> >workers needed time to go home for the holidays. My contingency plan is >for friends to assist me, in a world where there are no provisions for >home-care workers to be paid enough to attract them to assist us during >holiday periods. When I ran up telephone bills last December, both from my >own use to break the isolation, and from my caregivers' uses, I was later >told by the city welfare administrators that I was guilty of overspending >my resources. > >NO CLINICS IN MAINE, NEW HAMPSHIRE OR VERMONT? > >As far as I know, there are no Parkinson's clinics in Maine, New Hampshire >or Vermont. The correctly specialized PD nurses, physicians or physicians' >assistants, nutritionists and psychiatric workers do not exist, except in >the giant urban jungles of Boston. The vast majority of diagnosed and >undiagnosed PWP's NEVER have the good fortune to seek specialist clinics. >One wonders if something can be done about this. The American Parkinson >Disease Association uses the estimate of 3500 persons with PD per >Congressional District.That's a lot of folks with no accessible help. >It is now reported that the national PD diagnosis rate in the United >States is thought to be one person every nine minutes, or 60,000 new cases >each year. We are undertreated because despite the enormous caseload, >maybe 1.5 - 2.0 million Americans, and all the newly recognized cases, >there seems to be little encouragement for medical students to devote >their energies to PD. Our elders are undervalued, and all PWP's feel the >aftereffects. Perhaps public health nurse screening visits could be one >way to catch undiagnosed cases, and to provide medical care for those >cases already recognized. I believe radio, magazines, newspapers and TV >hardly appeal to the Parkinson's Community, which , with caregivers, could >possibly as much as 4 to 6 million Americans. We need a massive infusion >of funds for the correct recruitment and training of brilliant minds into >neurological research. Then I might go to bed without the doomsday feeling >that my time is near. > >At night, in addition to justifiable anxiety, I can wake up unable to roll >over in bed. I use knotted ropes that are tied to D-clamps that are bolted >into the studs in my bedroom walls. These at least allow me to elevate >myself to a sitting position. However, if it is slightly too cool in my >bedroom, or if a window has been left slightly open, I may have to remain >in bed to avoid falling. Sometimes, I have to wait until morning to go to >the bathroom. > >DENTAL HEALTH ISSUES > >I have lost six molar or premolar teeth in the last two years. Two more >aremere remnants. The diet we must eat to remain functional is a very high >carbohydrate, very low protein diet. We need sweet beverages for our >medicines to be most effective. My saliva dries up at times. I can cry >,and my tear glands work, but my nose hardly ever is adequately >lubricated. Because Medicaid provides neither dental nor eye care, I have >given up on dentistry, except for emergencies. I have unpaid medical and >dental bills as a result. My dental health is always at risk now, because >acidic sodas and juices, lowered calcium diets (lack of milk products) and >saliva-drying medications are a recipe for dental disaster. > >INCONSISTENT MEDICAL OPINIONS ABOUT OUR FUTURES > >One of the dilemmas PWP's seem to face is diagnoses that change. A male >friend in Texas and a female in Arizona have each reported on P.I.E.N. >several different diagnoses for their PD, or PD-like conditions. Since >1997, I have been to two Rhode Island physicians, and two Massachusetts >physicians, and ended up with four unmatching recommendations for the >future! Each carries with it very different hopes and risks. Two >physicians recommend my staying on the medications I now use. But one is >not too happy about my use of Tasmar. This is because it is claimed >thatTasmar can cause death from sudden liver failure. For my protection, >supposedly, I am to have blood tests for liver enzymes for the rest of my >life, once every two weeks!! I have looked at the Tasmar reports and I >disagree. I think the problem lies in the physicians who prescribe doses >that are too large, like my friend in Arizona whose physician prescribed >200 milligrams, three times a day. >My physician in Maine and I are very cautious, and I only take 50 mg 4 >times per day. This amount (200 mg./day) has lengthened my on-times, and >decreased the off-times. The side-effects seem to be ringing in the ears, >and drowsiness. I know a PWP in Mississippi who cannot get Tasmar, because >no accessible doctor will prescribe it for him. The pharmaceutical >company, Roche, was fined millions of dollars for being part of a global >price-fixing cartel, by a Canadian court just a week ago. Roche >manufactures Tasmar.. > >AN UNCERTAIN OUTLOOK FOR PWP'S > >The other two physicians I saw have recommended two radically different >types of brain surgery for me. One, pallidotomy of the left globus >pallidus, carries with it a considerable risk of stroke, blindness, or >even death in some cases. The other, double sub-thalamic nucleus >stimulation, is not covered by Medicaid. I was told to get bilateral >surgery at an estimated cost just for the twin surgeries of $48,000.00. I >have no savings at all. And what about the costs of follow-up visits and >surgical fine-tunings of the implanted electrodes?] Not only does PD cause >physiological depression in many of its victims, but it also leads to >suicide. I know of recent cases in New Hampshire and Ontario. One of our >most active PWP advocates on the Parkinson's International Exchange >Network died suddenly of unknown causes in Texas. I have seen two >wonderful women watch their husbands, in Michigan, and in Oregon, lose >their corporate jobs after functioning less well at work. There are no >laws yet to protect the legal >rights of PWP's. One of our PIEN members is a young widow, and is losing >control of the right to keep her children at home with her (Virginia). We >have a long way to go. In two states, we have begun law-making efforts. >California has one $300,000.00 PWP-friendly housing law, recently passed. >Maine is the first state to have recognized in a legislative Joint >Resolution that there is a need to invest money in the training and >education of all levels of the legal and medical communities, in the >rights and the needs of PWP's. For both the PWP and his or her care >providers, uncertainty rules. > >Physician-related complications often cause PWP's to remain isolated at >home, or to be forced into early institutionalization. Many unfortunate >losses of social contact lead to isolation, and the potential for abuse is >enormous. I have been the victim of financial abuse, which a friend in >North Carolina is trying to stop by speaking out. My checks have been >forged at the local supermarket. I am still battling, two full years >later, having had to deal with the police, the bank, and the corporate >offices of the supermarket chain, to be allowed to get a single plastic >supermarket identification card re-established. Complications ensue when >our handwriting varies dramatically when in an off-state. > >MY PLEA TO THE COMMITTEE: PLEASE FUND THE UDALL LAW FULLY! > >When a second opinion, in June, 1989, at Boston University, Massachusetts, >confirmed my Parkinson's Disease diagnosis, the physician informed me that >my condition is not curable. He said, "our goal is to mask your symptoms, >Ivan, as much as possible.." I remember thinking to myself,"incurable?". I >went into depression and denial for two months, not taking any >medications. Then, I left an office job, because I simply could not hold a >pen or pencil after muscle stiffness overtook my hand. >Since 1989, I have been vocal. Research must be massively increased, to >discover WHY Parkinson's Disease starts. It could be a post-viral attack >on the immune system. It could be something toxic in the environment.It >could be a biochemical error due to a genetic change during life. No one >knows! >What could be more compelling than the need to know, so that 4 to 6 >million lives will be spared endless suffering? > >COPING AND HOPING > >I was asked in a recent, 26-minute television interview, how I manage to >have hope. I can only answer by saying that my faith in a superior being >tells me not to give up hope! I know, too, that by speaking out today, and >representing the worldwide, "grassroots" Parkinson's Community, I open the >doors a little further for those PWP's who will follow. >Committee Members, please fund the Udall law fully, so that we PWP's can >be released from the stranglehold of isolation and depression that is >destroying millions of American lives at this very moment. Thank you all >for listening to my story and my plea. I hope you will act with urgency. >Thank you again, and God bless, >Ivan M. Suzman > Camilla Flintermann, CG for Peter 81/70/55 Oxford, Ohio http://www.newcountry.nu/pd/members/camilla/one.htm <[log in to unmask]> "Ask me about the CARE list for Caregivers of Parkinsonians ! "