Posted: Wed Jul 18, 2007 4:22 am Post subject: PD progression with times
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Dear Doctor,
My doctor Dr. Chew Nee Kong told me PD is a body,mind and soul diseases.
PD is very unique compared with all other nervous illnesses-
the patients have a lot of misunderstandings, emotional disturbances and uncertainties.The illness itself is highly technical especially medications. As such, inter-patient and doctor-patient communication is extremely relevant in managing this illness.
In this connection I was told by him that my body (movement,/agility's) would aggravate with the times progression . No medicine would halt from it's progression.
PD would come to every part of body movement due to neurological disorders. It is also to your non motor movement i.e. vision, speech, breathing, digestion, drooling of saliva, urinate , emotional disturbances and uncertainties.
TEOKIMHOE
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Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Thu Jul 19, 2007 8:33 am Post subject:
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I agree.
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Hubert H. Fernandez
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Anonymous
Posted: Mon Aug 13, 2007 4:23 pm Post subject: Doctor, Elaborate Please on your reply to this post
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Are you indicating in your reply to this post that in all patients, always, progression will occur so that all items noted in this description post is affected? I understood that everyone progresses differently with PD and that some may experience problems with vision, speech, non-motor functions, as well as freezing, balance and tremors - - but that others may experience less symptoms....that no one progresses the same. Please elaborate so I can better understand. Thank you.
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Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Thu Aug 16, 2007 7:43 am Post subject:
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Everyone with progressive neurodegenerative disease progresses. Everyone has a different progression rate which at this time we are unable to predict. We must further learn the differences in PD subtypes.
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Michael S. Okun, M.D.
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Anonymous
Posted: Sun Aug 19, 2007 3:53 am Post subject: Parkinson progression with times
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The most important lesson that I have learnt from PD patients is that each and everyone of them is different from each other. Every PD patient progresses at different rates, and develops different combinations of complications.
Thus, we should always try to remember that the management of each PD patients must be individualized.
As each patient has different response to medications, I usually need at least two to four weeks before I am confident of the optimal dosage of daily medications.
Dr Chew Nee Kong, Kuala Lumpur, Malaysia
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Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Sun Aug 19, 2007 4:33 pm Post subject:
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Thank you for the wonderful comment and keep writing in!
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Michael S. Okun, M.D.
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Anonymous
Posted: Fri Aug 24, 2007 9:26 pm Post subject: The progression and survival in Parkinson's Disease
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I refer Dr.Chew Nee Kong" Understanding Parkinson"s Disease " that the progression and survival in Parkinson's Disease as follows:
The "honeymoon " period
Following the improvement in the symptoms of PD with drug treatment, the early stage of PD patients generally do well during the first to seven years of treatment.- the "honeymoon " period. Despite taking small and infrequent doses of medications patients can usually keep "going strong" in their daily life. In the "honeymoon period" there are still relatively adequate "reserve " brain cells during the early stage of illness.
The progression in PD
Unfortunately, life is not that kind nor straightforward. The "honeymoon " period is rather short-lived. After five to seven years of treatment with levodopa, PD patients will have increasing slowness of movement and tremor. The physical disability us due to the progression of PD itself, appearance of levodopa -resistant symptoms or development of motor complication
It is important to note that while levodopa relieves the symptoms and physical disability of sufferers of Parkinson's it does not by itself slow down the progression of illness.
The improvement of survival of patients by levodopar is due to the reduced risk of getting bedridden.
In fact PD patients have a higher chance of dying of other common diseases of the elderly, such as heart attack and cancer, than succumbing to PD itself.
In short levodopa treatment improved the quality of life of sufferers of Parkinson's even though is not a cure for PD. Thus PD should never be regarded as an old people's disease for which nothing can be done.
TEOKIMHOE
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Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Mon Aug 27, 2007 12:24 pm Post subject:
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Thanks for the comments.
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Michael S. Okun, M.D.
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