North Dallas · Medicare accepted · select Medicare Advantage plans
Noticing a memory change — in yourself or a parent — does not mean dementia. Many things that affect memory and focus, from certain medications to thyroid problems, low vitamin B12, mood, or poor sleep, are treatable. A memory check with Dr. Rajan Kohli is simply a starting point: a short, low-pressure conversation that helps sort out what’s going on and whether anything needs a closer look. It’s clarity and peace of mind — not a diagnosis, and not something to be afraid of.
A memory check is a starting point, not a diagnosis. As a family physician, Dr. Kohli can begin the evaluation and refer you to a specialist if one is ever needed.
It’s normal to occasionally forget a name or where you set the keys. What’s worth a gentle conversation is a change from your usual self — especially if it’s persistent, getting worse, or starting to affect everyday tasks. Family often notices first. If you’ve seen changes in a parent, bringing it up kindly and scheduling a visit is a practical, loving step — not a label, and not a reason to panic. The goal is simply to understand what’s happening and find anything that can be helped.
Part of why an evaluation is worthwhile is that it can uncover potentially reversible contributors — factors your doctor can check for and, in many cases, address:
Some medicines — especially sedating ones or certain combinations — can affect memory and focus. A review may help.
An underactive thyroid or low vitamin B12 can affect thinking, and both are checked with simple blood tests.
Depression, anxiety, grief, and stress can look like memory trouble — and they’re treatable.
Poor sleep and conditions like sleep apnea take a real toll on memory and concentration.
A sudden or fluctuating change can come from an infection or acute illness and should be checked promptly.
Basic labs can flag things like anemia, blood sugar, or kidney issues that can influence how you feel and think.
Finding and treating these can improve symptoms. Not every cause is reversible — but checking is worthwhile, and it’s the reassuring place to begin.
Bring your glasses and hearing aids if you use them, so the visit reflects your true ability.
When it’s clinically appropriate, we can arrange newer tests that help clarify whether Alzheimer’s-related changes may be present — such as a blood-based biomarker test (which measures proteins like tau or amyloid), brain imaging, or a referral for spinal-fluid testing. These protein and imaging tests are different from genetic testing such as APOE. No single result is a diagnosis on its own, and these tests are ordered selectively — they may not be covered in every situation, so we’ll review coverage with you first.
If your evaluation points toward Alzheimer’s disease, we refer you to a neurologist or memory specialist who can confirm the diagnosis and discuss treatment options. For carefully selected people with early Alzheimer’s, newer treatments may modestly slow the pace of decline — they don’t restore lost memory or cure the disease, but for the right person they can be worth exploring.
Occasionally forgetting a name or word and recalling it later; forgetting the day and figuring it out; misplacing things but retracing your steps; taking a little longer to learn something new.
Repeatedly asking the same questions; regularly losing track of the date or place; trouble with familiar tasks like bills or medications; getting lost in familiar places; changes family notices that affect daily life.
The key is change from your usual self and whether it affects daily life. Dementia is not a normal part of aging — and many memory concerns have other, treatable explanations.
Having someone who knows the person well is genuinely helpful — they can share observations and help remember what’s discussed. With your parent’s permission or a valid healthcare power of attorney, we’ll keep you included.
Insurance: Your Medicare Annual Wellness Visit includes a check for memory concerns and is generally provided at no cost when we accept assignment. Medicare also covers a separate, more detailed cognitive assessment and care-plan visit when it’s needed — that visit carries standard cost-sharing. We accept Medicare and participate with select Medicare Advantage plans; call with your exact plan name and we’ll help you understand your coverage.
If memory changes are on your mind, a short, reassuring visit is the best place to start. We’ll listen, look for treatable causes, and help you decide what’s next.
If a change is sudden, severe, or comes with confusion, fever, or a fall, seek prompt medical care or call 911.
Some slowing of memory — like occasionally forgetting a name and recalling it later — is a normal part of aging. What’s worth checking is a noticeable change from your usual self, or memory issues that affect daily life. When in doubt, it’s fine to ask your doctor.
No. A memory check is a starting point, not a diagnosis. It’s a short, low-pressure set of questions that helps your doctor understand what’s going on and whether anything needs a closer look.
Quite a few treatable things — certain medications, thyroid issues, low vitamin B12, depression, poor sleep, and infections can all affect memory. That’s part of why an evaluation is worthwhile: it can uncover causes that can be addressed.
Yes. Your Medicare Annual Wellness Visit includes a check for memory concerns, and Medicare also covers a more detailed cognitive assessment and care-plan visit when it’s needed. Standard cost-sharing may apply to the detailed visit, so check your plan.
It’s a good idea to mention it to the doctor if the changes are persistent, getting worse, repeated, or starting to affect everyday tasks — or if they simply worry you. Bringing your own observations helps, since family often notices changes first.
Your doctor will talk with you, review your medications and health history, and may ask you to do a short set of memory and thinking tasks that take just a few minutes. If needed, simple blood tests or a referral to a specialist may be the next step.
Yes — it’s genuinely helpful. Someone who knows you well can share observations and help remember what’s discussed. For the more detailed cognitive visit, having someone who knows your history is actually part of the process.
Yes — newer blood, spinal-fluid, and brain-imaging tests can help evaluate whether Alzheimer’s-related biomarkers may be present. These measure proteins (like tau or amyloid) or brain changes, and they’re different from genetic tests such as APOE. They’re ordered selectively and may not be covered in every situation, so we review coverage with you first. If testing and your evaluation suggest Alzheimer’s, we refer you to a neurologist to confirm the diagnosis and discuss treatment options.
Dr. Rajan Kohli, MD
Medical Director, Lakewood Med Spa
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