Reply to message from [log in to unmask] of Sun, 30 Mar
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>At 01:22 PM 3/30/97 -0500, you wrote:
>>Friends--I'mposting this to the main list rather than CARE in the hope someone
>>can shed light from personal experiences.
>>Yesterday Peter had to have an energency extraction of a broken tooth. The
>>oral surgeon and staff were most accommodating, sensitive to his needs, etc.
>>and the procedure went well, at 8:00 AM. We were home by 10:00AM, and as
>>he was still dopey from the anesthetic he slept off and on all day and evening-
>>-he did take his Sinemet 10/100 every 2 hours as usual,but no extra doses.
>>He was also on a crash dose (7 AM and 1PM)of Amoxycillin antibio., as he has
>>mitral valve prolapse, and this is required before any oral surgery.
>>He was a bit spacey off and on yesterday, due to the anesthetic--and po
>>also the stress of the situation.  This AM he woke feeling quite normal, took
>>10/100at 6 AM,8AM, 9:45 (before I left for church) and seemed fine. When
>>I returned home about 11:30,in time for his next dose, he was in trouble,
>>said his legs weren't working, couldn't stand to get out of his chair in living
>> room.....I gave him the next 10/100 early, at 11:45, dealt with other
>>problems, and a half hour later he still was too wobbly to stand with my help.
>>I recalled that this was how he was the time he had to wait for the doc to
>>discharge him from a day of hospital observation, as the stress of waiting till
>>9:30PM for the doc really got to him.  On the theory that the stress level may
>>(like hard exercise has been said to do) cause the Sinemet to not work as well,
>> be used up faster, whatever, I persuaded him to take another 10/100 at 12:15,
>>then sat quietly, played soft music, talked reassuringly. Within a half
>>hour, he was able to get up and get from the living room to the bathroom with
>>my help,legs functioning OK!
>>Here's my question--could it be that stress levels affecthehe way t
>>Sinemet is used by the body---so that in a highly stressful situation one
>>might be *undermedicated* even with normal doses?  I should add that Peter has
>>never had dyskinesia, nor does he have more than very minor resting tremor of
>>hand when eating. His main problems are bradykinesis,bradyphrenia,and
>>rigidity. (Plus others too numerous to mention!)
>>If it seems this is a reasonable deduction from our experience, I can be
>>prepared to ask neuro to increase his doses during the stressful time when I
>>will be having surgery in April, and he has chosen to spend three days time in
>>a local NH, rather than try to cover(for that short time)24 hrs. a day here at
>>home. Any light that anyone can shed on this subject will be very welcome!
>>
>>Camilla Flintermann, CG for Peter, 78/7, Oxford,Ohio
>>[log in to unmask]
>>*   *   *   *   *   *   *   *   *   *   *   *   *   *
>>"Ask me about the CARE list for PD caregivers!"
>>*   *   *   *   *   *   *   *   *   *   *   *   *   *
>>
>camilla i have same prop. i went for blood tests all most pased out from
>what they gave me. could not stand or walk. the was going tocall 911 but my
>showed up. and told them i was in light coma. but would take me home. they
>called my neuro and he said she was doing the right thing. i take ougen. was
>on it while. but the sayty of my home helped me to come around. stress of
>what we aren,t use to brings alot of it on. at home i am safe from out side
>world. i now can walk in housse with out my cane a little ways. everry thing
>is padded in case i fall soi won,t get hurt. what nh or np some about
>gettting omly some type of mail. i want to help people if i can don. email
>me have troule in understang things now as i so adfanced pd. i will need
>some good advice on some things.  have patince with me.  I.Y.Q.
>[log in to unmask] LIMA OH.
>
Don,
I tried to email you a bit earlier, but iI do not think it went through.
I just wanted to tell you that your letter is easy to read. I hope you
write more letters. I know that you will be of great help to us.
Thank you so much!  I like the I.Y.Q. I said it fast.

Thanks!
Nancy M.
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