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My observations, and I'm no doctor that's for sure, is that many of the
experiences you mentioned are felt by some with early onset and are related
to PD.  When they show up in older patients the medical community frequently
attributes some of this to the normal aging process.  You can forget about
the "normal aging" process with PD.  It's not the end of the world though
just a real pain in the rear.

The muscle aches (neck first them to the back and legs) have seen that.
Believe it or not exercise does help this.  There has been a long term study
and program going on at the University of Pittsburgh that supports the
theory that continuous exercise program will help with PD symptoms you
described.  Use it or lose it they say.

Depression (not at first but it does come) easily controlled by some meds
with little side effects except sexual ones, that can be a problem in young
onset PD patients.  You should read up on the symptoms of depression.  There
is a very short standard test you can take yourself.  Depression is not just
feeling sad all the time.

The memory thing is also common in PD don't know about young or old (again
not at first but it does come in varying degrees) you should read up on
Lewey Bodies.  Aricept does help if the memory problem is caused by Lewey
bodies.  I haven't seen it recommended until the problem is more pronounced.
If you read up on the drug you will find the medical community believes it
"may" help retard the progression of memory problems in some cases, improve
it in others and keep at a baseline in still others.  Based on your job and
your desire to stay on it as long as you can why don't you do some personal
research on Aricept, PD, Lewey Bodies and dementia (there goes that awful
word again I hate it)  After that talk to your doctor from a more informed
perspective.  Being in the medical field you may be able to provide better
(more structured) observational data for the doctor to consider.  You should
take a baseline test to set your cognitive, memory and small motor movement
baseline.  You will then be able to repeat the test at another time to
determine if there is a progression of dementia related symptoms and if
modifying treatments are really helping retard or improve the symptoms.

Good luck

Frank



----- Original Message -----
From: "Diane Nicolaou" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, March 03, 2004 6:42 PM
Subject: Blame it on P.D.


> Hi,
> I don't know about the rest of you but I know I tend to blame all my aches
> and pains and anything that goes wrong on  P.D. It seems to affect every
part of
> you.   I don't know but I suspect some of the problems are hormone related
> and who knows what.  Two weeks ago I had terrible backaches-I never had a
> backache in my life now they come and go. Lately i've had quite a few
headaches,
> P.D? sinus?  when I have been on my feet all day they ache terribly,
P.D.?, old
> age?  Sometimes lately at the drop of a hat I feel very emotional, P.D.?
> Hormones? (I haven't had to deal with that yet but I think its coming). I
go into a
> room and forget what i went for or I start to introduce someone i work
with
> every day and all of a sudden I can't remember her name. P.D.?  At work I
start
> to hit a button on my ultrasound machine (that i've used for 14 years) and
all
> of a sudden i forget which one to hit.  My neuro says that memory is not a
> problem for people that acquire P.D. at a younger age.??   They say
depression
> is common, I don't feel depressed.Maybe I just like to blame it all on the
P.D.
>  My P.D. affects my balance and walk and movement in general (no tremor),
If
> I miss a dose or am late I can hardley walk or  I walk so slow I am barely
> moving....Thank God for the meds that keep me going.  I am still working
full
> time in a very busy cardiology ofc.
> Dr. Fink, feel free to comment, I always appreciate your input and feel
that
> we are fortunate to have professionals as yourself, Kathrynne Holden and
many
> others that offer suggestions.
> Thanks for letting me ramble
>
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