This is a multi-part message in MIME format. ------=_NextPart_000_0006_01BD4672.F3A5FE40 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Dear List, I was recently surfing for information on stuttering for a friend's = friend. One of the theories was that an excess of dopamine was = partially responsible. In fact some dopamine antagonists help to = alleviate the speech blocks that are most troubleing for this = frustrating malady. It is especially tough on teens. The following is = a passage from a web site for stuttering located at = http://www.casafuturatech.com . =20 "Stutterers have decreased medial system activity during both stuttering = and fluent speech (chorus reading). They have decreased lateral system = activity during stuttering, and increased lateral activity during fluent = speech (Wu, 1997).=20 Glyndon Riley, Joseph Wu, and Gerald Maguire (1997) propose that the = medial system is affected by the D2 dopamine modulation system. This = includes the substantia nigra and its circuit to the striatum. Dopamine = is the neurotransmitter that produces alertness, motivation, and mental = acuity. In stutterers, excess dopamine may reach the striatum and reduce = activation, making these areas less effective.=20 The dopamine system may explain why stutterers have "good days," when = they easily speak fluently, and "bad days," when they can't get a word = out without a hard block. Dopamine levels vary with diet and other = factors. Of course the young man who had trouble with stuttering is a very giving = person. It is a shame. He tries so hard to fight it. This is in fact = counterproductive. The harder one tries to not stutter the more his/her = body reacts to block speach. Another thing that I want to mention is = that a stutterer usually does not want people to finish sentences as = this often creates more of an explanation and well you get the idea.=20 I was wondering has anybody else noticed that they stutter when they = have lot of Dyskinesias. I had often struggled with this = pre-pallidotomy. I was one that tended to take a bit more medication = than necessary to avoid off-time. It seems the only time I had trouble = with speech was during an overmedicated period. This would in fact help = explain the excess dopamine theory. Speeking of pallidotomy, a friend of mine, Bill Putnam of Hanover, NH is = scheduled for a Pallidotomy tomorrow at Dartmouth/Hitchcock Hospital in = Hanover. Dr. David Roberts will be in charge. I meet with him today to = discuss having a matched set. At the moment, I am leaning on waiting to = see what happens in the next year with Parkinson's research and the = Udall approptaitions. I know everyone in the Parkinson's Community = wishes the best of luck and that the Lord is watching over our friend = Bill Putnam tomorrow. As usually is the case Bill is a really great = guy. I met him thru a program Dr. Roberts runs where potential = patients talk at length to someone close in age that has had a = Pallidotomy. I am going to visit with Bill this afternoon after my = consultation. By the way I will publish the results of the Aneastesia survey tomorrow. Curious and empathetic to a young man's plight, Greg Leeman 37/7 This is the seventh aniversary to my diagnosis. [log in to unmask] ------=_NextPart_000_0006_01BD4672.F3A5FE40 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable <!DOCTYPE HTML PUBLIC "-//W3C//DTD W3 HTML//EN"> <HTML> <HEAD> <META content=3Dtext/html;charset=3Diso-8859-1 = http-equiv=3DContent-Type> <META content=3D'"MSHTML 4.71.1712.3"' name=3DGENERATOR> </HEAD> <BODY bgColor=3D#ffffff> <DIV><FONT color=3D#000000 size=3D2>Dear List,</FONT></DIV> <DIV><FONT color=3D#000000 size=3D2></FONT> </DIV> <DIV><FONT color=3D#000000 size=3D2>I was recently surfing for = information on=20 stuttering for a friend's friend. One of the theories was that an = excess=20 of dopamine was partially responsible. In fact some dopamine = antagonists=20 help to alleviate the speech blocks that are most troubleing for = this=20 frustrating malady. It is especially tough on teens. The = following=20 is a passage from a web site for stuttering located at <A=20 href=3D"http://www.casafuturatech.com">http://www.casafuturatech.com</A> = . =20 </FONT></DIV> <DIV><FONT color=3D#000000 size=3D2></FONT><FONT color=3D#000000=20 size=3D2><EM>"Stutterers have decreased medial system activity = during both=20 stuttering and fluent speech (chorus reading). They have decreased = lateral=20 system activity during stuttering, and increased lateral activity during = fluent=20 speech (Wu, 1997). </EM></DIV> <DIV> <P><EM>Glyndon Riley, Joseph Wu, and Gerald Maguire (1997) propose that = the=20 medial system is affected by the D2 dopamine modulation system. This = includes=20 the substantia nigra and its circuit to the striatum. Dopamine is the=20 neurotransmitter that produces alertness, motivation, and mental acuity. = In=20 stutterers, excess dopamine may reach the striatum and reduce = activation, making=20 these areas less effective. </EM> <P><EM>The dopamine system may explain why stutterers have "good=20 days," when they easily speak fluently, and "bad days," = when they=20 can't get a word out without a hard block. Dopamine levels vary with = diet and=20 other factors.</EM></P> <P>Of course the young man who had trouble with stuttering is a very = giving=20 person. It is a shame. He tries so hard to fight it. = This is=20 in fact counterproductive. The harder one tries to not stutter the = more=20 his/her body reacts to block speach. Another thing that I want to = mention=20 is that a stutterer usually does not want people to finish sentences as = this=20 often creates more of an explanation and well you get the idea. </P> <P>I was wondering has anybody else noticed that they stutter when they = have lot=20 of Dyskinesias. I had often struggled with this = pre-pallidotomy. I=20 was one that tended to take a bit more medication than necessary to = avoid=20 off-time. It seems the only time I had trouble with speech was = during an=20 overmedicated period. This would in fact help explain the excess = dopamine=20 theory.</P> <P>Speeking of pallidotomy, a friend of mine, Bill Putnam of Hanover, NH = is=20 scheduled for a Pallidotomy tomorrow at Dartmouth/Hitchcock Hospital in=20 Hanover. Dr. David Roberts will be in charge. I meet with = him today=20 to discuss having a matched set. At the moment, I am leaning on = waiting to=20 see what happens in the next year with Parkinson's research and the = Udall=20 approptaitions. I know everyone in the Parkinson's Community = wishes the=20 best of luck and that the Lord is watching over our friend Bill Putnam=20 tomorrow. As usually is the case Bill is a really great guy. = I met=20 him thru a program Dr. Roberts runs where potential patients talk = at=20 length to someone close in age that has had a Pallidotomy. I am=20 going to visit with Bill this afternoon after my = consultation. </P> <P>By the way I will publish the results of the Aneastesia survey = tomorrow.</P> <P>Curious and empathetic to a young man's plight,</P> <P>Greg Leeman 37/7 This is the seventh aniversary to my diagnosis.</P> <P><A = href=3D"mailto:[log in to unmask]">[log in to unmask]</A></P> <P> </P></DIV></FONT></BODY></HTML> ------=_NextPart_000_0006_01BD4672.F3A5FE40--