Parkinson's Disease Tulip


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Old 11-16-2010, 01:52 PM #11
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Default the Leader clinic in London

http://www.leaderclinic.com/

Geoffrey Leader and his wife, Lucille run a pD clinic in London. He is a world class anesthesiologist
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Born in 1953, 1st symptoms and misdiagnosed as essential tremor in 1992. Dx with PD in 2000.
Currently (2011) taking 200/50 Sinemet CR 8 times a day + 10/100 Sinemet 3 times a day. Functional 90% of waking day but fragile. Failure at exercise but still trying. Constantly experimenting. Beta blocker and ACE inhibitor at present. Currently (01/2013) taking ldopa/carbadopa 200/50 CR six times a day + 10/100 form 3 times daily. Functional 90% of day. Update 04/2013: L/C 200/50 8x; Beta Blocker; ACE Inhib; Ginger; Turmeric; Creatine; Magnesium; Potassium. Doing well.
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Old 11-17-2010, 07:17 AM #12
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Quote:
Originally Posted by tulip girl View Post
http://images.wolfpk.com/parkinsonsr...nformation.pdf

PD & SURGERY:
1. See note above regarding stopping Eldepryl/selegiline two weeks prior to surgery.
2. There should be no reason to skip PD medications prior to surgery even if directions are NPO
(nothing by mouth) for 6-10 hours prior to surgery. Discuss with surgeon or anesthesiologist.
3. Restart PD medications (except eldepryl) as soon as possible after surgery even if NPO;
discuss with surgeon.
4. Be aware that PD patients have a lower threshold response to analgesics (sedation/pain
medications) and could experience hallucinations; however, this is not a contraindication
(reason to avoid) their administration.
Other medications which may worsen Parkinsonian symptoms and should not, in general, be
prescribed for a person with PD include:
NEUROLEPTICS GI / ANTI-NAUSEA RX
Haloperidol (Haldol®) metoclopramide (Reglan®)
Chlorpromazine (Thorazine®) prochlorperazine (Compazine®)
Thioridazine (Mellaril®) trimethobenzamide (Tigan®)
Molindone (Moban®)
Perphenazine (Trilafon®)
Perpenazine and amitriptyline (Triavil®)
Thiothixene (Navane®)
Flufenzaine (Prolixin®)

This is an excellent document to have available in case you land in the hospital - in fact take extra copies as most MD/RN know so little about PD.

Peter, there should not be any obstacle for local anesthesia/block - like an epidural for childbirth. I had bone taken from my hip and grafted into my foot along with 2 plates and 8 screws all under a local with sedation. Did they ever put a PICC line in for long term home administered IV antibiotics?

Again, I suggest figuring out why your platlet count is high before further surgery. Keep us posted
Tulip Girl
thanks TG, that's a really handy list to have - now printed and stashed away !

I only take antibiotics for the infection when I know the swelling is getting out of hand again, I'm not even sure if they work particularly well.

As you suggest, I will wait to see the results of the platelet tests first
Peter
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Old 11-17-2010, 07:20 AM #13
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Quote:
Originally Posted by reverett123 View Post
http://www.leaderclinic.com/

Geoffrey Leader and his wife, Lucille run a pD clinic in London. He is a world class anesthesiologist
another useful one to add to the file
Thanks
Peter
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Old 11-17-2010, 08:27 AM #14
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Heading to the lathe to turn magic wands for both krugen68 and shakyjon. The magic you will have to find someplace else cause I used mine all up.


GregD
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Old 11-17-2010, 09:14 AM #15
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Heading to the lathe to turn magic wands for both krugen68 and shakyjon. The magic you will have to find someplace else cause I used mine all up.


GregD
I think you can only make them when it's a blue moon
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Old 11-17-2010, 10:20 AM #16
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Peter, Surely you must know, you need to go to Hogsworth - just down the street from you, to get your magic wand.
Say - EXPECTO PATRONUM and life will be good.

TG
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Old 11-17-2010, 10:30 AM #17
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Originally Posted by tulip girl View Post
Peter, Surely you must know, you need to go to Hogsworth - just down the street from you, to get your magic wand.
Say - EXPECTO PATRONUM and life will be good.

TG
tapping it in my sat nav
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