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All:

        First, if you could respond to this post via private email, I'd be
forever in your debt, because I'm also a moderator on another list, and
must sign off the Parkinsn list after I post this so as to avoid "overkill
on a full mailbox".

        I'm a residential manager at a group home for mentally disabled
individuals.  There is one resident who has been recently diagnosed as
having Parkinson's disease.  This person has developed tremors and usually
stays in bed almost 24 hours a day.  My concern is this:

        In the past, he's been on Thyroxine, a drug that has a side effect
of inducing tremors.  This person developed these tremors after being on
the drug for a time.  I wonder if this is the cause of the tremors instead
of Parkinson's.  The info sheet in the Thyroxine indicated that the
tremors might be permanent.

        The client is now on Effexor 37.5mg., and Propranolol.  This
client was put on the Effexor due to being diagnosed as depressed (stayed
in bed all day/night), and the Propranolol because the Carbidopa/Levidopa
was thought to be causing stomach troubles (the reason given by the client
for staying in bed all day/night) and it didn't seem to be doing allot of
good controlling the tremors.

        Are there any professional people on this list who can shed any
light on why this person is still staying in bed all day/night after a
brief period of improvement and why, after going through exhaustive tests
to rule out stomach problems, is now giving the reason for the
bed-fastness as dizziness.  This client does refuse to eat meals, but will
get up late in the day and after lunch and eat an unbalanced diet.

Sincerely,
Concerned Manager.



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