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> 1.  My dad is worried that he is getting Alzheimer's disease, but the
> neuro
> said his confusion was due to the PD.  Is that always the case?
> Aren't some PWP's also on meds for Alzheimer's?

Dementia similar to Alzheimer's' can occur with PD.  Dementia however
can be confused with depression aggravated by PD meds (especially if
there are hallucinations.  Also reversible causes of dementia must be
considered-  such as normal pressure hydrocephalus which presents as
dementia,  broad based gate and incontinence.  This can be diagnosed
with a CAT Scan or MRI. Some docs are using the new Alzheimer's drug for
PD.


> 2.  Dad is having what seems to be rust in his urine, and he read that
> it was
> a side effect of levodopa, tho' the neuro had not heard of this.
Yes it can be although it usually is not pronounced.  Entacapone is
really bad in this way.

>
> 3.  Dad is also suffering from incontinence...is this common?  He's
> not
> opposed to wearing protective undergarmets, but can't find one without
> straps
> or tapes, both of which are confusing to him..  are there any
> disposables
> that just slip on like underwear?

Yes it occurs.  I do not know the details of different types.
>
> 4.  Last but not least, does anyone know of a PD specialist in the
> Bergen
> County N.J. area?

NO but try the nearest medical school.

Charlie

CHARLES T. MEYER, M.D.
Middleton, WI
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