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Dr. Fink:  This will be my last list response to this type of post - I will
do my best to comply with the list guidelines of not getting into
opinionated debates about medical advice - I was simply expressing the facts
of my own experiences and what I and others face in diagnostic settings - I
in no way said for anyone to "toss out" anything and your opinionated
reactions are not doing anyone any good.  Your medical facts and expertise
that are relevant are as  much appreciated by me, as anyone, as I take it as
part of my own fact gathering for my own decision making process.  I will be
taking the PIE list as a place to ONLY present facts, and therefore will
relagate my own ideas and opinion, experiences etc to my own website or
other sites designed for more open exchange of ideas and feelings.  I would
appreciate that you would do the same. Respectfully, Callie Marie Judd
----- Original Message -----
From: "Robert A. Fink, M. D." <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, December 25, 2003 2:10 PM
Subject: Re: tests


> On 24 Dec 2003 at 8:56, callie judd wrote:
>
> > Ellen:  If you have only had PD six years and doing well - no doctor
> > should start requesting tests of that nature and if they do you have
> > every right to say "no thank you, not right now".  Only if you feel
> > right that the risk (and there is significant enough risk) warrants
> > more investigation should you do it.
>
> The doctor may be looking for something other than Parkinson's.  There is
a
> condition, called "normal pressure hydrocephalus" which can present in a
> fashion similar to PD and which responds to a surgical procedure (shunt).
>
> One should always ask a doctor why a certain test is being recommended,
but
> "tossing out" the possibility of such is, in my opinion, not good advice.
>
>
> Best,
>
> Bob
>
> Robert A. Fink, M. D., F.A.C.S., P. C.
> Neurological Surgery
> 2500 Milvia Street  Suite 222
> Berkeley, CA  94704-2636  USA
> 510-849-2555     FAX: 510-849-2557
> <http://www.rafink.com/>
> "Ex Tristitia Virtus"
>
> Disclaimer:  That which is written in my e-mail is not to be
> considered as "medical advice".  Such advice can only be
> given after a formal, in-person, consultation between
> doctor and patient.
>
> **********************************************
>
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