There’s Only One Reason to Nag

Some of the lessons that doctors learn are incorporated into clinical practice but may never get written down because these common sense, hard learned observations aren’t “publishable.” They comprise the “art” of medical practice. One of the central problems in Parkinson’s Disease is the difficulty in doing two things at the same time. There is […]

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Slowness in Parkinson’s disease

One of the major problems in Parkinson’s Disease is called “bradykinesia,” which means “slow” (brady) “movement” (kinesia). This is somewhat different than “akinesia” which is discussed in a different section. Bradykinesia is one of the most disabling features of PD They move slowly, so they do everything more slowly than they used to. This means […]

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Understanding Parkinson’s Disease Psychosis

What is Parkinson’s Disease Psychosis? As Parkinson’s Disease progresses, up to 40 percent of the approximately one million Americans living with the illness will develop psychotic symptoms, primarily hallucinations, but also delusions. These symptoms can be an indication of Parkinson’s disease psychosis (PDP), but unfortunately, many patients are not diagnosed. Sometimes, the symptoms of PDP […]

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Pain in Parkinson’s Disease

Pain is an unfortunately common problem in Parkinson’s disease. Of course, pain is common in the general population, especially among older people. A recent American study found that pain affected about twice as many people with Parkinson’s Disease than those of the same age and gender without PD. About 50% of Parkinson’s Disease patients in […]

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Good Days, Bad Days

One of the many issues that Parkinson’s Disease patients often have that no one understands are good days and bad days. So many times, Parkinson’s Disease patients come into the office and the patient or family says, “Today’s a good day, he’s not usually this good at home.” “Today’s a bad day. Usually he can […]

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Diagnosing Parkinson’s Disease

There is no test to diagnose Parkinson’s Disease Although Parkinson’s disease is a specific, well defined disease that can be reliably diagnosed at autopsy, it is defined in life by clinical criteria. This means that the diagnosis rests entirely on the information (history) that the patient provides plus the physical examination. There is no test […]

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