>Email 5 > >SECTION E HAS TWO PARTS: E-1 BEFORE DIAGNOSIS AND E-2 CONDITIONS NOW. > >TO ANSWER E-1: BEFORE DIAGNOSIS: CHECK ALL ITEMS THAT APPLY TO YOU >FILL IN THE BLANKS. > >LIST ANY MEDICATIONS YOU MIGHT REMEMBER BEING GIVEN FOR ANY OF THE AILMENTS >LISTED BELOW THAT ARE NOT YOUR CURRENT PD MEDICATIONS. > > >Acid Reflux > > >Acoustic Ceilings > > >Agent Orange > > >Allergies > > >Anemia > > >Antidepressants > > >Anxiety > > >Arthritis > > >Asbestos > > >Asthma > > >Bacterial Infections > > >Balance Problems > > >Balance Problems: Weaker Side Left > > >Balance Problems: Weaker Side Right > > >Bouts of Excessively High Fever > > >Bronchitis > > >Cancer: Indicate Type Here: > > >Carbon Monoxide Poisoning > > >Chemotherapy > > >Chest Pains > > >Chronic Constipation > > >Confusion > > >Dandruff > > >DBS > > >Depression > > >Dermatitis > > >Diabetes > > >Difficulty Breathing > > >Difficulty Learning New Information > > >Difficulty Rising From a Chair > > >Dizziness > > >Drooling > > >Drug Induced Dementia > > >Drug Induced Hallucinations > > >Drug Induced Nausea > > >Dry Mouth > > >Dyskenesia > > >Dystonia > > >Ear Surgery > > >Epstein Barr Virus > > >Facial Mask > > >Facial Muscle Weakness > > >Fainting > > >Fall Easily > > >Fall Frequently > > >Fatigue > > >Feelings of Hopelessness > > >Foul Body Odor > > >Freezing > > >Frequent Urination Not Related to Prostate > > >Get Lost Easily > > >High Blood Pressure > > >Hypoglycemia > > >Increased Irritability > > >Increased OFF Periods > > >Infectious Mononucleosis > > >Inner Body Shaking > > >Insomnia > > >Juxtaposing Keyboard Letters > > >Lack of Concentration > > >Leg Cramps Not RLS > > >Light Headedness > > >Long Term Memory Loss > > >Loss of Appetite > > >Loss of Sense of Smell > > >Loss of Sense of Taste > > >Low Blood Pressure > > >Low Blood Sugar > > >Lowered Immune System > > >Medication Induced Sleep > > >Mercury Fillings > > >Micrographia > > >Misplace Objects > > >Mood Swings > > >Need for Constant Repetition in Learning New Information > > >Onset of PD Within a Year of Trauma > > >Orthostatic Hypotension > > >Osteoarthritis > > >Osteoporosis > > >Pallidotomy > > >Periods of Unconsciousness > > >Persistent Nasal Drip > > >Pneumonia > > >Problems Swallowing > > >Radiation > > >Rapid Heartbeat/Palpitations > > >Rash on Eyelids (Blepharitis) > > >Recurring Abdominal Pain > > >Recurring Headaches > > >Recurring Migraines > > >Red Splotches > > >Respiratory Problems > > >Restlessness > > >RLS > > >Severe Ear Infections > > >Short Term Memory Loss > > >Shuffling Gait > > >Slowness of Movement > > >Stooped Posture > > >Strep Throat > > >Swollen Feet > > >Thyroid Problems > > >Urinary Retention > > >Urinary Tract Infections > > >Verbalizing Sometimes Lost in Conversation > > >Viral Infections > > >Voice Problems > > >Vomiting > > >Weight Gain > > >Weight Loss > > >Wheelchair Bound > > > >Sleep is interrupted by: Tremors Full Bladder > Dyskenesia Dystonia > RLS Other:_______ >Eating Protein Does Interfere With ON Periods. > Does Not > >Head Trauma(s): How many? _________ > Severity from 1-10 _______ > >Vision: Normal > Fuzzy > Double > Glaucoma > Cataracts > Other: __________________ > >Surgeries: How many? _____________ > >Types: _________________________________ > >Exposure to: Pesticides > Chemicals > Glues/Caulks > Solvents > Other: __________ > > Limbs: Numbness > Tingling > Dystonia > Dyskenesia >Other: ____________________________________ > > > ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn