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>I hope the formatting is adequate for this report.  I spent most of today
>working on the format and it is still not what I hoped it would be.  Any
>suggestions would be appreciated.  I composed the message as a text file
>in Notepad and then pasted in Eudora to send out.
>
>6 YEAR POST-Pallidotomy REPORT
>(Surgery date 12/1/93)
>By  Dr. Don Berns
>                     United Parkinson's Disease Rating Scale (UPDRS)
>                                                 On              Off
>         Prior to Surgery        12/1/93                     -46 -51
>
>         Six Years Post-surgery  12/1/99               -4        -12
>
>         It is truly hard to believe that it has been six years since I
> was rolled into the O.R. for my pallidotomy.   How different my life
> would be today had I not had the surgery.  How barren my life would be
> had I not driven down to San Diego that Saturday four months before to
> hear Dr. Bob Iacono speak about how the pallidotomy was so much more
> effective than fetal cell implants.
>         When I reflect on all that I have been able to do as the result
> of this operation I am overwhelmed and oh, so grateful.
>         For those of you who are not familiar with my story.  Let me say
> that I had a adrenal graft implant at Vanderbilt in 1987 with minimal
> benefits. On December 1, 1993 I had a simultaneous bi-lateral
> pallidotomy.  This life changing transformation was performed by Dr. Bob
> Iacono, after others had told me I would not be a good candidate since my
> brain was already compromised by the surgery at Vanderbilt.
>         As has been my commitment to the larger Parkinson's community I
> have posted updates on my condition every year since surgery. As I head
> into my seventh year post-surgery I continue to benefit greatly from the
> pallidotomy.
>
>COLUMN CODES
>-1 -  SYMPTOM BEFORE SURGERY
>  0 - 6 mos. AFTER SURGERY
>  1 - 1 YR. POST-OPT
>  2 - 2 YR. POST-OPT
>  3 - 3 YR. POST-OPT
>  4.  4 YR. POST-OPT
>  5 - 5 YR. POST-OPT
>  6.  6 YR. POST-OPT
>
>                      SYMPTOMS BEFORE SURGERY & YEARS POST
> SURGERY
>SYMPTOM    -1         0             1            2             3
>4            5             6
>___________________________________________________________________________
>_
>Tremor    Severe     Gone       Gone      Gone       Gone      Gone
>Gone      Gone
>
>Dysknsa   Severe     Gone       Gone      Gone       Gone     Gone
>Gone      Gone
>
>Sweatng   A
>Lot      Gone       Gone      Gone       Gone      Gone     Gone      Gone
>
>Sleep
>  Dsturb   Severe     Gone       Gone      Gone       Gone      Gone
 >  Gone       Slight

>Eyelids
>OpenWhile
>  Sleepng   Yes      Closed     Closed     Closed     Closed     Closed
 >   Closed    Closed

>Shuffle      Yes       Gone       Gone          Gone        Gone
>Gone         Rare      Rare
>
>GaitFrze   Yes       Gone       Gone          Gone       Gone      Gone
 >      Gone      Rare

>SnseSmll   Gone     Better     Better        Better       Better
>Better          Better    Better
>
>MuscleAche
>Yes       Gone       Gone      Gone       Gone        Gone          Gone
 >   Gone

>BackProblm
>Yes       Gone       Gone      Gone         Gone       Gone          Gone
 >    Gone

>Akinesia   Yes          Gone       Gone      Gone          Gone       Gone
 >        Gone      Gone

>Bradykinsa
>Yes        Gone       Gone       Gone          Gone      Gone
>Gone      Gone
>
>SexPerfmce
>Poor      Great      Great        Great         Great       Great
>Great      Great
>
>Stress     Affect       NoEfct      NoEfct      NoEfct       NoEfct
>NoEfct       NoEfct    NoEfct
>
>Drooling   Rare      Slight           Slight       Slight         Slight
 >    Slight         Slight      Slight

>Urgency    Yes       No                No          Slight         Slight
 >    Slight          Slight     Slight
  Urinate
>
>Dystonia   None      None           None         None        None
>None          None      None
>
>Shortness
>  ofBreath  Yes       None          None            None             None
 >     None           None      None

>Voice      Weak      Better        Better    Varies             Varies
 >  Varies      Varies       Varies

>Speech    Affcted    Better        Better     Better             Better
 >    Varies      Varies     Varies
 Handwritng
Bad       Normal     Normal     Normal          Normal         Affect
Affect       Affect

>On-Off     Yes       Gone          Gone         Gone           Gone
 >  Gone      Gone         Gone

>Appetite   Poor      Normal       Normal      Normal        Normal
>Normal    Normal     Normal
>
>Weight
>   Loss     Loss       Gain           Normal    Normal          Normal
 >    Normal    Normal    Normal

>Sense of
>Well Being
>Poor      Exclnt       Exclnt    Exclnt         Exclnt      Exclnt
>Exclnt          Exclnt
>

Don Berns                       Karen W. Berns
B.S.M.E., clay pot,             Assoc. Pastor
M. Div.,Wounded Healer, Pleasant Hills Community
P.D., D. Min.                   Presbyterian Church
Parish Associate                199 Old Clairton Rd.
                                     Pittsburgh, PA 15236

Website for Don Berns pallidotomy story
http://www.geocities.com/SoHo/Village/6263/pienet/hithgang/hitdonb1.html
                 Karen & Don Berns
                 110 Delano Dr.
                 Pittsburgh, PA 15236
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