Dr. Jorge ker

Is there any basis to suggest that a persistent cough, a constant clearing
of the throat, in a diagnosed Parkinson's sufferer might be related to the
Parkinson's disease?

Julie

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PO Box 212 - Newton Abbot - TQ12 5ZH
Tel/fax 01803 873956
----- Original Message -----
From: "Jorge Romero MD" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, April 05, 2002 1:08 PM
Subject: Re: Tremor and PD


> Julie:
>
> If the tremor is a resting tremor, and the diagnosis is PD, treatment with
> propranolol is unlikely to help.  Since the tremor is a problem, it would
> seem that a trial of one of the anti-PD meds (levodopa, pramipexole,
> ropinirole, or pergolide) would be rational.
>
> Given the situation you describe, a visit to a neurologist, movement
> disorder specialist, or PD specialist would be advisable.
>
> Jorge A Romero, MD
> 3600 Gaston Ave
> Wadley Tower Suite 455
> Dallas, Texas 75246
>
>
> ----- Original Message -----
> From: "winddam" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Thursday, April 04, 2002 6:07 AM
> Subject: Re: Tremor and PD
>
>
> > Dear Dr Jorge
> >
> > My husband has been struggling for the past 3 years to maintain a valid
> and
> > credible professional life whilst plagued by tremor, which to most
> observers
> > suggests senility and incompetence. He is a professional Chartered
> Engineer,
> > engaged in research and development, so you can appreciate the
impression
> > created by the tremor is career damaging.  We live in Devon, UK.
> > Medical advice we have received, whilst caring and sympathetic, offers
no
> > medication, apart from propanolol, and no alternatives, in fact nothing
> but
> > cope as best you can for the time being, then retire, and line up a good
> > carer!
> > This passivity is alien to us and I have just begun to research the
> subject
> > with the view to finding other attitudes, other alternatives, hence my
> > subscription to PARKSN
> > The information in your message would have been welcome to us before,
and
> it
> > also seems from what you say that propanolol, which is the only
medication
> > that has been offered, is not appropriate for resting tremor.  My
husband
> > has a pronounced resting tremor but no action tremor at all - he can
still
> > do very intricate manual work with no loss of dexterity. He has no
> rigidity,
> > slowness, nor gait problems, indeed no problem at the moment except the
> > tremor, but this is now spreading and becoming worse.
> > The diagnosis of Parkinson's disease was made by our local GP, and
> confirmed
> > by a General Consultant Physician.  He has never been referred to a
> > neurologist and this is the first question I need to answer. It seems to
> me
> > that three years is enough time to "wait and see".  Is it possible you
> would
> > be able to indicate for me what would be considered best practice in
> > diagnosis?  Should there be a referral to a neurologist?  Also would you
> > have any comment to offer on medication?
> >
> > Sincerely
> >
> > Julie Trevithick
> >
>
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