Sorry for the private message on the List, but Roger, your return address didn't work and i wanted to that you....... ----- Original Message ----- From: B. BRUCE ANDERSON <[log in to unmask]> To: <[log in to unmask]> > Roger, what a wonderful, complete response! Right now my problem is > insurance - the only facility in NYC that is covered is Mt. Sinai. However, > we are switching companies in August & will try to find out now if this > is covered. > > ----- Original Message ----- > From: Roger Buxton <[log in to unmask]> > To: <[log in to unmask]> > Sent: Tuesday, June 15, 1999 10:49 AM > Subject: Re: PET scans etc. > > > > Bruce - > > > > You should try to see Dr. Stanley Fahn, Director, (or other of his > > staff) at > > The Center for Parkinson's Disease and Other Movement Disorders > > The Neurological Institute > > 3rd. floor > > 710 West 168th. Street > > New York > > NY 10032-3784 > > tel: 212 305-5779 > > fax: 212 305-1304 > > e-mail: [log in to unmask] > > > > The Center is part of the Columbia Presbyterian Medical Center (CPMC), > > which is located just south of the George Washington Bridge on the west > > side of Manhattan along Fort Washington Avenue. They are experienced at > > differentiating between various movement disorders, which is the first > > step before choosing treatment. > > > > There is a PET facility at CPMC (or at least I have seen signs pointing > > to it!), and Dr. Fahn's group have an association with another PET > > facility at the > > North Shore University Hospital > > (Cornell University Medical College) > > Biomedical Research Building > > 350 Community Drive > > Manhasset > > NY 11030 > > with Dr. David Eidelberg as director. It's located on Long Island, about > > 45 mins by car from CPMC. The appointment secretary is Seda ("Say'-dah") > > at tel 516 562-1055. > > > > Both these groups have been involved in the evaluation of patients in a > > study of the effects of fetal tissue implants, of which Judy (see > > signature below) is one. Curiously, one of the early results of the > > study (released at a AAN conference here in Toronto in April) is that > > for patients over 60, the increase in dopamine (seen in the PET images) > > resulting from the implants did not translate into a corresponding > > improvement in movement function within one year of the implant, whereas > > it did for patients younger than 60. So, as revealing as a PET image is, > > it still doesn't answer all the questions. > > > > Dr. Fahn is the grand-daddy of PD these days, so I expect you will get a > > fair hearing. He's certainly busy and much in demand, so I cannot > > promise whether you will get to see him or one of his staff. However, > > since you seem to have an odd form of disorder, it is probably worth > > your while to wait to get his/their opinion. Besides, with PD or its > > cousins, any delay is a nuisance (albeit an uncomfortable one) but not > > is life-threatening, so it can be tolerated. The Center's receptionist, > > Rennay, can be a little curt on the phone, but, again, tolerate it if it > > happens, for Dr. Fahn is quite the opposite and has a very gentle and > > reassuring manner. If you should see Dr. Greene, you may find him to be > > a little brusque, but he knows his stuff and will give you good care. > > > > As time will be of the essence during your first appointment, be > > prepared. Be ready to describe (or better still, have written down) your > > symptoms, their history, your treatment (usually medications; therefore, > > what you have taken and what you take now, how much and when during a > > day) and your response to them, and your PET image. Obviously, the more > > detailed and accurate information you can give them, the quicker and > > more reliably they can assess your situation. Above all, be honest: PD > > patients don't like feeling or presenting themselves as affected, and > > like to put their best foot forward in new company, but that isn't > > always the best policy, especially in front of someone who is trying to > > assess you. Revealing the truth may hurt one's pride a little, but the > > truth is what is needed to properly cope with your situation. And I can > > assure you that noone at the Center will think any the less of you for > > having a disorder, regardless of its severity. > > > > I hope this info helps, and if we can assist further, feel free to > > contact us. Good luck!! > > > > Rgds > > > > ***************************************************************** > > * Roger Buxton & Judy Hazlett Tel: +1 905 477-0335 * > > * 34 Foxglove Court Fax: +1 905 477-0335 * > > * Unionville, Ontario e-mail: [log in to unmask] * > > * L3R 3Y3 web: www.inforamp.net/~rbuxton * > > * Canada * > > ***************************************************************** > > > > > > > > > > >