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Or is it just the senility setting in proper?
My guess would be a perfectly age appropriate level of dementia? And the symptoms of the dementia are probably no better or worse than what you would expect from an overworked and sleep deprived person of his age.
EDIT: Actually, he's 77... I think my grampa's cognitive decline started showing about 10 years after that.
I was joking, obviously/maybe not so obviously. But christ alive he is just getting more and more unhinged. Or is it just the senility setting in proper?