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  2. Medical Questions

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      Michael Okun, M.D. and Daniel Martinez, M.D. answer medical questions regarding Parkinson's disease and related matters. All posts in this forum are anonymous.Without seeing you and examining you the doctor cannot make specific diagnoses and recommendations. The suggestions given in this forum are for general information only.

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      Kelly D. Foote, M.D. and Michael Okun, M.D. answer questions about surgical matters and Parkinson's disease. All posts in this forum are anonymous. Without seeing you and examining you the doctor cannot make specific diagnoses and recommendations. The suggestions given in this forum are for general information only.

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      Mark R. Comes, R.Ph., answers questions on the subject of medication management in controlling Parkinson's disease symptoms.

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    5. DBS Forum

      A place for those with Parkinson's looking into having DBS surgery, or connecting with those that already have had it done.

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  • Posts

    • Thank You Linda for your very kind words. I wasn't a healthcare professional in the normal sense of the word, however for the last 15 years of my professional life I was employed as the senior administrator of a few large continuing care campuses and taught graduate studies (part time) in Aging and Human Services. I noted that you developed PIGD symptoms in the last couple of years. I found this excerpt that may be of interest to you, especially the part about losing the "relative advantage" later on. "Another post-mortem study found that patients with tremor-dominant Parkinson's disease had a lower degree of disability (Hoehn and Yahr grade) than tremor-dominant patients at 5 and 8 years (Selikhova et al., 2009), using the subtyping scheme discussed earlier (Lewis et al., 2005). However, tremor-dominant and non-tremor patients with Parkinson's disease had similar disease duration at the time of death. This led to their conclusion that tremor alone does not predict a significantly longer survival: patients with tremor-dominant Parkinson's disease progress more slowly during the initial course of the disease, but lose this relative advantage later on (Selikhova et al., 2009). Finally, patients with tremor-dominant Parkinson's disease have better cognitive performance than non-tremor patients with Parkinson's disease (Vakil and Herishanu-Naaman, 1998; Lewis et al., 2005; Burn et al., 2006) and are less likely to develop dementia (Aarsland et al., 2003; Williams-Gray et al., 2007)."  As for your question about your meningioma that abuts your cerebellum, I'm simply not qualified to answer. Sorry. My interest in the topic of PIGD stems from my desire to better understand what was happening with me personally, and to help others as best I can. Anyway, I hope this helps. All My Best!   Dan
    • +1 on Linda's comments.  Just have to go get  'er done.  I may add that if it is going to get done it will in the first  two thirds of the day before fatigue sets in for me!  I get up relatively early and by the third cup of coffee around 8am when the news on TV starts to repeat itself  I know it is time to get in gear.   I try and concentrate on that one or two main "to dos" and I keep a running list for the week and cross them off as they get done. Exercise, as a natural habit<  is the biggest challenge for me and my sedentary type B personality.  Executive function is taking some hits here and there in the planning stage. That all being said, there are still a few things I used to care about that just don't matter to me anymore!  Thats no all bad when productive time is less.   DB
    • Thanks ! I'm going to order the first one.
    • I read them both, I think I enjoyed the first book more. Order of reading these only matter because he builds on what has happened since and things he talked about in the first one. I think reading the first one my add that "Ahh" effect to the why he mentioned things he did in his second book.   Hope this make as munch sense typed out as it did in my head when I wrote. Feeling tired and might be typing gibberish. Blessings  
    • Thanks for your responses. All are very helpful. I am on 4mg of Neupro and the minor hallucinations may be tolerable, at least for a while. I take 10/100 Sinemet 5 times a day. It seams that all medication has some side effect.  It seams tougher to type this than to deal with the side effects.
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