This is a copy of the text material from the Parkinson's Newsletter of the Delmarva Chapter, American Parkinson Disease Association. Most references to memorials have been deleted. Will Johnston, editor PARKINSON'S NEWSLETTER of the Delmarva Chapter, American Parkinson Disease Association Nov-Dec 1999 4049 Oakland School Road Salisbury, Maryland 21804-2716 410-543-0110 FAX (410) 543-1378 e-mail [log in to unmask] MEETING TUESDAY NOVEMBER 30 1 p.m. ASBURY METHODIST CHURCH SALISBURY U.S. SENATE BUDGET HEARING ON RESEARCH On September 28, a U.S. Senate appropriations committee hearing on a major increase in funding of medical research for Parkinson's disease as authorized by the Udall Act was held in Washington. The audience portion of the room was packed, and the press and television crews filled the balcony. Everybody wanted to see and hear Michael J. Fox of Back to the Future and Spin City fame present his testimony for additional P.D. research spending. Mr. Fox's P.D. was diagnosed several years ago, and he had a thalamotomy operation to relieve the tremor which could have ended his acting career very early. He was able to hide his symptoms for a while. As his P.D. progressed, he publicly announced that he has Parkinson's and that he would work toward finding the cure. In the senate hearing he was ill at ease in a situation where there could be no re-takes. His Sinemet had not kicked in, and it was obvious he was having difficulty. He told his story as it is and how it is. Two other people with P.D. testified: Mrs. Joan Samuelson, president of the Parkinson's Action Network and the main promoter of the Udall Act, and Mr. Jim Cordy of Pittsburgh, who is trying to get our private national P.D. organizations to work together. We had a joint fund raiser with the Parkinson's Action Network when Morton Kondracke (the Daily Times carries many of his columns) was the main speaker at our dinner at Salisbury State. Joan and I have been friends since 1992. Jim Cordy became a Parkinson's activist as a result of our camaraderie on the Prodigy Parkinson's bulletin board in the pre- internet days. MORE ON THE SENATE HEARINGS Dr. J. William Langston, head of the Parkinson's Institute and author of The Case of the Frozen Addicts, testified that a cure for Parkinson's disease may be only four or five years away if adequate funding is provided for medical research. Dr. Gerald Fishbach, Director of the National Institute of Neurological Disorders and Stroke, pointed out that there are many research projects currently being carried out which are brain and movement disorder related but not directed at any particular disease. He recognized our concern and displeasure about the way the National Institutes of Health has exaggerated the number of dollars going to Parkinson's disease research by including research directed toward other diseases _which incidentally may yield some benefit to people with Parkinson's disease. The general tone of the testimony was very upbeat. All said that P.D. was the most promising neurological disease to benefit from research, and that, with adequate funding of research, a cure would probably be found soon. There was concern about the prohibition of federal funding for stem cell research resulting from protest by the anti-abortion lobby, but Senator Arlen Specter said he had been assured by Senator Trent Lott that the problem would be reconsidered in the spring when there would be time for full hearings on that particular part of spending legislation. There were only three senators present at the hearing. Senator Arlen Specter of Pennsylvania was there as chairman, Senator Thad Cochran of Mississippi was there as a committee member and was instrumental in setting up the hearing, and Senator Paul Wellstone of Minnesota was there as a friend of the Parkinson's movement. Some observers expressed disappointment that there were so few senators present. Many senators had sent their legislative assistants and were there as far as getting the information was concerned. After the hearing was finished, I visited the offices of Senators Arlen Specter and Thad Cochran (I was wearing my Ole Miss necktie) to say thank you for holding the hearing. I then visited the offices of Delmarva Senators Mikulski, Sarbanes, Roth, Biden, and Warner to say that we appreciate their support. I found it interesting that the legislative assistant for Senator Warner was not sure where Accomack County was and that he could not remember ever having anyone from that county come to visit before. I flew to Washington that Tuesday morning at 6:15. The only flight back to Salisbury leaves Washington at 10:20 p.m. It is the last USAIR flight out of Washington. It was a long day. Luckily September 28 was a slow newsday nationally and internationally. Parts of the testimony were shown on all major TV networks. The complete testimony was shown live and repeated several times on C-Span. There was a very handsome man from Salisbury who could be seen from time to time left of the speakers. [If you would like to borrow a tape of the hearings, let me know.] P.D. RESEARCH CENTER COORDINATOR SPEAKER Lisette Bunting, R.N., M.Sc.N., Research Nurse and Program Coordinator of the Parkinson's Disease Research Center at Johns Hopkins Hospital, will be our speaker at our November 30 meeting in the parlor of Asbury United Methodist Church in Salisbury. Lisette was the A.P.D.A. Information and Referral Center coordinator at Johns Hopkins from 1989 to 1993 and was at almost every support group meeting here since she had family to visit nearby. It will be a pleasure to have her back again. There are many P.D. research programs going on at Johns Hopkins now. There is a PET scan study over time looking for disease _markers_; a study of changes in physical and mental abilities of people with P.D.; a study of how we learn or process information, using a new state of the art M.R.I. scanner; a study comparing the long term success of delaying Sinemet drug therapy by using other drugs, such as Mirapex or Requip, in the early years after P.D. diagnosis with starting Sinemet as the first drug; a study of the effectiveness of CoEnzyme Q-10 in treating P.D. or slowing its progression; and a study trying to match brain physical condition in P.D. patients with their genetic make-up, using brains harvested at autopsy, DNA configuration, and clinical observation during life. There may be a study at Hopkins in which you would fit and in which you would be willing to participate. There is no way I can see for a patient to make money or not be a few dollars out of pocket for travel expense, but there may be other rewards more important than dollars. LUNCH IN HISTORIC PRINCESS ANNE We couldn't have had a prettier day for our September 18 welcome back luncheon, sunny with a high of 75o. Bob Murphy and Bill Green of the Washington Hotel Inn were our hosts for a delicious meal at a most reasonable price. The food was not only good, it was also attractively served on large plates to make eating easier for those of us who are less dexterous. The waitresses were efficient and gracious, making sure everyone was well taken care of. Twenty-nine of us were present to enjoy this opening of our 1999-2000 season. The chapter was able to pay for this event thanks to generous memorials for several of our friends who have died recently. EXERTHON RAISES MONEY FOR A.P.D.A. Our exerthon, the chapter's annual fund-raising event, was held as scheduled on October 19 at the Ocean City Health & Racquet Club despite the visit of Hurricane Irene. Sixteen exercisers, the instructor Jeff Urban, and two physical therapy students from U.M.E.S. braved the storm to learn first-hand the benefits of exercise and to contribute to the cause. Sylvia Schiff brought in the most money, which was given in memory of her husband Isadore. Kathleen Holland's pledges were just a few dollars less than Sylvia's. Mary Sanford made good her promise to contribute $10 for each exerciser. (Mary did not count Irene, because she did her exercising outside, although she did manage to cause a few leaks inside.) Because of the generosity of the Club and our other sponsors, all of the money raised goes for research. How much? Mailed in to the exerthon before the actual event: $943.00; from the exerthon that day: $603.00; and mailed in so far since October 19: $175.00, for a grand total of $1,721.00. Congratulations, you all! Combined with the chapter's annual contribution this fall to the A.P.D.A. which was $2,362.56, we have sent $4,083.56 to our main office to help in the search for the cause and a cure for Parkinson's. ENTACAPONE / COMTAN IS F.D.A. APPROVED The experimental drug Entacapone, a COMT inhibitor produced by Orion Pharma of Espoo, Finland, was finally approved October 20 for sale and use in the United States. The drug will be known as Comtess in Europe and Comtan in the United States and will be marketed by Novartis Pharmaceuticals Corporation. To the best of my knowledge, the medication is not yet available at local pharmacies. This drug is a Catechol-O-Methyl- Tranferase enzyme inhibitor which, like carbidopa, has the protection of levodopa as its primary if not total function. News releases from Novartis have not mentioned prices. This is similar to Tasmar which is also a COMT inhibitor, but unlike Tasmar does not cross the blood/brain barrier and bring on serious liver problems. Unlike the new agonists Mirapex and Requip, Comtan is ineffective unless used with levodopa. This is the experimental drug I have been using for the past sixty-five months in the SEESAW [Safety and Efficacy of Entacapone Study Assessing Wearing-off] program at Robert Wood Johnson Medical School in New Brunswick, New Jersey. I am not sure how I feel about Comtan. The product seems to have done me no harm. There have been no serious side effects reported. At the beginning of the SEESAW study I found that I needed to reduce my Sinemet to avoid the dyskinesia brought on by too much Sinemet. As the months went by, I needed to increase my Sinemet medication as the Parkinson's progressed. I think I could have gotten the same effect by substituting an increase in Sinemet. I expect to journey to New Jersey sometime in the next thirty days for the final assessment. I do not think Comtan will be a major factor in the treatment of the symptoms of Parkinson's disease. I will probably be better able to evaluate Comtan after I stop taking it at the end of the trial. There has been nothing in the literature indicating problems with stopping the medication. I have received the benefit of extremely good care as a participant in the study. BRAINS NEEDED BY JOHNS HOPKINS Johns Hopkins has received financial grants from the National Institutes of Health for more Parkinson's research, but there are some grants that government cannot provide. In several areas of P.D. research human brains are needed. Brains are needed to confirm the P.D. diagnosis in many patients. Supposedly almost a quarter of the people diagnosed as Parkinson's do not show P.D. at autopsy. Clinical diagnostic procedures could be improved by comparing the brains of people clinically diagnosed and autopsy confirmed as having Parkinson's to other brains. Recent genetic findings have intensified DNA research which often needs brain tissue. Donation of brain tissue at death will be at no cost to the donor's family. Johns Hopkins will harvest the brain if the donor dies within about a hundred miles of Baltimore or arrange to have a medical facility perform brain removal if outside the Baltimore area. Brain removal is a relatively easy and neat procedure after death, and the incision is so invisible that open casket viewings are no problem. Advance arrangements are imperative. There are donation forms to be filled out, and family members should be advised of the intent to make the donation at the time of the agreement between the donor and Johns Hopkins. If arrangements for a brain donation have been made early and carefully and family members are made aware of the donation decision, this highly personal and valuable gift may be made to benefit the living Parkinson's disease patients without incon- venience to the family of the deceased. This is a gift that may be made by anyone with Parkinson's disease, not just the wealthy and not just the poor. Many years may pass before the actual donation is made, but the agreement form should be made now. At least two of our group have completed the brain donation agreement form. To get a brochure and the necessary forms, call or e-mail me, or call Mrs. Lisette Bunting at 410-614-1242, or send her an e-mail request at [log in to unmask] . Will Johnston Happy Holidays!