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Parkinsons & the Flu


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#1 kstaron

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Posted 05 September 2012 - 01:00 PM

Hello -

My mother has had PD for 30 years. She still has her swallow and speech functionality.

She spent about 4 days fatigued, and by the 5th day, could not swallow or speak. It was VERY scary. Her neurologist said that 'Parkinson's does not just jump of a bridge' and that changes are typically gradual. By day 6, she had a low grade fever, body aches, etc, and getting fluids into her was tough, but we managed to stay out of the hospital, which was our goal. Slowly her speech and swallowing returned, just weaker than we started. For me, it was a blessing that it didnt seem directly related to the PD.

My question is - Did the bug, virus, or flu she encountered simply attack her weakest muscle or functionality? Would something like the flu put her in this temporary state of paralysis, or is it more a function of the dopamine withdrawl, etc.

My thought process was that if she was so weak she couldnt use her arms and hands, how could she possibly speak or swallow. Is my thinking correct?

Thank you.

#2 Dr. Okun

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Posted 06 September 2012 - 12:09 PM

Sickness, flu, stress, and sleep deprivation can all make PD symptoms worse. Also, dehydration can make it worse.

I am glad she is rebounding.

Also, one other point is that infection and antibiotics can affect absorption of PD meds.
Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips

#3 vipowitz

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Posted 06 September 2012 - 06:21 PM

doctor,
currently am facing a root canal, have abscessed gums. Are there any antibiotics that are to be avoided or preferred so as to not effect pd meds (carbi/levo and requip) absorption?

#4 Dr. Okun

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Posted 08 September 2012 - 09:40 AM

There are no studies on this issues (believe it or not). I usually let the doc choose the antibiotics and then tell the patients to be prepared that the PD meds may not work as well from the stress of the procedure, and from the antibiotics getting in the way of the absorption of the medications.
Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips

#5 vipowitz

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Posted 08 September 2012 - 02:51 PM

Doctor,

Well, the root canal doctor says no guarantee that doing root canal will solve probblem, and has recommended an extractraction., to be then followed with an implanted tooth, or bridge. Obviously, I would like the most minimally invasive, least painful and most economical procedure. Is there any advise you can give me? How long is it likely to take after this procedure for my meds to regain their effectiveness? I have been spacing out the antibiotics ( which need to be taken 3x daily) and my carb/levo. I know that you would not be able to give me an "etched in stone" answer, but any guidance would be appreciated.

#6 Dr. Okun

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Posted 09 September 2012 - 07:18 AM

What I tell my patients is to take it easy and guard against falling. Get help in the house, and be ready for the unexpected. If the PD meds go completely out of whack, call the neurologist for a temporary adjustment.
Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips

#7 vipowitz

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Posted 09 September 2012 - 01:12 PM

doctor, thanks for the advise. my plan is to wait until i'm done with the antibiotics ( which will be upcoming friday )before the dental procedure, so interference with my pd meds wont be a factor. If offered, should i opt for a more general anesthesia ( such as sodium pentathal) vs. local ( novacaine) to reduce stress ( i have always had a fear of dental pain)?

#8 Dr. Okun

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Posted 09 September 2012 - 08:17 PM

I always recommend the lightest possible anesthesia for PD patients.
Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips

#9 vipowitz

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Posted 09 September 2012 - 09:09 PM

thank you. your dedication to the PWP's in this forum is truly a blessing to all of us

#10 Dr. Okun

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Posted 10 September 2012 - 06:03 AM

Keep reading, keep writing, and pay it forward!
Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips

#11 vipowitz

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Posted 13 September 2012 - 07:04 PM

doctor,

the extraction is set for next week. It may be a difficult extraction ( the root of the tooth may be fractured) and I have a great fear of dental pain ( my anxiety level is already rising). The plan is to use only novacaine as anesthetic. Would it be unwise of me to take .5 mg clonazepam about 1 hour before the procedure for risk of falling?

#12 Dr. Okun

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Posted 13 September 2012 - 08:33 PM

It is not a bad idea, but you will need clearance from your own doctor, and as you alluded to--- watch out for falls, confusion, fractures, etc.
Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips




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