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Ken Elterich, Dir., Info Srvs wrote:
>
>         Hello -
>         I introduced my wife (52/2 weeks) and I to the list the
>         other day. She had an MRI last night and will be going back
>         to the Neurologist in a couple of weeks.  At her initial visit
>         she was given a month's supply of Eldepryl. Her symptom is a
>         shaking right arm. We've done quite a bit of reading (books
>         and at the Parkinson's WEB site) and this list has already
>         given us some great information.
>
>         We'd like to be prepared for our next visit to the Neuro.
>         What questions would you ask your Neuro at your initial
>         follow-up visit if you had it to do all over again given
>         what you know now?
>
>         Thanks for your help.
>                                 - Ken & Marie -

--

Ken and Marie,

A few suggestions.  Since you are beginning treatment with this
neurologist it is important that you evaluate how open he is to
questions and sharing information.  It is probably as important how he
answers questions as what he says. Is he sympathetic to your anxiety and
fear or does he discount it?  Does he volunteer info re PD and suggest
sources like support groups books etc.?

  I suggest that you have the involvement of a movement disorders
specialist at least on a consultative basis.  Ask him where the nearest
major movement disorders clinic is and whether he would refer you for a
second opinion.  Point out that you are not doubting his diagnosis and
treatment recommendations but with all the new drugs and thinking about
PD you would like someone who works exclusively in this field to
consult.  The neurologist's response to this request is crucial.  If he
becomes angry or defensive you probably should avoid him.  If he is
supportive, then he probably is not a "know-it-all" and is open to
consultation.  If you are not close to a movement disorders clinic then
seeing the sub-specialist say once a year and seeing your local
neurologist in the interim I think offers optimum care.

Regarding other things to ask him-  no matter how long a list you come
up with, how well you prepare and how much time is allotted there will
still be many questions you won't ask.  Whatever you ask concentrate on
how he communicates and whether he sees communication as a primary part
of his job or one of those disagreeable tasks with the priority
somewhere between talking to lawyers and filling out forms.

Welcome to the list.  I'm sorry that you need us (i.e. have been
diagnosed with PD)  but glad that you found us.

Charlie

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