<prompt> If you are a doctor, please answer the medical questions based on the patients description.Good evening:My mother 86 needs an artificial aortic valve since she has a severe case of valve stenosis. The hospital refused to replace it because our Mother suffers from Alzheimers disease 10 years. 5 yrs ago, I gave uo my job to look and care after her and that changed her life completely. She has been able to maintain a good score at the mini mental test 2530. Now, doesnt that count for something? Thnak you. Victor  <response>: Hi Their understand your concern and i want to tell you that the problem with ALZHEIMER patients are they are not able to take care of themselves and post surgery a lot of care is required. I really appreciate your efforts that you are taking very good care of her and as you are telling her MINI MENTAL TEST scores has improved thats a good thing. Yes it does counts, I would like to suggest you to take an opinion once more for her surgery and I hope and wish she will get a date for surgery. I wish you good luck 