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How do you know if your coworker could possibly be on drugs

lately she is very confused about simple tasks that she’s been doing for over two years. She is showing an awful lot of confusion in conversations, and just not following along with directions. This is definitely something new that’s come on in the past couple of I months.

I’m asking you guys because I have never met anyone who does drugs so I don’t really know what to look for
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2ndtimeguy · 61-69, M
How old is your co worker if over 40 could be signs of dementia also sometimes brain tumors cause this if they havent been to a doctor.
Jenny1234 · 51-55, F