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Characteristic of parkinson’s

Posted: Sun Oct 19, 2008 6:46 pm Post subject: Parkinson’s Patients: Mercy Killing or Senseless Suicide?

I think some patients choose to suffering Mercy Killing or Senseless Suicide as He/She has no trust and believe on the doctors and prefer what he/she is? I have a friend who has parkinson’s disease for many years though he is wealthy but he does not believe and trust doctor he prefers to stay what he is. He is believing it will go away “magically.

 There are   five stages of emotional response: denial, bargaining, anger, despair and acceptance.* pHe pleads mercy killing. He believes he has other diseases rather the parkinson’s. I feel sorry for his decision. This is his choice to plead mercy killing/Senselesss suicide rather by treatment

 Therefore Illiteracy by him towards the diseases are the main cause of parkinson’s scenario.

  These are all forms of  coping with Parkinson’s Disease that may manifest themselves on diagnoses. It’s not uncommon for patient’s to begin avoiding doctor’s appointments, or refusing to take their medication. All in the very human hope that the diagnosis is somehow not true. Ultimately it is important to confront the diagnosis as timely treatment and making changes to one’s lifestyle can make a huge difference in living with Parkinson’s Disease.

Apathy is a  characteristic of Parkinson disease. Apathetic behavior is not something the patient can voluntarily control, and it is not laziness or the patient trying to be difficult — it is a symptom of Parkinson disease.”

 Apathy :  indifference, unconcern, lifelessness, uninterested, dullness, listless, uninquisitiveness, lack of emotions or feeling,etc  

Dr. FernandezJoined: 20 Jan 2007Posts: 90
Posted: Mon Oct 20, 2008 8:48 pm Post subject:

I am sorry to hear this, as PD, although not curable, can be treated. A lot of our patients live very meaningful lives. Each person has a right to his or her own beliefs, but I just hope that this decision is not a result of ignorance or lack of education/information. He should at least see a Movement Disorders specialist, even just once before he makes his decision. I wish I can do more. My thoughts are with your family. Yours,_________________Hubert H. Fernandez

http://www.gulfmd.com/rresponse/Euthanasia_wdyt.asp
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Anonymous
Posted: Wed Oct 22, 2008 11:38 pm Post subject: suicide

My meds were “off”. Statue-like in my garage; I watched all of the neighbor ladies drive by in their golf carts. In the nick of time; my sinemet started kicking in. I grabbed my crutches and hobbled to my golf cart. I drove to the starter shack and schleppe up to the starter’s window.. The starter didn’t say the words. They were in his eyes. I responded with, “In 15 minutes; my meds will kick in and I’ll have a hole in one. You just watch!” Big Mouth!! Several people watched as I landed my tee shot 12 inches from the cup. I hollered, “Better living through chemistry and my Gator docs!” My point is this…we can still achieve wonderful accomplishments. Get past your stubborn refusal to learn how to live better, despite PD. Now my bucket list does not include climbing Mount Everest. It never did. But, still, I would love a hole in one. Many wonderful people and achievements have come to me since PD. More will come. Suicide only hurts the people who love you the most. You wouldn’t be there to feel their pain. More than one member of my family has gone the suicide route; so I know whereof I speak. GROW UP!! Suicide is for self-centered cowards. Sure; it takes courage to face this disease. But, we are not alone. We have a dedicated team in our corner. You know several of them…Drs. Fernandez, Foote, Hauser, Mandel, Nieves, Okun, Rodriguez and Skidmore. These bright young medical sleuths put in 80+ hours in clinic, teaching and research a week….then volunteer stuff like “ATD” and “hawgwildcure.com”. They learn from us; we from them. Every coping strategy we implement is a small win. Every new med that buys another few hours of “on” time is another win. We will win the biggest jackpot of alll when a cure is foound..during our lifetime! We just need to keep living so we’re still here when a cure is found. It will be found. Betcha!!!! And, I’m not on mirapex or requip! I know that few Parkies, actually, do commit suicide. Our docs will elaborate on that…please. Ths is no dress rehearsal, Judy
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Dr. FernandezJoined: 20 Jan 2007Posts: 90
Posted: Fri Oct 24, 2008 10:12 am Post subject:

Thank you, Judy, as always! Your words can sometimes be tought to swallow, but they are real and they hit us right in the core. Yes, I believe in fighting and living life to the fullest. I believe in hope and I believe in contributing to that hope. Like you, and millions of others with PD, giving up is not in my vocabulary! Passive suicide due to ignorance is one thing, and active suicide as part of depression is another. I really believe knowledge is power. And I do hope that there will be less and less people in this world who are “giving up” simply because they do not know any better. They do not know that there are medications and strategies to make their lives better and more manageable. They do not know that PD is not a deadly disease that goes for the jugular in months. It is a slow process that can stick with you for years or even decades and ignoring it just makes your life more miserable. Depression however is common in PD. It occurs in up to 50% of PD patients. And suicidal thoughts can be part of it. In fact we featured this as our article of the month at the Movement Disorders Society Web Site (www.movementdisorders.org). The good news is that this can be treated. Our medications work! So, passive suicide from ignorance can be treated with education and active suicide from depression can be treated with medication and therapy. More power to you all! Take care,_________________Hubert H. Fernandez 

words by Dr.Kridakorn

 It was 3 years ago that I first met with Mr. Teo.  At first glance I am afraid to say that he wasn’t looking very well.  I can’t blame him.  He was recently diagnosed with Parkinson’s disease, a debilitating neurodegenrative disease.  Current medical treatment is symptomatic and there is no know cure.  This news could depress even the most optimistic person.  Mr.Teo has actually been the opposite of depressed.  He has taken this challenge head on!  

Parkisnon’s is a progressive neuro-degenerative disease – in other words it only gets worse.  It has been nothing short of miraculaous to see Mr.Teo actually improving! 

I have had the opportunity to work with Mr.Teo as one of the many doctors that he consults with in his comprehensive approach to find a better way to treat Parkinson’s disease.  What we do know is that Parkisnon’s wreck havoc on the nervous system through oxidative damage.  We tested him and improved his antioxidant status thorough a tailor-made nutriceutical program.  We worked with hormone replacement to boost is internal systems. 

Mr.Teo also exercises regularly and practices yoga.  I believe that this comprehensive approach has helped him to greatly improve his balance.

Another important part of his success I believe is from Ms.        Lee – his wife.  Few are blessed with such an exceptionally supportive life partner.

What I am most impressed with – even more so than his results – is Mr.Teo himself.  He is eager to learn and ready to share the information and experiences that he uncovers.  I would like to encourage all sufferers from Parkinson’s e to visit his Blog (WWW.HEROTEO.COM) . 

It is an honour to be part of his doctor team.

Dr. Kridakorn Watcharachotpimai,American Board of Anti-Aging Medicine

Write-up by Chinese Press

28.10真情追蹤-「張英雄」–張金和
報導:黃美慧
圖片:轉載圖片

引言:
他們用那軟弱的身軀,時刻不停地在和一種被稱之為「柏金遜(Parkinson)」的疾病戰鬥著。儘管面對著柏金遜病魔的肆虐,他們從不言放棄,並選擇在逆境中拚搏與成長。在生活的無奈與壓力下,激發出驚人的潛能與生命力。而這一群生命戰士就是–柏金遜病患者……

主文:
邁入人生第69個年頭的張金和是一名柏金遜病友。 「被柏金遜折磨了3年的我是很不幸的,但它讓我對人生有了另一番的詮釋與透徹。」張金和分享道。於2005年前,張金和是一名快樂、日子過得悠閒健康的退休人士。退休生活規律健康的張金和,經常保持良好的生活態度,度過每天的悠閒日子。與妻兒一家幾口的日子,亦過得安逸幸福。

但,意想不到的不幸卻悄悄地降臨這個幸福的家庭,3年前的張金和患上了柏金遜帕症,隨著醫生「柏金遜症」的一紙宣判,從此改變了他的人生軌跡。 獲知不幸患上柏金遜,張金和坦言,曾經一度有過自暴自棄的思想,但一想到親愛的家人,讓他有了責任、動力與希望,去戰勝一切困難的勇氣。

「我在2005年突然手顫抖,無力,讓我十分難受。」當時,面對這一切,張金和冷靜下來之後,暗暗告誡自己:無論遇到任何困難,都要盡一切能力與病魔戰鬥!他指出,柏金遜難受的症狀只有病患自己知道,根本就無法用語言來表達清楚,是常人難以想像的。

當張金和從書本與網上資料獲知,柏金遜病患可以採用許多治療的方式去控制,而且效果理想,為此,他買了許多有關方面鑽研柏金遜的書籍與網上收集資料,並經常上門向醫生討教,潛心研究。 「儘管柏金遜症不能完全治癒,但我希望能夠給予其他帕金森病友適時的協助與幫忙。」熱心的張金和分享道。

由於張金和大量涉獵柏金遜症方面的知識,他幾乎成了一名自學成才的柏金遜症專家。除了學會認識柏金遜症這可怕的病魔,張金和還學會了與他人分享自身的遭遇,激勵同樣患上柏金遜的病友。於是,張金和在網上辦了屬於自己「柏金遜病患分享」的論壇,分享有關柏金遜症的一切。而他的網站亦引起了社會的廣泛關注。

「現在,我的生活過得很充實。雖然我依然不能完全像一個正常人那樣生活,但我一直都在儘自己的最大努力,目的是協助同樣患上柏金遜的朋友,獻上最衷心的祝福與支持。」張金和指出。如今,只要搜獲新的醫藥資訊或個案,張金和都會把一切柏金遜的資訊放上論壇裡,與大家分享呢。 「除了自己的論壇,我也經常到其他相關的柏金遜網站與論壇,與他人分享自身的經驗與見解。」張金和積極地透露。

張金和認為,心情舒暢、無慾無求是柏金遜病友應有的心態。 「戰勝柏金遜不但要靠藥物,更要靠信心和毅力。」張金和鼓勵說.週遭的親友,甚至醫生都稱張金和為「張英雄」(Hero Teo),只因他的毅力、他的堅持、豁達的心,照亮了柏金遜這黑暗的國度,指引著其他病友,一同對抗頑固的柏金遜病魔。

欲與張金和交流有關帕金森的一切,歡迎大家遊覽其個人分享論壇movementdisorder.blogspot.com 。更多有關柏金遜的資訊,張金和建議大家可遊覽美國國立帕金森病基金會(National Parkinson Foundation) www.parkinson.org


副文:
 一般來說,柏金遜症並不會傳染或遺傳,但有專家發現它與家族遺傳有關。這種病,一般被稱為「遺傳性柏金遜症」(Familial Parkinson』s Disease),而張金和與家中的哥哥與弟弟卻是「遺傳性柏金遜症」的一份子。 「家中除了我患上柏金遜症,哥哥與弟弟也患上同樣的病。然而,他們卻不以為然,認為不是柏金遜症。」他述說道。

張金和透露,許多被診斷出患上柏金遜的人都不願意接受現實與治療,固執與抗拒接受病情的舉動,讓柏金遜潛伏於體內繼續惡化。 「當他們不接受專業醫生的診斷,不及時治療,病情將會變得更加惡劣。」因此,張金和呼籲社會應該多關愛柏金遜病友,甚至身邊的親人,讓他們知道患上柏金遜的日子,並非面臨人生絕路。

後記:
 只要心中充滿愛,用愛化作行動的力量,在人們看似已絕望懸崖上,也能有意想不到的奇蹟發生;也能找到還生的稻草。張金和韌性十足的生命力,讓我看見愛的力量是偉大、超自然的;連上帝也為那些勇敢無私付出愛的人們動容,為愛放了一條生路。

Suicide

Anonymous
Posted: Sat Nov 08, 2008 4:07 am Post subject: Suicide

Dear Dr Okun / Fernandez / Rodrigue We have heard of reports on higher risk of suicide among Parkinson’s patients who have undergone DBS. But excluding the post-DBS patients, the suicide rate among Parkinson’s patients is lower than that of the general population. Recently, one of my Parkinson’s patients committed suicide by hanging himself. He had been having auditory hallucination for some time. There was also an element of depression. In my clinical practice, I seldom encounter cases of suicide among Parkinson’s patients. In view of their physical and mental sufferings, I wonder why the suicide rate in Parkinson’s patients is not higher than the general population. I’d appreciate if you can give your opinion. Thanks. Dr Chew Nee Kong, Kuala Lumpur.
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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Sat Nov 08, 2008 11:20 am Post subject:

It is unknown why the suicide rate is lower in PD than the general population but it may relate to the type of degeneration in the frontal lobes leading apathy and other findings. I would direct you to Valerie Voon’s work in Brain that throughly reviews and addresses this important and potentially preventable risk following DBS. Brain. 2008 Oct;131(Pt 10):2720-8. Links A multicentre study on suicide outcomes following subthalamic stimulation for Parkinson’s disease. Voon V, Krack P, Lang AE, Lozano AM, Dujardin K, Schüpbach M, D’Ambrosia J, Thobois S, Tamma F, Herzog J, Speelman JD, Samanta J, Kubu C, Rossignol H, Poon YY, Saint-Cyr JA, Ardouin C, Moro E. National Institute of Neurological Disorders and Stroke, NIH, Bethesda, MD 20892-1428, USA. voonv@ninds.nih.gov Subthalamic nucleus deep brain stimulation improves motor symptoms and quality of life in advanced Parkinson’s disease. As after other life-altering surgeries, suicides have been reported following deep brain stimulation for movement disorders. We sought to determine the suicide rate following subthalamic nucleus deep brain stimulation for Parkinson’s disease by conducting an international multicentre retrospective survey of movement disorder and surgical centres. We further sought to determine factors associated with suicide attempts through a nested case-control study. In the survey of suicide rate, 55/75 centres participated. The completed suicide percentage was 0.45% (24/5311) and attempted suicide percentage was 0.90% (48/5311). Observed suicide rates in the first postoperative year (263/100,000/year) (0.26%) were higher than the lowest and the highest expected age-, gender- and country-adjusted World Health Organization suicide rates (Standardized Mortality Ratio for suicide: SMR 12.63-15.64; P < 0.001) and remained elevated at the fourth postoperative year (38/100,000/year) (0.04%) (SMR 1.81-2.31; P < 0.05). The excess number of deaths was 13 for the first postoperative year and one for the fourth postoperative year. In the case-control study of associated factors, 10 centres participated. Twenty-seven attempted suicides and nine completed suicides were compared with 70 controls. Postoperative depression (P < 0.001), being single (P = 0.007) and a previous history of impulse control disorders or compulsive medication use (P = 0.005) were independent associated factors accounting for 51% of the variance for attempted suicide risk. Attempted suicides were also associated (P < 0.05) with being younger, younger Parkinson’s disease onset and a previous suicide attempt. Completed suicides were associated with postoperative depression (P < 0.001). Postoperative depression remained a significant factor associated with attempted and completed suicides after correction for multiple comparisons using the stringent Bonferroni correction. Mortality in the first year following subthalamic nucleus deep brain stimulation has been reported at 0.4%. Suicide is thus one of the most important potentially preventable risks for mortality following subthalamic nucleus deep brain stimulation for Parkinson’s disease. Postoperative depression should be carefully assessed and treated. A multidisciplinary assessment and follow-up is recommended._________________Michael S. Okun, M.D.

Posted: Sun Nov 09, 2008 8:59 am Post subject:

Dear Dr Okun Thanks for your opinion. Yes, I have read Valerie Voon’s paper in Brain. It is an interesting study. I have to admit that all these years I myself did not really pay attention to the issue to suicide in Parkinson’s. Well, Parkinson’s is a very complicated subject - there is always something new to learn everyday. Dr Chew Nee Kong, Kuala
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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Mon Nov 10, 2008 7:56 am Post subject:

I agree with that! Keep writing and thanks for contributing so positively to the forum._________________Michael S. Okun, M.D.
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Forum:The right to Happiness

teokimhoeJoined: 03 Mar 2007Posts: 116Location: Malaysia
Posted: Fri Oct 31, 2008 8:12 am Post subject: The right to happiness?

‘ I believe that every purpose of our life is to seek happiness. That is clear. Whether one believes in religion or not, whether one believes in this religion or that religion, we are all seeking something better in life. So, I think, the very motion of our life is towards happiness…’_________________to help the PD patients aware the diseases and encourage to set up support groups to educate the patients and their immediate families

bernard shawJoined: 19 Aug 2008Posts: 73Location: Austria Late UK
Posted: Mon Nov 03, 2008 1:23 pm Post subject: Happiness.

You are right in saying we all look for happiness in our lives but I am not so sure that real happiness is to be found in religion. A family life that is intact and fully functioning is the right path to follow for happiness. Bernard Shaw aka Bern_________________If your face wants to smile, Let it. If it doesn’t, Make it.
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John ShJoined: 05 Mar 2007Posts: 177Location: Arroyo Grande, California
Posted: Mon Nov 03, 2008 8:00 pm Post subject: Real Happiness

Hi Bern, maybe you are right, religion maybe can’t supply true happiness, and maybe a functioning family can…but what can a person turn to if they don’t have a functioning family? John S

http://www.patientslikeme.com/forum/show/27812?view=last#357442

Dopamina Blocker

In your artile you mentioned Dopamine Blocker the drug linked to erectile dyfunction.

A few questions:

1.What are the Dopamine Blocker suitable for me?

2.Will these drugs interact with any medications I am currently taking?

3.For how long will I have to take these drugs?

4.What risks are involved with long-term use of these drugs?

5.What should I do if my symptoms get worse

Thanks
TeoKimHoe

Through Meditation restore our health

Meditation is not only for religious beliefs but also helps us to restore our health.

There are signs of stress affecting our health

1.High blood pressure

2.Heart disease,

3.heatburn and gastric diseases.

4.kidney and respiratory failure.

5 Asthma and lung infection and etc

6. malfunctioning of the immune system.

7.Chronic diseases

8.Anxiety, insomina, constipation, anger,depression

9 Emotional and  non emotional disorders of Parkinson’s disease

Meditation help you temporarily  relief  the  illness indicators .

While you meditate. you’re lowering blood pressure and breathing rates, muscle tension, adrenaline production

 Try and practise meditation daily to buildup your immune system for health.

 Therefore Better Health through Meditaion.

Meditation sometime does wonder than treatment by medication.

It is universal that patient sometimes be asked by doctor to consider use meditation to treat incurrable disease. Therefore better  health through meditation.

  If you are sick, meditation can help in measurable ways. If you are not sick, meditation will help you stay healthy. It works in two main ways: it helps the body relax quickly and it settles the overwrought mind

http://www.patientslikeme.com/forum/show/27906

Drugs linked to erectile dyfunction?

Author
Message
Anonymous
Posted: Mon Oct 20, 2008 4:57 am Post subject: Drugs linked to erectile dyfunction

Dear Doctor, There are drugs linked to erectile dyfunction’ I have experience erectile dysfunction and having problems achieving or maintaining an erection by taking the following drugs: 1.Aspirin 2.plavix The drugs help me to thinning my blood clot as I had T.I.A recently to prevent receiving another blood clot. As the result I have tried to take erectile dysfunction drugs but they are not helpful, until I make a stop taking the aspirin and plavix. My Parkinson’s medications are Requip 10 mg Jumex 5mg Sinemet CR 2 tablets daily. Kindly advise: 1.Are Aspirin and Plavix the drugs linked to Erectile Dysfunction? Some medications may treat a disease or condition, in doing so they can affect a man’s hormones, nerves, or blood circulation, resulting in ED or increase the risk of ED’ 2. Should I continue to take aspirin and plavix? 3. What are the Drugs rule out linked to Erectile Dysfunction helpful for me to thinning the blood clot? My parkinson’s medications are Requip 10mg, Jumex 5 mg, Sinemet CR 2 tablets daily. Regards TEOKIMHOE
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Dr. FernandezJoined: 20 Jan 2007Posts: 90
Posted: Mon Oct 20, 2008 8:55 pm Post subject:

Erectile dysfunction can be a complex issue that sometimes can be of multiple causes. Aspirin and plavix are not, in my experience, linked to significant ED. However, if this is your experience, they you can certainly get rid of it and see if it helps. It does not make a lot of sense to me anyway that you are on both aspirin or plavix. It should really be just one or the other. Even for stroke prevention, studies have shown that puting the two together just increases your risk for bleeding but does not add extra protection against stroke. If you did not respond to the typical medication for ED, perhaps you should see a urologist. Tests may need to be done such as your blood sugar, testosterone level, etc, etc. There are also other choices that your urologist can discuss. Yours,_________________Hubert H. Fernandez
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talk about sex…because having any chronic condition is bound to affect a relationship on both a physical and emotional level. Both partners in a couple whose lives have been affected by Parkinson’s disease need to understand the disease and its progression in order to cope with any difficulties which may arise in their sex life.

Many of the symptoms associated with Parkinson’s disease are thought to be caused by lowered levels of dopamine in the brain - a chemical that transmits messages from the brain’s “relay center” to its nerve cells, enabling physical movement. It is possible that the dopamine decrease may also cause a lessened drive or interest in sex

http://www.webmd.com/parkinsons-disease/parkinsons-sexual-problems

What are the main treatments?

  • Oral drugs. The first, and best known, oral treatment is Viagra (sildenafil). It works by helping to relax the blood vessels in the penis, allowing blood to flow in. It doesn’t work unless you’re also sexually stimulated. The most common side-effects are headaches and facial flushing, and it can’t be taken by men who are also using medicines containing nitrates (commonly prescribed for angina).
  • Injection therapy. This is probably the most effective and reliable way of producing an erection with drugs but, understandably, many men don’t like sticking a needle into their penis every time they have sex. When injected, the drug (most commonly alprostadil, commonly known as Caverject and Viridal), relaxes the blood vessels and muscles, allowing increased blood flow and producing an erection within 15 minutes.
  • MUSE (medicated urethral system for erection). This method also uses alprostadil, but this time it’s administered by means of a small pellet inserted into the urethra via a single-dose, disposable plastic applicator.
  • Vacuum pumps. The penis is inserted into a clear plastic cylinder and the air is pumped out, creating a vacuum. The penis fills with blood and, when it’s hard enough, a plastic constricting ring is placed around the base of the penis to trap the blood. There are few side-effects (apart from occasional slight bruising) and the devices work for more than 90% of men. Many men find the process too unnatural and intrusive, however, and prefer to try other methods of tackling ED.
  • Hormonal supplements. Testosterone can be given to men in the relatively few cases where low levels are the cause of ED, especially if they also have low sexual desire. Before taking testosterone, always insist that your doctor measures your testosterone level to confirm that it really is low.
  • Penile implants. Now that so many other effective treatments have become available, implants have become an option of last resort and are now much less used than they were ten years ago. A mechanical device is surgically inserted into the penis. It can be either permanently rigid or have a hydraulic action, operated via a valve in the scrotum.
  • Sex therapy. Whatever the cause or treatment of their ED, many men could benefit from counselling or therapy. In fact, the best treatment centres provide it as a matter of course. Sex therapy will be particularly necessary if the ED has psychological causes which can’t actually be “cured” with physical treatments. If a man has ED as a result of emotional conflict with a partner, for example, providing him with a drug that produces an erection isn’t going to resolve that conflict; in fact, it might even make it worse. Men with physically-caused ED may also have lost a great deal of self-esteem and sexual confidence which sex therapy could help restore. It usually makes sense to also involve any permanent partner in sex therapy since the loss, as well as the restoration, of a man’s erectile functioning will almost inevitably profoundly affect their relationship

Anhttp://www.gulfmd.com/Mens%20Issues/Erectiledysfunction.asp?id=35&curId=1618onymous
Posted: Wed Oct 29, 2008 10:09 am Post subject:

Dear Doctor, Is Xatral XL 10mg linked to erectile dysfunction?
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Anonymous
Posted: Thu Oct 30, 2008 2:35 am Post subject:

Is Blood Sugar (FPG) level 108 lead to erectile dyfunction?
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Anonymous
Posted: Thu Oct 30, 2008 4:16 am Post subject: Serquel linked to raise blood sugar level?

Is seroquel linked to raise blood sugar level? Am I at the risk to have diabetes as I have Impaired Glucose Tolerance? What’s about patient suffer diabetes? TEOKIMHOE
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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Sun Nov 02, 2008 11:04 am Post subject:

Bllod sugars in the 80-120 range are usually normal and not linked to erectile dysfunction. Diabetes and uncontrolled blood sugars can be linked to this dysfunction._________________Michael S. Okun, M.D.
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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Sun Nov 02, 2008 11:08 am Post subject:

Xatral seems to be a drug to treat large prostate glands. I am not an expert but a search did not seem to reveal erectile issues (I will of course defer to a urologist). Seroquel and other dopamine blockers have been linked to higher blood sugars and should be watched carefully especially if you have diabetes. Watch your diabetes if you are on these meds (usually blood sugar monitoring)._________________Michael S. Okun, M.D.

ASpirin,blood clot and acid reflux

 

Posted: Wed Oct 29, 2008 10:35 am Post subject: Apirin, blood clot and Acid Reflux

Aspirin helps thinning your blood clot to prevent T.I.A.(mini Stroke. Is Aspirin linked to heart burn (Acid Reflux Disease) or stomach ulcer? Kindly advise TEOKIMHOE

 

Bayer (Aspirin) Drug Information: Uses, Side Effects, Drug Interactions   

Learn about the prescription medication Bayer (Aspirin), drug uses, dosage, side effects, drug interactions, warnings, and patient labeling.

www.rxlist.com/aspirin-drug.htm

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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Sun Nov 02, 2008 11:08 am Post subject:

Yes NSAIDS like aspirin can contribute to heart burn or to NSAID induced ulcers._________________Michael S. Okun, M.D.

http://www.healthatoz.com/healthatoz/Atoz/common/standard/transform.jsp?requestURI

Signs of Parkinson’s

Posted: Tue Oct 28, 2008 9:34 am Post subject: Signs of Parkinson’s Disease

There are the following signs that you may develop the Parkinson’s Disease. 1. unexplained stiffness in arms, legs, feet or hands 2. tremors in arms, legs, feet or hands 3. Muscle or joints freeze 4. Difficulty walking and balance 5 Stoop posture 6. soft speech,slur speech 7. small handwriting’ 8. Insomina, anxieties, depression,constipation for the past few years 9. Mask face without smile 10. Drooling Saliva Consult movement disorder specialist for checkup.
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 Parkinson’s Disease

Treatments

Unlike many other neurodegenerative diseases, there is effective symptomatic therapy for Parkinson’s disease that can provide most patients with several years of satisfactory quality of life and response to treatment. Key points in PD therapy include:

  • No therapy has yet been shown to slow or reverse the disease, although clinical trials of several candidates have shown intriguing results.
  • Levodopa continues to be the most effective treatment for motor symptoms, and all patients eventually require it.
  • Long-term complications of dopaminergic therapy are a concern that drives decision-making early in the treatment program.
  • Non-motor symptoms, especially depression and anxiety, are important targets of therapy.
  • Surgical treatment has become a mainstay of late-stage management, although not all patients can afford it or are appropriate candidates.
  • Cell transplant therapies are still experimental.
  • Non-pharmacological treatments remain an important part of a comprehensive treatment program.

Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Thu Oct 30, 2008 3:33 pm Post subject:

Thanks for the post. Joe Jankovic also stresses unexplained shoulder pain._________________Michael S. Okun, M.D.

Parkinson’s disease - CNN.com  

Signs and symptoms. The earliest symptom of Parkinson’s disease can be as What’s more, signs and symptoms of Parkinson’s disease — including gait changes,

www.cnn.com/HEALTH/library/DS/00295.html