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David M...

David, if your really-important-meeting (as opposed to the
average-general-not-so-important-meetings) isn't till November, that gives ya
a few months see if the there are any medical or other alternatives available
that'll keep ya awake throughout that meeting.

The first thing I'd do if'n I was in your shoes (errrrr.. I guess I already
AM, so to speak, huh?!) <rueful smile> is get my MD to cooperate in helping to
keep me awake.

In my own case, I recently asked the new neuro I went to at Kaiser to
prescribe Ritalin - which HAS worked for some of our List-friends.  Since his
response to my  request was "I don't believe in Ritalin," (Doesn't "believe"
in the drug itself or just for a PWP?  Never could get him to respond to THAT.
 He just doesn't "believe!") <&@#^% on all closed-minded MDs!>

I've gotta appointment towards the end of Sept. with my primary Kaiser
physician (an internist) in order to ask HIM for a RX for Ritalin.  Since he's
usually cooperative when it comes to my PD-related requests, if I can get the
drug from him (and I'm expecting to) , I'll report to the List any
positive/negative results.


Over the past coupla-three years the drowsiness has been SO disruptive to my
social life, that I found I was beginning to avoid going out with friends or
on dates because of the embarrassment of falling asleep in public.  Since I
just HATE to give into this steeeeenkin' disease, I began to experiment with
whatever was at hand in my medicine cabinet, hence the Viviran (caffeine) and
additional Sinemet combo.

I'm going to push to get that Ritalin,. but if THAT doesn't work after a
reasonable test period of a few weeks, I'm going to push Kaiser to permit me
to see whatever type of specialist handles patients with narcolepsy (sleeping
sickness), because this profound drowsiness is surely as disruptive to MY life
as THAT disease is to those who suffer from it.

Barb Mallut
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From:   Parkinson's Information Exchange on behalf of David Moreland
Sent:   Saturday, August 16, 1997 9:34 PM
To:     Multiple recipients of list PARKINSN
Subject:        Re: drowsiness

At 11:56 PM 8/16/97 -0400, you wrote:
>Drowsiness happens to be one of the most aggravating and frustrating PD
>symptoms I deal with each day.  IF I'm very busy physically, it can be
>forgotten about.  However, if I'm relaxed.... sitting talking with someone or
>am at the keyboard, well, I begin to feel myself drift in and out of deep
>sleep.
>
>GAWD!  THIS DRIVES ME CRAZY!!!!!!   It's SO embarrassing to fall asleep while
>sitting on the sofa and talking with someone, or to doze off while a
passenger
>in a car!
>
>I noticed that at about the time the drowsiness first strikes me each day
- at
>3:50 p.m. (not 4 p.m. - but 3:50!) <weird!>, my feet and ankles become
>icy-cold (even tho the weather here might top 100 degrees I still get that
>icy-feet-thinggee!).  If I immediately lie down and put a heating pad on my
>feet, while dozing for 45 minutes or an hour, I can usually cut the time I'm
>so drowsy down from it's regular 3 or 4 hours.   However, if I try to work
>thru that down-time, it easily takes me that full 4 hours to once again feel
>fully awake.
>
>What's even stranger about this is  I have been getting a full nite's sleep
>for about 5 or 6 months now due to FINALLY biting the bullet and taking a
>sleeping pill before bed each nite.  (FYI... I'm taking the generic of
>Restoril," and while I initially began taking an entire capsule, per the
>directions, I now open each one and empty OUT slightly more than 1/2.  THAT
>works just as well for me!).  Yet I STILL become profoundly tired almost
every
>day!
>
>AAAAAAAAAAAAAAAAARGH!!!!! <--- Barb has a tizzy-fit in exasperation!)
>
>Barb Mallut
>[log in to unmask]
>
>----------
>From:   Parkinson's Information Exchange on behalf of Albert Young
>Sent:   Saturday, August 16, 1997 7:34 PM
>To:     Multiple recipients of list PARKINSN
>Subject:        Re: drowsiness
>
>On Sat, 16 Aug 1997, "John F. Mccabe" <[log in to unmask]> wrote:
>>David,
>>
>>I am currently taking Amantadine and Mirapex and also experience drowsiness.
>>I have fallen asleep in church, at dinner parties, at the movies, at support
>>group meetings, etc.
>John,
>        have no answers but sure can empathize with your sleeping problem.
 If
>I'm active, OK, but if I sit down, forget it.  It's onset is so rapid.  In
>public, it's an embarrassment, in private, a nuisance, especially when riding
>a
>lawn mower or sitting at the computer.
>
>As you, I feel it's the meds.  I take 200mg Amantadine, 4 - 25/100  Sinemet
>daily (Mirapax didn't work for me, unfortunately).
>
>Joe Young (65/5).
>
You mean there's nothing that can be done about it short of taking a maga
dose of NO-DOZ, and I don't want to do that. I think the best approach is
to inform the other people at the meeting that I might be in and out due to
PD medications. Then have a Dr.Pepper just prior to the meeting.

Its just that there are meetings scheduled in November where there will be
representatives from all the Major Cellular Telephone companies to come up
with the best way to value them. I am the appraiser who does all the
Cellulars each year for the Department of Revenue. Those are the metings
that I am most concerned about.
Yours and His
David L. Moreland
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http://www.teleport.com/~davelm