Sunday, May 6, 2012

denture and saliva


Posted Sep 03 2009 11:26am

Anonymous
Posted: Fri Jul 31, 2009 8:39 am Post subject: denture and saliva

There are complaint by parkinson's patient how to deal with saliva and dentures. The saliva causes the dentures slippery and loose even there are denture paste if a gap develops between the denture and the gummy ridge Therefore the denture may need repeated relines. Shrinkage of the bone and gums can be minimized or prevented with a proven technique
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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Fri Jul 31, 2009 11:13 am Post subject:

This can be a troublesome issue. If you dry the saliva too much with an anticholinergic drug or botox you can also get cavities. I would suggest you work with the doctor to find the right solution for you, but to brush your remaining teeth frequently if you dry the saliva._________________Michael S. Okun, M.D.
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Wednesday, April 25, 2012

have trouble to standup after seated on chair or on bed for quite time.

kindly elaborate


TEOKIMHOE

to help the PD patients aware the diseases and encourage to set up support groups to educate the patients and their immediate families



This is common in PD and I would recommend physical and occupational therapy as well as medication optimization. Some people benefit from placing their feet farther back before trying to arise, and also using chairs with arms!
Michael S. Okun, M.D.
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: mdc.mbi.ufl.edu

Thursday, April 5, 2012

heat and cold neuro

  • LocationMalaysia
  • Posted 03 April 2012 - 03:21 AM
    View PostDr. Okun, on 02 April 2012 - 06:25 AM, said:
    Not all patients have cold hands and feet with PD. I think the most important thing is to remember that PD affects the autonomic nervous system and this may explain cold and heat symptoms.

    Is it related that I have once recevied heat/sauna therapy massage affecting my nervous system and fainted?

    Kindly elaborate


    teokimhoe
    to help the PD patients aware the diseases and encourage to set up support groups to educate the patients and their immediate families
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    #7User is online teokimhoe

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    • LocationMalaysia
    Posted Yesterday, 09:37 AM
    I refer to your heat and cold affecting our neruo function.
    I have experience a heat therapy affecting my muscle movement

    Kindly elaborate

    teokimhoe
    to help the PD patients aware the diseases and encourage to set up support groups to educate the patients and their immediate families

    Tuesday, April 3, 2012

    I don't understand why parkison sufferers have cold hand and feet?

    Parkinson is a movement and non movement disorders.

    KIndly elaborate

    TEOKIMHOE
    to help the PD patients aware the diseases and encourage to set up support groups to educate the pa

    Not all patients have cold hands and feet with PD. I think the most important thing is to remember that PD affects the autonomic nervous system and this may explain cold and heat symptoms.
    Michael S. Okun, M.D.
    National Medical Director | NPF
    UF Center for Movement Disorders & Neurorestoration
    Read More about Dr. Okun at: mdc.mbi.ufl.edu
    0
    • +
    • -

    tients and their immediate families

    Wednesday, March 21, 2012

    I've Got a Life to Live

    Diagnosed at 34

    When I was 7 months pregnant with my third child, I started to notice some difficulty writing. The letters were crowded and small, and my fingers felt weak. My first thoughts were, “Was this pregnancy related? Maybe water retention was making my fingers stiff?” “Was it carpal tunnel syndrome?” After all, I had been a data enterer for the past six years. Being a full-time working mom of two young boys, I put this symptom on the back burner and concentrated on my busy life.
    After my daughter was born, I went back to work and immediately became aware of the writing problem. I notified my boss who made arrangements for me to see a workers compensation doctor affiliated with my employer. After weeks of exams and physical therapy, there was no improvement. Over the next several months I continued to seek out answers. I consulted neurologists, rheumatologists, internal medicine specialists, and started a physical therapy program. My symptoms now included nerve and muscle pain in my wrists, elbow and shoulder on my right side. I was told I had everything from tendonitis to lupus. My neurologist at the time agreed to put me on temporary disability from my job while I tried to get an answer that made sense.
    Finally one doctor suggested I make an appointment with the neurology department at UCLA for a consultation. After two and a half years of frustration, I was diagnosed in less than 15 minutes with early onset Parkinson’s disease. I had an answer, but what did this all mean? I drove home in tears wondering how I was going to break the news to my husband and mother.
    Now looking back, 8 years later, I am in a much different place. After going through bouts of depression, experimenting with a variety of prescription drugs, and struggling with destructive side effects, I’ve connected with other PD patients, and have learned to live with something I have little control over. What I do have control over is my attitude and outlook. There are many things I can still do, although maybe in a different way. It’s still difficult to button a shirt, brush my teeth or keep up with my kids, but it’s not impossible. It would be easy to curl up in a ball and feel sorry for myself but that would be giving up. I’m a mom, a daughter, a sister, and a friend, and there are people who love me and depend on me. I've got a life to live.

    Tuesday, March 20, 2012

    About Parkinson's Disease


    Parkinson’s disease is a chronic, progressive neurological disease. It belongs to a group of conditions called motor system disorders, which are the result of the loss of dopamine-producing brain cells. Dopamine, a neurochemical that controls communication between brain cells, is responsible for control of motor function. Nearly 80 percent of the dopamine producing cells in the brain die before the motor symptoms of Parkinson’s disease even appear. The four primary symptoms of Parkinson’s disease are tremor, or trembling in hands, arms, legs, jaw, and face; rigidity, or stiffness of the limbs and trunk; bradykinesia, or slowness of movement; and postural instability, or impaired balance and coordination. Other symptoms may include cognitive changes; difficulty in swallowing, chewing, and speaking; urinary problems or constipation; skin problems; and sleep disruptions. As these symptoms become more pronounced, patients may have difficulty walking, talking, or completing other simple tasks. Early symptoms of Parkinson’s are subtle and occur gradually. In some people the disease progresses more quickly than in others.

    Currently there is no cure, therapy, or drug to slow or halt the progression of Parkinson’s disease. While medication masks some symptoms for a limited period, generally four to eight years, dose-limiting side-effects do occur after time. Eventually the medications lose their effectiveness, leaving the person unable to move, speak or swallow.

    In 1817, a British scientist named James Parkinson first described “the shaking palsy” in an essay. It was through this essay that he defined what we know as Parkinson’s disease today: “involuntary tremulous motion, with lessened muscular power, in parts not in action and even when supported; with a propensity to bend the trunk forwards, and to pass from a walking to a running pace: the senses and intellects being uninjured.”

    It is unknown exactly how many Americans live with Parkinson’s disease, but most estimates range from 500,000 to 1.5 million. It is believed that nearly 60,000 people are diagnosed each year in the U.S. with Parkinson’s. The average age of diagnosis for Parkinson’s disease is 60 years old, but people as young as 18 have been diagnosed. Typically, anyone diagnosed under the age of 50 is considered as having young-onset Parkinson’s disease.

    The cause of Parkinson’s disease remains unknown, but scientists and researchers believe there to be both genetic and environmental factors. In October 2003, scientists at NIH discovered that too much of the alpha-synuclein gene may cause Parkinson’s disease. More recently, scientists at the University of California at Los Angeles discovered that some pesticides used on plants and crops that end up in well water are linked to an increased risk of Parkinson’s disease. The environmental and genetic links to Parkinson’s disease are diverse, but the science continues to progress.

    In order to establish better numbers and understanding about people with Parkinson’s, Congress has taken up a bill, H.R. 2595/S. 425, the National Neurological Diseases Surveillance System Act, that will create national, coordinated registries for both Parkinson’s disease and all neurological disorders. When the registry is implemented, we will learn important information about Parkinson’s disease such as geographic prevalence, disease clusters, and the number of Americans living with Parkinson’s disease.

    PAN continues to fight for better treatments and a cure for Parkinson’s disease. Click here to learn more about PAN’s legislative priorities for the Parkinson’s disease community.

    Monday, March 19, 2012

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