Dementia Small Town USA was created in the authoras imagination. Dementia/Alzheimeras patients diagnosed in the last decade of the twentieth century were done so based primarily on psychological tests. The story is about a mother diagnosed without consideration of her learning disability, lack of education, and hearing impairment. The dementia diagnosis was often incorrect and only suspected in elderly folks during the late twentieth century. There were no diagnostic tests to confirm the disease existed. A daughter doing the primary care-giving for her mother over the last fifteen years makes the journey through Dementia Small Town USA with her. As the journey begins, the daughter recalls stories her mother told her about ancestors and hard times the family endured during the Great Depression. The family survived the Great Depression due to hard work, close family ties, and faith in a higher power. In spite of a learning disability, the mother kept hoping someday she too would have an education. The daughter remembers her own growing years as her mother faced and overcame many struggles. The journey through Dementia Small Town USA brings many challenges to the daughter, who will not leave her mother alone until the journey ends. The daughteras biggest challenge is seeing the medical profession in a new light.