The Memory Clinic

 

The Memory clinic at One Hatfield Hospital is here to provide comprehensive assessment of cognition (memory and thinking) and brain health with the aim to undertake all the necessary assessments and investigations in a streamlined and efficient way so that a diagnosis and a management plan can be made in a timely manner.

 


Memory Problems

Dementia is a general term for a decline in mental ability severe enough to interfere with daily life. Dementia is not a normal part of ageing. It is caused by damage to brain cells that affects their ability to communicate, which can affect thinking, behaviour and feelings.  

 

Common symptoms are:

 

  • Memory loss
  • Reduced concentration
  • Confusion and disorientation
  • Struggling with conversations, finding the right words Mood changes

 

Our specialist, Dr Singhai, who is a specialist in both cognitive and movement disorders, has extensive experience, knowledge and skills  in the diagnosis and management of the various causes of memory problems ranging from Mild Cognitive Impairment to the common causes of Dementia such as Alzheimers’s Dementia, Vascular Dementia and Lewy Body Dementia. Alzheimer’s is a specific disease and is the most common cause of dementia.

 

Mild Cognitive Impairment (MCI)

Mild cognitive impairment (MCI) is a condition in which someone has problems with cognition, whereby their mental abilities such as memory and thinking are worse than would normally be expected for a healthy person of their age. The symptoms are not severe enough to interfere significantly with daily life, and so are not defined as dementia, but a person with MCI can be more likely to go on to develop dementia.  People who are diagnosed with MCI can use this as an opportunity to make lifestyle changes and adopt preventive strategies to help reduce their chances of MCI progressing to dementia.

 

Alzheimer’s Dementia

Alzheimer’s is a degenerative brain disease in which there are damaged synaptic connections. This reduces the levels of important neurotransmitters within the brain and leads to symptoms that gradually worsen over time. The most common early symptom of Alzheimer’s is trouble remembering new information. This is because the disease typically impacts the part of the brain associated with learning first.

 

Vascular Dementia

Vascular dementia is caused by reduced blood supply to the brain due to diseased blood vessels.  The blood vessels either leak or become blocked so that oxygen and nutrients cannot reach the brain cells and they eventually die. This death of brain cells can cause problems with memory, thinking or reasoning. Vascular dementia can sometimes develop abruptly after an acute stroke or have a step wise deterioration due to smaller strokes.

 

Lewy Body Dementia

In Dementia with Lewy Bodies (DLB) clumps of a protein called alpha-synuclein aggregate in the brain’s nerve cells. DLB causes problems relating to both cognition and movement, particularly Parkinson’s symptoms such as tremor, stiffness and slowness of movements which can only really be identified by a Movement Disorders Specialist, especially when they are subtle. Lewy Body Dementia is the third most common cause of dementia affecting approximately 1 in 5 people with dementia. However, it is commonly not diagnosed, or misdiagnosed as Alzheimer’s Dementia.

 


Behavioural and Psychological Symptoms of Dementia (BPSD)

Dr Singhai also has extensive experience in the management of the Behavioural and Psychological Symptoms related to Dementia (BPSD). Behavioural and psychological symptoms of dementia (BPSD) include agitation, depression, apathy, repetitive questioning, psychosis, aggression, sleep problems, wandering, and a variety of inappropriate behaviours. One or more of these symptoms will affect nearly all people with dementia over the course of their illness and usually are quite distressing for the affected individual and their families  often leading to loss of independence for the affected person and increased care needs. 

 

These “BPSD” symptoms require careful skilled and diligent assessment and are amenable to various forms of  treatment to improve quality of life for the patient and their families. Many patients with cognitive problems and dementia often decompensate because of underlying medical problems which can be can only be identified and treated by a specialist who has experience in both cognitive disorders and general medicine experience which other specialists such as psychiatrists and neurologists do not have.

 


Preventative Strategies for Memory Problems and Brain Health

We can also advise on evidence based preventative strategies to reduce the risk of developing Alzheimer’s Dementia as well as slowing its progression with advice on life style changes and diet.

 


What does the Memory Clinic Package Include?

The memory clinic package includes the following:

 

  1. An initial in-depth assessment with specialist consultant who will discuss your symptoms and concerns as part of taking a detailed history and clinical examination.
  2. Comprehensive Cognitive Assessment to assess in detail the different domains of cognition (higher brain functions) including memory.
  3. Blood test panel to assess for reversible causes of cognitive decline.
  4. MRI brain scan to visualise the structure of the brain – reported by a dedicated neuroradiologist.
  5. Feedback appointment – a 2nd consultation with the specialist, where clinical diagnosis and management strategies are explained and discussed.

 


What does the Memory Clinic Package Cost?

We offer a fully inclusive package. Please contact us for details. Should a more bespoke package be required this will be discussed at your first consultation and a quotation provided.

 

 

You can use your private medical insurance or pay for your The Memory Clinic treatment. We offer competitive, fixed price packages as well as the ability to spread your cost with the option of 0% finance. If you are using your health insurance please do contact your insurer first for approval and let them know you’d like to be treated at One Hatfield Hospital.

Why One Hatfield

  • Modern purpose-built hospital opened in December 2017
  • Fast access to diagnostics including MRI, Xray and Ultrasound
  • Private, spacious, en-suite rooms
  • Specialist physiotherapy and nursing teams
  • Little or no waiting time
  • ‘Ultra clean air’ theatres
  • Freshly prepared food
  • Calm, dignified experience

Contact us and find out more

If you are based in and around Hertfordshire, St Albans, Stevenage, Watford, North London, Welwyn or Bedfordshire and would like to visit the One Hatfield Hospital please click here.

Diagnostics & Imaging Pricing Guide at One Hatfield Hospital

This is a list of guide prices for some of common Diagnostics & Imaging treatments and procedures.

Treatment Guide Price
MRI scan  (one part)   £405
CT scan  (one part) £495
Ultrasound  (one part) £245
X Ray   (one part) £125
Contact the Hospital About The Memory Clinic