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Hi Bill,

I like your idea of making up a training document for MD's.  My original idea
was that we have a national database of all PD patients with a history of
exposure to different chemicals, hereditary factors, head injuries, age of
diagnosis, etc.  Also would be included; a list of symptoms that were experienced
prior to diagnosis: foot drop, lack of arm swing, depression/anxiety, loss of
balance, pain, frequent urination, etc. My feelings are that if you get enough
people to provide enough data that you will eventually begin to see some common
denominators.  Hopefully it would divulge experiences/lifestyle/events that a
majority of people with PD share and thus would reflect a possible cause for
PD.

After a few inquiries, I was left with the impression that this would be a
pretty expensive proposition and that the money would be better spent elsewhere.
 Well, I see a LOT of money being spent in many directions but I'm not sure
that we are seeing a great big BANG for the buck.

If every physician who diagnosed a new PD patient would have them fill out
this type of questionnaire (this would also include their current PD patients)
and it was entered into a National Data Base, I do believe that we would
eventually begin to see a pattern emerge as to a common cause of PD.

Since this avenue of exploration is not being pursued, I think the next best
thing might be to have the medical community more informed about the the
symptoms of PD and a combined list of symptoms sounds like a good start.
Sooooo........Here's my contribution.

1.  Experiencing feelings of anxiety, worry, pessimism, gloom & doom.  Not in
character with my normal personality. ( I chalked it up to menopause.)  Now I
am learning that there may be a connection between the loss of estrogen and
the onset of PD.

2.  Aches, pains, general over-all feeling of not being well. Unusual fatigue
and need for afternoon naps.  (This one I tagged as "getting older".)

3.  Strong burning in leg muscles and fatigue after nominal physical
activity.  (I thought I might have fibromyalgia.)

 4.  Developed drop foot. Saw a neurologist who ordered MRI.  He saw no
problem with my test results.  Told me to "Go home and live with it". You must know
what my opinion of him might be.  (I had to think that this must be a result
of chronic knee problem I'd had for years.)

5.  Pain in lower back and left leg, stiff neck and shoulders. (Had recently
fallen playing volleyball.  My left foot had stuck to the floor when I went up
for a ball and I fell...sound familiar?  Saw a sport's medicine doctor.  He
did X-ray and finding nothing too unusual aside from some mild arthritis he
likened me to his 89 year old mother who was not adapting well to the limitations
of aging. I, at this time, was 57 years old and did not appreciate his
condescending attitude to say the least.  I still have the pain and it is becoming
worse but it is relieved somewhat when my Sinemet is working.)

6.  Dizziness when going from a squatting position to standing.  (This played
heck with my putting ability in golf.  My blood pressure was normally on the
low side so I guessed I needed a little more salt in my diet.)

7.  Frequent and urgent urination.  (I went to my primary for urine test.
Thought I had bladder infection.  Test came out normal. Go figure...)

8.  Spacey feeling.  Began having trouble with my sense of direction when
driving and balance when walking. (Now I am beginning to get VERY worried.)

9.  Short term memory was becoming poor.  Coordination was declining.
Multitasking was frustrating.  Sense of humor was on the decline.  Things were
making me nervous that shouldn't.  The corners of my mouth were turning down and my
lips were becoming thin...I was becoming a nervous, thin lipped, grim faced,
slack jawed, clumsy and tired old lady.

10.  Arm swing/left side, diminished.  Same side as foot drop.  (Time to see
another neurologist.)

And finally a diagnosis: Parkinson's disease.

That pretty well completes my list.  I'm sure that I have neglected to
include a few more symptoms that I was experiencing but can't think of them at the
moment (another clue!)  I hope this is of help in your attempt to enlighten and
educate today's doctors on the symptoms to look for in PD.  I know that I
went through two years of searching for an answer for my ills and many times felt
rebuked and dismissed as either a whiner or a hypochondriac.  In those two
years, I lost a lot respect for and trust in the so-called "specialists".  I
hope that this might help to spare others that experience.

Dee

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