At 04:05 PM 7/31/02 , Donald Diswinka wrote: >The following is quite a SCARY snapshot on the state of Health Care in >Canada in respect to Parkinson's >My apologies for the lenght of the article. >I just met a fellow parkie over the age of 65 here in Manitoba at my >last support group meeting who in 8 years of having PD had yet to see >any neurologist, never mind an MDS neurologist!! His GP Doctor had >never referred him to one. If you don't get referred here by your >regular doctor you will never get an appointment with any type of >neurologist directly. > >Don 53/5 > Don, this article appeared in the London Free Press today, 31 July. I too apologize for its length. This article appeared on the first page of the second section of the paper, along with a 14 x 25 cm color picture of Judith in her garden. << Not enough specialists A new study shows patients with Parkinson's disease are not getting the quality of life or treatment they deserve because of Ontario's short supply of neurologists. by David Dauphinee Free Press Health Reporter Londoners Judith and Al Richards had planned to retire to Peterborough near family and roots. "Not any more," says Al. "We're sticking in London." Judith learned in 1993 that she had Parkinson's disease. "It's a miserable disorder, a cruel disorder," Judith said, savouring a few good moments as a complex regimen of drugs keeps her ever-changing symptoms at bay. The diagnosis interrupted what had been an active and independent life. "You coast along with medication and then something changes," Judith said. "Suddenly you can't do things in life you used to do, things other people take for granted, like turning a tap, putting a key in a door." Asked if she could conjure up just one change, Judith considers the proposition. "If I could change something, it would be more specialists, more movement disorder specialists." But there's no neurologist in Peterborough to offer guidance as her disease progresses, let alone the sub-specialty of movement disorder specialist. Nine years with the creeping, evolving disorder have taught the couple they need to be near medical specialists. London has the only movement disorder program from London to Winnipeg. A new study says huge numbers of Parkinson's sufferers aren't getting the quality of life they could - they aren't seeing the right doctor, if they can even find one skilled to diagnose and handle their condition. "We have a major manpower issue here - it is not a good picture," said Dr. Mark Guttman, lead author in a study highlighting the impoverished state of services. "A significant proportion of people with Parkinson's are not receiving the appropriate care by the relevant specialist," said Mary Jardine, executive director for Parkinson Society Canada. The Institute for Clinical Evaluative Sciences followed groups between 1993 and 1999, It found: Fewer than half of patients saw a neurologist at least once a year. Only 59 per cent saw a neurologist during the entire six-year study period. Annually, almost every patient saw a family physician, half saw an internist. Patients 65 years and older were half as likely to see a neurologist annually as those who were younger. The most likely culprit is a shortage of neurologists. "That's why I'm sitting in Thunder Bay today," said University of Western Ontario professor Dr. Mandar Jog, head of the Movement Disorders Program at London Health Sciences Centre. Yesterday, Jog held an outreach clinic - one of three or four this year, the cost covered from fundraising by himself and the Parkinson's Foundation - to serve patients who can't get to London or Toronto. The problem is not only a shortage of Jog's subspecialty - there are about 16 in Canada. In Ontario, there's only one neurologist north of Barrie, leaving a huge population in the hands of general practitioners. That's not good enough, say Jog and Guttman. With more than a dozen drugs to treat Parkinson's symptoms, finding the right drug, dosage, and mix for the stage of the disease is a complex process beyond the skill of most family doctors. A typical physician has fewer than 10 Parkinson's patients. Guttman has 120. "There are other conditions that can mimic Parkinson's, that are treated differently, so they may be getting the wrong diagnosis," he says. Jog said his London office gets patients driving long distances. "I have people driving from Owen Sound, Sudbury, Timmins, eight to ten hours. Are we in Canada, or where are we?" >> ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn