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Rick,

I think it was Ray who first came out with the term; "Designer Disease"...

The few times that I didn't hear my phone alarm, my body also told me it's
time for meds. Only problem is that is was then an hour overdue!

Nic 60/18



On 9 May 2012 19:18, Rick McGirr <[log in to unmask]> wrote:

> Hi, Nic. PD being a "designer disease" (how chic) is basically what I'm
> getting at in my point #1. For example, lots of PWP take dopaminergic drugs
> like Requip. I can't stand the stuff. I'm also prone to minimize my use of
> Sinemet and Stalevo, because I find the tremors more tolerable than
> dyskinesia. I assume that your routine and strategies are different from
> mine, a designer response for the designer disease, if you will. I was just
> struck with the idea that with all the different personal approaches among
> us, how would researchers be able to quantify and study one and the next,
> and so on.
>
> For comparison, I rack my pills in a 4x7 plastic holder with removable 4's
> around every 9 days, so I just have to grab a 'stick' (one 4-dose pack from
> the rack) before I go anywhere. I keep an eye on the time, but my body is
> also pretty good at reminding me when it's time.
>
> Rick
>
> -----Original Message-----
> From: Parkinson's Information Exchange Network
> [mailto:[log in to unmask]] On Behalf Of Nic Marais
> Sent: Wednesday, May 09, 2012 3:29 AM
> To: [log in to unmask]
> Subject: Re: CAUSES OF SUDDEN WORSENING IN PARKINSON'S DISEASE
>
> Rick,
>
> What I do for the meds is to, first thing in the morning, count out all my
> pills etc. for the day and put them in one container which I carry around
> with me.To take the right meds at the right times, I set alarms on my smart
> phone. I'm not sure how many alarms you can set, 10 was no problem on my
> Android phone. With each alarm I write in the message field which meds to
> take.
>
> I read your querry 3. as saying that cases of sudden worsening of PD is
> more
> prone to occur amongst PD patients who suffer more motor complications than
> the average pd patient. Remember, this is a designer disease customized for
> each individual.
>
> Nic 60/18
>
>
> On 9 May 2012 08:07, Rick McGirr <[log in to unmask]> wrote:
>
> > A few things come to mind...
> >
> > 1. How can this be addressed, given the myriad routines and drug
> > combos people use to deal with their PD?
> >
> > 2. Just like tobacco use, the word "preventable" says a lot. It
> > behooves us to stay on top of our own conditions.
> >
> > 3. What is meant by "greater prevalence of motor complications?
> >
> > Rick Mc
> >
> > -----Original Message-----
> > From: Parkinson's Information Exchange Network
> > [mailto:[log in to unmask]] On Behalf Of A Phillips
> > Sent: Monday, May 07, 2012 3:14 PM
> > To: [log in to unmask]
> > Subject: Re: CAUSES OF SUDDEN WORSENING IN PARKINSON'S DISEASE
> >
> > frustration....
> >
> >
> > > Date: Fri, 4 May 2012 13:25:40 +0200
> > > From: [log in to unmask]
> > > Subject: CAUSES OF SUDDEN WORSENING IN PARKINSON'S DISEASE
> > > To: [log in to unmask]
> > >
> > > CAUSES OF SUDDEN WORSENING IN PARKINSON'S DISEASE
> > >
> > > Neurologist [2012] 18 (3) : 120-124 (K.S..Zheng, B.J.Dorfman,
> > > P.J.Christos, N.R.Khadem, C.Henchcliffe, P. Piboolnurak,
> > > M.J.Nirenberg) Complete abstract
> > >
> > > Episodes of sudden and transient worsening of symptoms commonly
> > > occur in Parkinson's Disease, especially when the Parkinson's
> > > Disease is more severe. A quarter of people with Parkinson's Disease
> > > were found to be affected in this way. Infection was the single most
> > > frequent cause, accounting for a quarter of cases. Other common
> > > causes were anxiety, medication errors, poor adherence to taking the
> > > required drugs,
> > medication side effects, and postoperative decline.
> > > Overall, over 80% of reasons were attributable to reversible or
> > > treatable causes.
> > > Most people who experienced a sudden worsening of symptoms recovered
> > > fully, but a third of people experienced recurrent episodes. One in
> > > six people suffered permanent decline. Those people most prone to
> > > sudden or transient worsening were those who had Parkinson's Disease
> > > for nearly eight years or more, had more severe symptoms, had
> > > greater use of dopaminergic drugs, and had a greater prevalence of
> > > motor
> > complications.
> > >
> > > www.viartis.net
> > >
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