Conversation: The conversation between human and AI assistant.
[|Human|] Minimal small 3mm areas OD deep white matter change. One within the right frontal lobe a d second in left mid frontal lobe! These results were in 2008. I was having memory problems then. 10 x worse. Cannot remember what I do with things, it s getting very embarrassing . I cannot talk mind just goes entirely blank. I have a multitude of other issues, do you think I should ask for specialty neurologist?
[|AI|]  Hello! Welcome on Chat Doctor ! Your symptoms are suggestive of dementia. Other possible causes to consider would be: vitamin D or Vitamin B12 deficiency, or thyroid dysfunction. I would like to know if you suffer from high blood pressure or diabetes? These conditions could lead to small vessel disease in the brain, which could cause those small lesions. Coming to this point, I would recommend consulting with a neurologist for a careful physical exam and some cognitive tests. It is also necessary performing some blood lab tests (complete blood count, vitamin D, vitamin E and vitamin B12 plasma levels, thyroid hormone levels, fasting glucose). A new brain MRI study is necessary. Hope you will find this answer helpful! Best wishes,