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----- Mensaje original -----
De: Edith Love
Para: [log in to unmask]
Enviado: 24 junio 2001 08:08
Asunto: Re: Email 6 SECT. E-2: CONDITIONS NOW of the HOW DID WE GET HERE ANYWAY
SURVEY


At 07:37 PM 6/21/2001 -0700, you wrote:
>
>Email 6
>
>TO ANSWER SECTION E-2 CONDITIONS NOW:  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                                       X
>
>
>Balance Problems:  Weaker Side Left
>
>
>Balance Problems:  Weaker Side Right    X
>
>
>Bouts of Excessively High Fever
>
>
>Bronchitis
>
>
>Cancer: Indicate Type Here:
>
>
>Carbon Monoxide Poisoning
>
>
>Chemotherapy
>
>
>Chest Pains
>
>
>Chronic Constipation                         LIGTH
>
>
>Confusion
>
>
>Dandruff                                           SINCE 15 YEARS AGO
>
>
>DBS
>
>
>Depression
>
>
>Dermatitis                                                     X
>
>
>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                                              X
>
>
>Dystonia
>
>
>Ear Surgery
>
>
>Epstein Barr Virus
>
>
>Facial Mask
>
>
>Facial Muscle Weakness
>
>
>Fainting
>
>
>Fall Easily
>
>
>Fall Frequently                                             X
>
>
>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                                    X
>
>
>Loss of Sense of Taste
>
>
>Low Blood Pressure
>
>
>Low Blood Sugar
>
>
>Lowered Immune System
>
>
>Medication Induced Sleep
>
>
>Mercury Fillings                  REMOVED

>
>
>Micrographia                        X
>
>
>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                                      SIX MONTHS AGO ON DURING SOME OFF
TIMES
>
>
>Severe Ear Infections
>
>
>Short Term Memory Loss
>
>
>Shuffling Gait
>
>
>Slowness of Movement                            IN OFF PERIODS
>
>
>Stooped Posture                                     IN HARD OFF PERIODS
>
>
>Strep Throat
>
>
>Swollen Feet
>
>
>Thyroid Problems
>
>
>Urinary Retention
>
>
>Urinary Tract Infections
>
>
>Verbalizing Sometimes Lost in Conversation
>
>
>Viral Infections
>
>
>Voice Problems                           HIPOPHONY
>
>
>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: ____________________________________
>
>
>
>
>
>
>
>
>
>
>

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