Dear Doug:
 
The hallucinations that a person with Parkinson's gets are due to the medication.  Do you know if her Sinemet and/or other PD drugs (agonists, etc.) have been adjusted recently?  If so, a decrease in one or more of the medications may be in order. Also, the vomiting and diarrhea are not typical of PD (more often than not, constipation, not diarrhea, is a problem), however, some medications, such as Tasmar, can indeed cause uncontrollable diarrhea.
 
It must be advised to look at all possibilities for the changes in your mother.  Theses changes may or may not have anything to do with Parkinson's.
 
You mention the Mayo clinic.  I don't know if your mother is under their treatment for PD since she is in a Nursing Home.  Hopefully, it is a neurologist, not a general practitioner, that is treating the PD while she is in the Nursing Home. 
 
My very best wishes to your mother.
 
Sincerely,
 
Bonnie Cunningham, R.N.
Patient Services Director
National Parkinson Foundation
 
 
 
 
 
 
Date:    Sat, 4 Dec 1999 19:40:04 -0600
From:    Douglas Vukson-Van Beek <[log in to unmask]>
Subject: Hello and Help...

Hello everyone.
I am a very new member of the group and this is my first point.  I am the
child of a Parkinson's Patient in Minnesota, USA.  And we have come to a
very difficult stage in my mom's treatment.  I am hoping that someone out
there as some insight for me and my family.

Quick medical history:
Mom, Marilyn Van Beek, was diagnosed with PD about 25 years ago, she is now
67.  I am told that she is the patient taking the most medication of any
patient seen at the Mayo clinic.  She is confined to a Nursing Home no
longer able to walk, or even get out of the wheel chair.  She had the
palitodomy (I am sorry about the spelling) surgery about 6 years ago on one
side of the brain.  The improvements from the surgery were amazing.  Mom
suffers mostly from rigidity.  She takes cinemet (again my spelling....)
every four hours.  This is all that I can think of off the top of my head,
if there are specifics that can help with advise please let me know.

Now, the problem is that in the last 3 weeks, mom has gone from being
responsive, coherent, and healthy to having hallucinations, confused, and
vomiting with severe diarrhea.  I do not believe these symptoms to be PD
related, but people at the Nursing Home believe that they are.

Any suggestions....  Please.....

Doug Vukson-Van Beek
[log in to unmask]
www.gryph.com

p.s. I like weigh in on the Blueberry question in pancakes, no spinach.....