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malexander

Safety Criteria

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I wonder what you can say about the criteria you use to determine whether an activity is safe for a particular patient.  I understand that you often recommend that DBS patients should not climb ladders. I imagine that this is not an absolute recommendation.  For instance I have had STN DBS for four years, and have no problem on ladders.  Where I do wonder about my safety is riding my bike up and down mountains.  Actually going up the mountains is no problem;  it is the fact that what goes up has to come down again.  Herein lies to problem:  When descending (even with considerable breaking) it is easy to go speeds that require reaction speeds that test my limits. On the other hand, I love biking up hills and it is good exercise for me.  How should I determine when to hang up my biking shoes.

Perhaps I should mention that I broke my collar bone in a fall five years ago.  I was descending one of my favorite mountains and hit a pothole I thought I could maneuver around.  Since then I have been more cautious.  

 

 

 

 

 

 

 

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I try not to make absolute recommendations, and I like to see patients regularly and discuss limits based on their examination and history.  Ladders and chainsaws I do however tell patients it is best to not use them (safest).

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