Dr. Hashmi is a board-certified neurologist with fellowship training in neuroimaging. For years, he has worked as a neurohospitalist — the neurologist called when a patient arrives at the hospital with a stroke, a seizure, or a sudden change in consciousness. 

That work shapes how you think about the brain. You develop a deep familiarity with neurological disease at every stage — and a growing awareness that by the time most patients reach a neurologist, the window for addressing modifiable risk factors has been open for years with nobody paying attention to it. 

The healthcare system is built to respond to disease, not to get ahead of it. There is no standard clinical pathway for a cognitively healthy 55-year-old who wants to understand their brain health risks and do something about them. The research supporting multi-domain risk factor intervention has advanced considerably in the last decade, but the infrastructure to deliver it to individual patients barely exists. 

OptimizeCognition is an effort to build that infrastructure — one patient at a time, with the rigor the evidence deserves.