it. Now he is into stage 7 and was going to a nursing home. However, in Jan., he got better after we visited him for Christmas and etc. He just "woke up" and walked again. Now he is doing fine although he cannot balance his walk too well and the caregivers drive him to the lake. The only explanation is that your Mom was not as bad as you thought she was. If she was very ill, it was not Alzheimer's. It was something else and she was very confused. Confusion does not mean she is worse in staging. Not that they didn't decline or anything.   Just my 2 cents.   Nina