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At 03:50 AM 4/19/98 -0700, Stephanie Dorsch wrote:
>Knowinng I  will need to find another neurologist is causing me to be
>anxious.>

Hi Stephanie,

No wonder that we are anxious when selecting a new neurologist .  It is an
important
relationship that must be built on TRUST.  Usually the first neuro-doc we
happen upon
by accidental circumstances.  And, of course during the first years after
diagnosis, we are
easy to satisfy: we don't know too much (or, anything) about PD; there are
MANY
meds
to choose from that are non-PD meds, per se and therefore are not the real,
serious stuff;
and we only see the neuro-doc24 to 3 times a year.  So, it may take a
couple of
years before
we recognize that we are not quite satisfied with the treatment and then it
may
take some
more time before we have the guts to look for someone else.  The important
lessons we
learned from the first relationship will hopefully aid us in selecting the
right "match" this time.

I know it is a luxury, though it ought to be a basic necessity, to interview a
few doctors before
selecting the right one for our needs.  There is the matter of cost for doctor
visits; there may
not be a Movement Specialist near by and traveling is difficult and costly;
and
then the question
still remains: how do you know that the new guy is better than the old one??
Certainly, asking
people, this LIST, your GP are all important steps, but in the end you will
still decide based on
your 'gut' feeling or the emergency status of your situation.

I am sure that much has been written about the process of selecting the best
neuro-doc for you.
Probably the national organizations have pamphlets or articles on the subject.
Also,  they can be
called for referrals in your area: APDA-800-223-2732, Nat'l Parkinson
Foundation-800-327-4545,
The Parkinson Disease Foundation-800-457-6676, United Parkinson
Foundation-312-733-1893.
 Parkinson Foundation Canada- ? phone #, and all the European organizations.

Writing this note in response to Stephanie Dorsch's expression of anxiety, and
our need for sharing
within a group that offers kinship and common purpose, has pointed to yet
another service that our
LISTSERV may furnish:  developing a list of doctors.  Since  this would be
subjective and not in any
way reflecting on their qualifications,  maybe the comments about each name
submitted could
include:  the manner in which they conduct a visit, ie, the nurse takes the
BP,
weight, list of meds,
and notes problems; does the doctor go through the check off list of Unified
Parkinsonism Rating
Scale Motor examination, and Activities of Daily Living?  Does he listen to
questions and  respond
patiently and in laymen's terms? Is he open to new ideas, non-traditional
treatment methods? Does
he offer to bring you up to date on new meds, trials, procedures ?  Do you
feel
rushed? Can you
submit a list of your concerns before the appointment  by email/fax/snail
mail?  Does he respond
quickly  when you call?  Maybe, this list could be kept up to date and
accessed
by new list members
from the archive. I would suggest to write about the positive experiences we
have, and therefore by
omission censure those who were disappointing to us ----again, this is
subjective.

Margaret

At 03:50 AM 4/19/98 -0700, Stephanie Dorsch wrote:
>Knowing I will need to find another neurologist is causing me to be
>anxious.>
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DOB: 1941/Dx: 1980/Cured:ASAP
Slogans wont do it/Hard work will