@pb50 Pam, that’s been awhile so I’m wondering if you’d like to talk with an expert in this area. I can certainly sense your frustration and concern.

I don’t have a specific recommendation for an individual but perhaps a neuropsychologist? You know yourself well enough that you can describe your cognitive status before and after the surgery and then track your progress with neuropsychological testing. It could be challenge just getting in to see a neuropsychologist in the near future but it’s an idea if you want to see numbers and objective results that can be followed over time. The other thought I have is a neurologist who specializes in higher cognitive function. I think many neurologists with this expertise tend to be found at academic medical centers. For instance, there are neurologists with this expertise at Johns Hopkins. I copied a link for Dr. Argye Hillis because I knew her when she was a speech-language pathologist who later went into neurology. I’ve often thought what a great combination of skills she has for her patients. She practices at a Memory Disorders Clinic. I’m not suggesting you have a memory disorder. It’s just that many neurologists with this expertise often practice in these centers.

Argye Hillis, MD
— https://www.hopkinsmedicine.org/profiles/details/argye-hillis

Anyway, these are my thoughts. Feel free to write me a personal message on Mayo Clinic Connect.