PARKINSON'S NEWSLETTER of the Delmarva Chapter, American Parkinson Disease Association April 1997 - 4049 Oakland School Road Salisbury, Maryland 21804-2716 1-410-543-0110 FAX (410)749-1034 e-mail [log in to unmask] +++++++++++516 COPIES SNAIL-MAILED APRIL 22, 1997++++++++++++++ <<<<<<<<<<IF YOU WISH TO REPLY, PLEASE DELETE SECTIONS NOT RELEVANT TO YOUR REPLY>>>>>>> GENERAL INTEREST: UDALL BILL INTRODUCED HOW CAN YOU HELP GET THE UDALL BILL ENACTED? MANY BREAKTHROUGHS IN PD TREATMENT, BUT! AUGUST A.P.D.A. NATIONAL CONVENTION TO BE IN NASHVILLE REGIONAL INTEREST: COASTAL HOSPICE AND HOME HEALTH CARE APRIL DECLARED PD MONTH IN MARYLAND LOCAL INTEREST: MEETING WEDNESDAY APRIL 30 AT 1:00, ASBURY METHODIST CHURCH, SALISBURY --PHYSICAL THERAPY RESEARCH RESULTS HEALTHFEST '97 OBITUARIES & GIFTS DISCLAIMER: UDALL BILL INTRODUCED IN SENATE AND HOUSE The Morris K. Udall bill was introduced in both the House and Senate on Wednesday, April 9, 1997. The content of the bill is virtually unchanged from the bill introduced in the previous congress according to what I have been told. I have not seen the actual wording of the 1997 version. This time our chances for passage are much better than in the two previous attempts. We are getting a much earlier start, a majority of both houses of congress have given us support before, and we are wiser politically and better organized. All of the national Parkinson's disease organizations seem at last to be willing to cooperate with one another in the attempt to get passage in this congressional session. The national mailing lists are not merged yet, but the rivalry appears to be lessening. The federal government is by far the biggest Parkinson's research provider with the funding already in place. We are trying for $100 million annually to replace the current approximately $26 million per year in federal expenditures provided specifically for Parkinson's research. The total money raised by all national Parkinson's disease organizations combined is less than $5 million. Most other funding in the United States has come from the various pharmaceutical and medical equipment companies who are trying to produce or test proprietary products. Pure research into the cause or causes of Parkinson's disease has generally lacked the depth which it should have thanks to a shortage of pure research dollars. HOW CAN YOU HELP GET THE UDALL BILL ENACTED? First realize that the Udall Bill is important to us. Medical research does not just happen. It takes manpower and other resources, all of which cost money. The federal government is and has been the largest single supporter of medical research in this country. All the drug/pharmaceutical/medical-equipment producers collectively currently spend slightly more on medical research than the federal government. Medical research funded by the national Parkinson's organizations is important but minuscule compared to government and drug company research. Drug companies generally concentrate on testing their own products. Parkinson's disease research by or funded by the federal government has been based upon perceived relative need and probable success of research proposals as determined by the National Institutes of Health, considering its overall budget. Compared to medical research for other diseases, we feel that we have received far less than our fair share of federal research dollars. We feel that there is a high probability of a major breakthrough soon with increased spending. Write to your senators and congressman asking for their support and co-sponsorship of S.535 in the Senate or H.R.1260 in the House of Representatives. The very short title is ~A Bill to Amend the Public Service Act to Provide for the Establishment of a Program for Research and Training with Respect to Parkinson's Disease.~ Senator McCain is the lead sponsor in the Senate, and Congressman Upton is the leader in the House of Representatives. If you would rather telephone ~ writing is difficult for many of us ~ the toll free number for the House and Senate is 1-800-962- 3524. As of April 10, 1997, there are 111 co-sponsors in the House and 37 co-sponsors in the Senate. Maryland Senators Mikulski and Sarbanes are already co-sponsors. Virginia Senator Robb is a co- sponsor. Delaware Senator Biden has supported us in the past, but has not officially signed on as a co-sponsor this time. We need to contact all our area congressmen. Maryland Congressman Gilchrest has supported us before, but has not yet joined us in this congressional session. Delaware Congressman Castle or his office will meet with a PD delegation in Washington April 23. We found out last session that merely having a majority of the congress on our side as co-sponsors does not guarantee passage of a bill. We found out the hard way! We need to win over a big majority to apply the pressure needed to get the Udall Bill to the floor for a vote. MANY BREAKTHROUGHS IN PD TREATMENT, BUT! In recent months there have been many TV and newspaper stories about new medications and new medical treatments for Parkinson's disease. Guilford Pharmaceuticals in Baltimore announced a virtual cure in the form of a brain cell/neuron rebuilding drug which could be taken orally. A drug company in Richmond, Virginia, announced that they had developed a dopamine substitute / agonist which could be applied to the skin as a patch like the nitroglycerine patches for heart trouble or the nicotine patch designed to help people stop smoking. One major drug company is so overloaded with new Parkinson's medications [Pramipexole and Cabergoline] that they are introducing one of them [Cabergoline] for something other than Parkinson's, so that it will not be officially competing with Pramipexole in the new drug market. Neurologists are being told about the benefits of Cabergoline for their PD patients and are to be given unofficial dosing guidelines to ~cross prescribe~ for Parkinson's. Medtronics which has gained fame as the leading designer and manufacturer of cardiac pacemakers has successfully launched an implantable device similar to their cardiac defibrillator which, when implanted with one part in the chest and a wire running into the brain, will temporarily stop tremors on command. Another pharmaceutical company and a group of surgeons are implanting pig fetus cells into Parkinson's patients' brains, and appear to be having some success based upon a small group of patients. Practically all the breakthroughs we hear about on the evening TV news are the result of ~news releases~ issued by pharmaceutical manufacturers who are publishing the results of their own tests of their own product or the results of testing they have funded and designed. We should have better and more objective research to get the honesty and quality we expect for our health needs. I hope we will be able to recognize a real breakthrough when it comes. I do not think it is here yet. AUGUST A.P.D.A. CONVENTION TO BE IN NASHVILLE The usually biennial American Parkinson Disease Association convention will be held in Nashville, Tennessee, August 14- 17. With the money crunch and changes in some of the national office personnel, the ~every-other year~ pattern was broken in 1996. I complained about too much being spent on POSH accommodations and sumptuous dining at APDA expense for the 1992 and 1994 conventions. >From preliminary information, the 1997 convention looks more business-like and less like a resort vacation. I will enjoy the convention far more knowing that money needed for research is not being squandered in riotous living. +++++++++++++=REGIONAL++++++++++++++ COASTAL HOSPICE AND HOME HEALTH CARE At our March meeting at Atlantic General Hospital in Berlin, Ms. Sandy Wabeck, Volunteer Coordinator for Coastal Hospice, told us hospice is about enjoying quality of life and not just about dying. The hospice movement started in London in 1968, and Coastal Hospice, Inc., formed in 1974, now serves Maryland's Wicomico, Worcester, Somerset, and Dorchester counties. Coastal Hospice, Inc. is a non-profit community- based organization that makes no charge for its services. Its funds come primarily from donations and memorials. It does not get state or federal funding. If there is insurance coverage, they will bill the insurance company. Each hospice patient is assigned a registered nurse, a home health aide, a social worker, and (if desired) a spiritual advisor. There are also physical therapists, nutritionists, and volunteers who provide help for the regular caregiver or family. Volunteers must get at least thirty hours of training before serving patients or their families. Coastal Hospice uses a team management approach, and the team meets weekly to discuss the care of each patient. The ~Home Health Care~ eligibility is more demanding than that of the hospice service. For hospice care, the only requirement is a life expectancy of six months or less. If one outlives the six-month prognosis, service will continue. For ~Home Health Care,~ the service is limited to services in the home requiring skilled nursing care. Skilled nursing care is difficult to define precisely, but it is a level of nursing care which would require the services of a highly trained nurse rather than a nurses' aide or practical nurse. Ms. Wabeck and Ms. Dawn Rea Scher, who accompanied her, addressed our group primarily to tell us what they could do for us. They also let us know that they need volunteers to help provide hospice services for others. There are lots of jobs to be done, and they will provide training for those who want to help. APRIL DECLARED PD MONTH IN MARYLAND Governor Parris Glendening has proclaimed April 1997 as Parkinson's Disease Awareness Month in Maryland, joining with Virginia, Maine, and several other states and cities. April 11 was Parkinson's Disease Awareness Day in several European nations. State governments have a vested interest in us as Parkinson's patients since we are taxpayers and many of us are users of state facilities. As taxpayers, our disability results in fewer tax dollars going into the state treasuries. In Maryland a portion of otherwise taxable retirement income may be received state and county income tax-free if the retiree is disabled [as may be the case with Parkinson's] or at least age 65. An under 65 retired spouse of a disabled person may also exclude a portion of his or her normally taxable retirement income. [I left the bold printed sentence out of last month's newsletter because I was not aware of it. I found it a pleasant surprise. It saved us a few hundred on our Maryland and county income tax!] Governor Glendening has been unusually solicitous of the Parkinson's problem and the problems of the Eastern Shore lately. His frequent visits to the Eastern Shore in recent months may be only the prelude to his run for re-election, but we still appreciate the attention. I intended to show a Xerox copy of his proclamation to the March meeting, but I forgot to get it out with everything else going on. I think we should thank our governor for his symbolic support of our cause. ++++++++++++++++++++LOCAL INTEREST++++++++++++++++ MEETING WEDNESDAY APRIL 30 AT 1:00 ASBURY METHODIST CHURCH, SALISBURY PHYSICAL THERAPY RESEARCH RESULTS Our April speakers will be Jim Cope, Gary Short, and Ed Jordan, the University of Maryland-Eastern Shore physical therapy students who did original research in the evaluation of physical therapy needs by Parkinson's patients. They are scheduled to present their findings in a formal presentation at U.M.E.S. on April 28 and to our group the following Wednesday. Althhough I have not seen their work or findings yet, I think their research should be considered a valuable contribution to both the physical therapy and Parkinson's disease communities, should be publishable in a major professional journal, and, most important for them, should more than satisfy the research course requirements for graduation from the physical therapy program. Several people in our support group and in the Southern Delaware (Harrington) Parkinson's Disease Support Group volunteered as subjects for the U.M.E.S. study. It should be an interesting meeting, particularly to those who participated in the study. The meeting was changed from the last Tuesday of the month to a Wednesday to mesh with the speakers' class schedules. This semester at U.M.E.S. Tuesdays are heavy class days in the Physical Therapy Department, and final examinations are just a few days away. They expect to graduate before our May meeting. We will meet in the church parlor. Asbury United Methodist Church is located at Camden Avenue and Dogwood Road just south of Salisbury State University. HEALTHFEST '97 Healthfest, sponsored by Peninsula Regional Medical Center, was held Saturday, April 12, at Bennett High School in Salisbury. At our table we were able to present PD materials for other health-care organizations and the general public to see and pick up. We made several useful contacts which will result in speakers for us and an opportunity to educate health professionals. +++++++++++++OBITUARIES+++++++++++++ ISADORE SCHIFF Mr. Isadore Schiff of Ocean Pines died in March after fighting Parkinson's for many years. Izzy and his wife Sylvia have been active in our support group and have been very supportive to others in our group. Our sympathy goes to his wife Sylvia and others in his family. This month's Parkinson's Newsletter is being produced and mailed in memory of Izzy Schiff. VIRGIL WEBSTER Mr. Virgil Webster of Salisbury died in April of complications of Parkinson's disease. Virgil was severely disabled by his Parkinson's and was unable to go out for his last few years. He did relatively well at Deer's Head the last year of his life. Our sympathy goes to his wife Juanita, his daughter Kim Hughes, and others in his family. GIFTS AND MEMORIALS Memorial gifts in remembrance of Isadore Schiff have been received from Cecile & Sidney Schneider of Morristown, New Jersey, from Walter & Irene Wolfe and Doris M. Tyson of Berlin, Maryland, from Louis & Joyce Angellella of Fairless, Pennsylvania, and Frances Citrano of Ormond Beach, Florida. A memorial gift was received from George Crosley of Salisbury in memory of his wife Dorothy Crosley. A memorial gift was received from Lois Whittaker of Hebron, Maryland, in memory of her husband John Whittaker. A gift was received from Edward and Shirlee Allen of Redwood City, California. There are no chapter dues. Newsletter and other chapter expenses are paid from memorials and other gifts. Any excess income is used to fund the annual Walk-A-Thon, so that all funds raised in that drive go to medical research. Every September 60% of the chapter bank balance is sent to our national organization. We have no employees, pay no rent, and all labor is performed by volunteers. We are a 501-c-3 non- profit organization, and all gifts are deductible for those who itemize deductions on their income tax. DISCLAIMER {6 pt type} At the suggestion of the old APDA Director of Chapter Operations: The information and reference material contained herein concerning research being done in the field of Parkinson's disease and answers to readers' questions are solely for the information of the reader. It should not be used for treatment purposes, but rather for discussion with the patient's own physician. I've gone to look for myself. If I should return before I get back, please keep me here. Will Johnston And here's to long "ons" and short "offs" WILL JOHNSTON 4049 OAKLAND SCHOOL ROAD SALISBURY, MD 21804-2716 410-543-0110 Pres A.P.D.A. DelMarVa Chapter