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Susan, I am the Barbara that mentioned SDS or Shy-Drager Syndrome and MSA or Multiple System Atrophy. As I understand it, they are all part of the Parkinson's Plus family as are several other syndromes. What it all means, I think, is that some people have some symptoms and some have others and they are treated differently according to the patient and the symptoms. If that sounds confusing, it is. The only way to figure it out for any one patient is to get hold of a really caring movement disorder specialist who is willing to keep trying until the right combination of drugs is figured out and then to be willing to start all over again when the disease progresses. Of course, ultimately, there will be no more combinations that will work, but from what you have written about your mother, it appears that the doctor you have has given up before he started. I mentioned sending your mother in an ambulance to the doctor. What about sending her by ambulance to the hospital in Vancouver where the really good specialists are? I know that the medical system in Canada is somewhat hard to buck, but here in California, if you talk enough about the malpractice that is taking place by not having the right doctors for a patient, amazing things happen. Once, when I belonged to Kaiser (an HMO) I had a carotid body tumor, and we discovered that the best surgeon for that was at UCLA. My husband was a pretty well-known malpractice defense attorney at that time, and he was able to convince the HMO that it was in their best interest to send me to UCLA and to pay the whole bill. I wonder what a good attorney could get your medical plan to do for your mother. Just a thought. You sound so worried and all of us are worried for you. Perhaps, if you print some of our suggestions and take them to your mother's doctor, that will help. Good luck and God be with you. Barbara Smith,cg/Ken/70/17