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You wrote:
>
>In 1973, my grandmother (approx. 65 years old and afflicted with
Parkinsons)
>had knee replacement surgery in Boston.
>
>Prior to the surgery her mental capacities were 100%.  Following the
>operation, she lost her short term memory.  I don't mean to be too
>depressing, but from that point on her abilities and capacities
>decreased.
>
>As this occured, however, we would NEVER EVER do anything that made
>her feel that we thought she had any problems with this.  We are also
>convinced that the medications for Parkinsons, which changed
>periodically, may also have been causal wrt her diminishing memory
>et al.
>
>The doctors, when confronted, emphatically denied that the general an.
>or subsequent post-op medications/pain killers and Parkinsons
medications
>or combinations thereof could have impacted her mental capacities.
They
>also stated, from what I remember, that she must have been in this
>condition prior to the operation.
>
>I lost a great deal of respect for M.D.'s during that period.
>
>-Matt McKenna
>
 
Matthew:
 
Has your grandmother had a CT or MRI scan?  A totally incidental
problem (such as a subdural hematoma or other blood clot) can cause
dementia to progress.  This may not be associated with the Parkinson's
disease.  I would encourage that the cause of the dementia be
determined and not immediately be associated with the Parkinson's.
 
Best,
 
Bob
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Robert A. Fink, M. D., F.A.C.S.   Phone: 510-849-2555
Neurological Surgery              FAX:  510-849-2557
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