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Reply to message from [log in to unmask] of Sun, 30 Mar > >At 01:22 PM 3/30/97 -0500, you wrote: >>Friends--I'mposting this to the main list rather than CARE in the hope someone >>can shed light from personal experiences. >>Yesterday Peter had to have an energency extraction of a broken tooth. The >>oral surgeon and staff were most accommodating, sensitive to his needs, etc. >>and the procedure went well, at 8:00 AM. We were home by 10:00AM, and as >>he was still dopey from the anesthetic he slept off and on all day and evening- >>-he did take his Sinemet 10/100 every 2 hours as usual,but no extra doses. >>He was also on a crash dose (7 AM and 1PM)of Amoxycillin antibio., as he has >>mitral valve prolapse, and this is required before any oral surgery. >>He was a bit spacey off and on yesterday, due to the anesthetic--and po >>also the stress of the situation. This AM he woke feeling quite normal, took >>10/100at 6 AM,8AM, 9:45 (before I left for church) and seemed fine. When >>I returned home about 11:30,in time for his next dose, he was in trouble, >>said his legs weren't working, couldn't stand to get out of his chair in living >> room.....I gave him the next 10/100 early, at 11:45, dealt with other >>problems, and a half hour later he still was too wobbly to stand with my help. >>I recalled that this was how he was the time he had to wait for the doc to >>discharge him from a day of hospital observation, as the stress of waiting till >>9:30PM for the doc really got to him. On the theory that the stress level may >>(like hard exercise has been said to do) cause the Sinemet to not work as well, >> be used up faster, whatever, I persuaded him to take another 10/100 at 12:15, >>then sat quietly, played soft music, talked reassuringly. Within a half >>hour, he was able to get up and get from the living room to the bathroom with >>my help,legs functioning OK! >>Here's my question--could it be that stress levels affecthehe way t >>Sinemet is used by the body---so that in a highly stressful situation one >>might be *undermedicated* even with normal doses? I should add that Peter has >>never had dyskinesia, nor does he have more than very minor resting tremor of >>hand when eating. His main problems are bradykinesis,bradyphrenia,and >>rigidity. (Plus others too numerous to mention!) >>If it seems this is a reasonable deduction from our experience, I can be >>prepared to ask neuro to increase his doses during the stressful time when I >>will be having surgery in April, and he has chosen to spend three days time in >>a local NH, rather than try to cover(for that short time)24 hrs. a day here at >>home. Any light that anyone can shed on this subject will be very welcome! >> >>Camilla Flintermann, CG for Peter, 78/7, Oxford,Ohio >>[log in to unmask] >>* * * * * * * * * * * * * * >>"Ask me about the CARE list for PD caregivers!" >>* * * * * * * * * * * * * * >> >camilla i have same prop. i went for blood tests all most pased out from >what they gave me. could not stand or walk. the was going tocall 911 but my >showed up. and told them i was in light coma. but would take me home. they >called my neuro and he said she was doing the right thing. i take ougen. was >on it while. but the sayty of my home helped me to come around. stress of >what we aren,t use to brings alot of it on. at home i am safe from out side >world. i now can walk in housse with out my cane a little ways. everry thing >is padded in case i fall soi won,t get hurt. what nh or np some about >gettting omly some type of mail. i want to help people if i can don. email >me have troule in understang things now as i so adfanced pd. i will need >some good advice on some things. have patince with me. I.Y.Q. >[log in to unmask] LIMA OH. > Don, I tried to email you a bit earlier, but iI do not think it went through. I just wanted to tell you that your letter is easy to read. I hope you write more letters. I know that you will be of great help to us. Thank you so much! I like the I.Y.Q. I said it fast. Thanks! Nancy M. > --