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HI Ram,

I didn't catch the orginal msg, so I don't know which city your Dad is
in, but I suggest you get a couple of opinions.

I'm in Bombay - my mother
had Parkinson Plus (PSP). It's only now
that I realize how lucky we were that she was diagnosed correctly (that
was after one year of going to every variety of doctor - we were so
ignorant; it's only when
she fell and fractured her hand, when attempting to shut off the TV, that
the orthopaedic surgeon suggested a neurologist - even then, the first
one was undecided, it was the second who diagnosed it immediately).

You might want to consult Dr Noshir Wadia, who diagnosed my mother. Dr
Singhal is also considered to be very good, though he was the first
neurologist we went to - apart from everything else, he's extremely grim,
and his waiting room has no space, which makes it very difficult for a
patient who finds it difficult to sit for long periods. Dr Mohit Bhatt is
one of the younger ones - he's specialised in PD. Dr Jimmy Lalkaka is
considered to be a competant doctor and empathic.

ANother thing I liked about Dr Wadia is that he always treated my mother
as a responsible adult. Dr Bhatt used to take us out of the room to tell
us about the state of progression, etc, Dr Wadia said whatever he had to
in front of my mother. Both approaches have their advocates, no doubt,
but we preferred to be honest with her, and she had the guts to take it.

I've taken up enough bandwidth. Feel free to msg me in pvt if you need
more inputs.

Sarita

PS - There's a PD Society in Delhi - the contact is a Robinder (I think
that spelling's wrong) Hoon - either Vasant Vihar or Maharani Bagh.

> Date:    Sat, 11 Jan 1997 17:01:23 -0500
> From:    Barbara Mallut <[log in to unmask]>
> Subject: Re: Answer for Ram Nagarajan, to send to Dad in India.
>
> There IS a condition not all that uncommon for persons with one or more
> chronic diseases that periodically flairs up causing horrendous pain along the
> entire length of a rib (or two, three).  VERY often it's initially, and
> mistakenly, diagnosed as shingles, however the rash that identifies shingles
> never emerges.  It's sometimes diagnosed as a pinched nerve or as a
> "neuropathy" (disease of the nervous system) <gee, thanks doctor... that's a
> big help!>.
>
> This condition is an inflammation of the cartilage between the ribs, and DOES
> have a medical name - beginning with "C" and ending with "iitis," and DAMN, I
> wish I could remember what it's called.  But it IS very real, and VERY, VERY
> painful! (I know whereof I speak with THIS puppy!)
>
> Barb Mallut
> "Lil_Honey" on the PD Chat
> [log in to unmask]
>
> ----------
> From:   PARKINSN: Parkinson's Disease - Information Exchange Network on behalf
> of Peter M. Hewitt
> Sent:   Saturday, January 11, 1997 10:55 AM
> To:     Multiple recipients of list PARKINSN
> Subject:        Answer for Ram Nagarajan, to send to Dad in India.
>
> I too have severe discomfort and pain in my rib cage, which I believe to be
> caused by muscle contractions, and which seems to be primarily associated
> with the "off" period.
> It does not seem to be a very common symptom of PD, but certainly it's been
> mentioned on this list before, and I hope that others who have this symptom
> will contact you, so that you in turn, can reassure your father.
>
> He's lucky to have your concern for him.
> Heather Hewitt.
>
> ------------------------------