How manageable is Parkinson’s Disease?

27.12.09 / parkinson disease treatment / Author: Alex

How manageable is Parkinson’s Disease? My father has an appointment with the neurologist on the 9th to do some testing. It is suspected that he might have PD. He is only 44. Is it very common that he would have this so young? Is it hereditary? Any info would be greatly appreciated. He was hospitalized a few months ago for what was thought to be Lymes Disease. After testing it came back not as Lymes but as Ehrilickiosis. Then last week while working he had a tremor as he described it which caused him to shoot himself in the thumb with a nail gun. So we went to the DR. and they pulled his chart and realized all his symptoms were NOT consistant with Ehlickiosis and in fact in the testing it came back negative. And his NEW DR. is sending him for testing. Is there anything else that can be done because the old DR. saw that the Ehrlickiosis came back NEGATIVE and still gave that to him as a diagnosis and he has been seeking treatment for that for the past few months. Any comments websites or gestures are greatly appreciated.

Comments: 3

Thelark // December 27th, 2009 - 12:25 am

You need to google Parkinson’s Disease, but I would also get another opinion.

matador89 // December 27th, 2009 - 12:25 am

Laurie,
There are currently no blood or laboratory tests that have been proven to help in diagnosing sporadic PD. Therefore the diagnosis is based on medical history and a neurological examination. The disease can be difficult to diagnose accurately. Doctors may sometimes request brain scans or laboratory tests in order to rule out other diseases. PD usually affects people over the age of 50. Early symptoms of PD are subtle and occur gradually. At present, there is no cure for PD, but a variety of medications provide dramatic relief from the symptoms. Usually, patients are given levodopa combined with carbidopa. Carbidopa delays the conversion of levodopa into dopamine until it reaches the brain. Nerve cells can use levodopa to make dopamine and replenish the brain’s dwindling supply. Although levodopa helps at least three-quarters of parkinsonian cases, not all symptoms respond equally to the drug. Bradykinesia and rigidity respond best, while tremor may be only marginally reduced. Problems with balance and other symptoms may not be alleviated at all. Anticholinergics may help control tremor and rigidity. Other drugs, such as bromocriptine, pramipexole, and ropinirole, mimic the role of dopamine in the brain, causing the neurons to react as they would to dopamine. An antiviral drug, amantadine, also appears to reduce symptoms. In May 2006, the FDA of America approved rasagiline to be used along with levodopa for patients with advanced PD or as a single-drug treatment for early PD. In some cases, surgery may be appropriate if the disease doesn’t respond to drugs. A therapy called deep brain stimulation (DBS) has now been approved by the U.S. Food and Drug Administration. In DBS, electrodes are implanted into the brain and connected to a small electrical device called a pulse generator that can be externally programmed. DBS can reduce the need for levodopa and related drugs, which in turn decreases the involuntary movements called dyskinesias that are a common side effect of levodopa. It also helps to alleviate fluctuations of symptoms and to reduce tremors, slowness of movements, and gait problems. DBS requires careful programming of the stimulator device in order to work correctly. PD is both chronic, meaning it persists over a long period of time, and progressive, meaning its symptoms grow worse over time. Although some people become severely disabled, others experience only minor motor disruptions. Tremor is the major symptom for some patients, while for others tremor is only a minor complaint and other symptoms are more troublesome. No one can predict which symptoms will affect an individual patient, and the intensity of the symptoms also varies from person to person.

ALL ANSWERS SHOULD BE THOROUGHLY RESEARCHED, IN ANY FORUM AND ESPECIALLY IN THIS ONE. – MANY ANSWERS ARE FLAWED.

The information provided here should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions.

I add a link to the Parkinson’s Disease Society, it contains internal links and you may contact them for advice and information

http://www.parkinsons.org.uk/

Hope this helps
matador 89

TweetyBird // December 27th, 2009 - 12:25 am

This is a link to a site concerning Parkinson’s management for patient & caregiver.

http://www.parkinsons.ca/managing.html

Although Parkinson’s symptoms often present after age 60, they can appear in people younger than that. It’s not common, but it happens. Look at Michael J. Fox. He was diagnosed at age 38.

I suggest that both you and your father run a search for "Parkinson’s disease" and "treatment for Parkinson’s". Look at several websites. You will both learn much about the disease, know what questions to ask doctors and what the treatment options are. You will learn about the progression of the disease, what to expect and how your father can maintain independence & mobility for as long as possible.

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