In his Comment in The Lancet Psychiatry, Robert Howard1 bravely shared his personal questions on the diagnostic uncertainty of some dementia advocates, and I suspect others might be similarly perplexed. I would like to provide some personal observations from the USA to narrow the gap between the purely medical model of dementia and the lived experience of Persons with Dementia. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai