Posted: Tue Apr 17, 2007 6:04 am Post subject: Breathing with PD
--------------------------------------------------------------------------------
Dear Doctor,
In reply to your article "Weight Loss" with PD.
I understand Breathing difficulties with PD i.e tightness and contraction in the throat weaken muscles that control
breathing
The breathing is not in full i.e the chest wall doesn't move i.e reducing sense of smell that dampen the appetites contributing the malnutrition.
Therefore people have PD find difficulty/ reducing sniffing i.e desperately difficulties breathing large amount of air. As the result PD patients have mask face ( muscle stiffness)
There are 40% at the older age die on pneumonia worsen made by PD itself.
Therefore PD is a Body, Mind and Soul disorders diseases.
Kindly comment.
Thanks
Teo Kim Hoe
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Tue Apr 17, 2007 6:47 am Post subject:
--------------------------------------------------------------------------------
In general breathing problems in PD are not prominent, although late in the disease we worry about immobility and swallowing dysfunction leading to aspiration pneumonia.
Earlier sometimes wearing off of medications can result in shortness of breath.
_________________
Michael S. Okun, M.D.
Back to top
Anonymous
Posted: Thu Aug 30, 2007 12:59 pm Post subject: Shortness of Breath when 'Off'
--------------------------------------------------------------------------------
Why do we experience shortness of breath when med are off? Is it because any movement requires additional exertion or is it because Parkinson's affects the muscles that control breathing? Thank you.
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sat Sep 01, 2007 8:47 pm Post subject:
--------------------------------------------------------------------------------
Wearing off in PD can be manifested in different ways. Most often, it is manifested by the return of or an increase of stiffness (rigidity), slowness (bradykinesia) and shaking (tremor). But sometimes, wearing off can be manifested in other ways, such as shortness of breath, even slowed thinking, depression, anxiety, panic attacks. I can't tell you why patients experience wearing off differently.
Sometimes, when dyskinesias are significant, the coordination of diaphragmatic muscles and chest muscles are not as well in such so even peak dose or dyskinesias can also be manifested by shortness of breath.
Yours,
_________________
Hubert H. Fernandez
Back to top
Sunday, September 2, 2007
Shortness of breath when "off"
Posted: Thu Aug 30, 2007 12:59 pm Post subject: Shortness of Breath when 'Off'
--------------------------------------------------------------------------------
Why do we experience shortness of breath when med are off? Is it because any movement requires additional exertion or is it because Parkinson's affects the muscles that control breathing? Thank you.
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sat Sep 01, 2007 8:47 pm Post subject:
--------------------------------------------------------------------------------
Wearing off in PD can be manifested in different ways. Most often, it is manifested by the return of or an increase of stiffness (rigidity), slowness (bradykinesia) and shaking (tremor). But sometimes, wearing off can be manifested in other ways, such as shortness of breath, even slowed thinking, depression, anxiety, panic attacks. I can't tell you why patients experience wearing off differently.
Sometimes, when dyskinesias are significant, the coordination of diaphragmatic muscles and chest muscles are not as well in such so even peak dose or diphasic dyskinesias can also be manifested by shortness of breath.
Yours,
_________________
Hubert H. Fernandez
Back to top
--------------------------------------------------------------------------------
Why do we experience shortness of breath when med are off? Is it because any movement requires additional exertion or is it because Parkinson's affects the muscles that control breathing? Thank you.
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sat Sep 01, 2007 8:47 pm Post subject:
--------------------------------------------------------------------------------
Wearing off in PD can be manifested in different ways. Most often, it is manifested by the return of or an increase of stiffness (rigidity), slowness (bradykinesia) and shaking (tremor). But sometimes, wearing off can be manifested in other ways, such as shortness of breath, even slowed thinking, depression, anxiety, panic attacks. I can't tell you why patients experience wearing off differently.
Sometimes, when dyskinesias are significant, the coordination of diaphragmatic muscles and chest muscles are not as well in such so even peak dose or diphasic dyskinesias can also be manifested by shortness of breath.
Yours,
_________________
Hubert H. Fernandez
Back to top
Breathing difficulties with PD?
Posted: Tue Apr 17, 2007 6:04 am Post subject: Breathing with PD
--------------------------------------------------------------------------------
Dear Doctor,
In reply to your article "Weight Loss" with PD.
I understand Breathing difficulties with PD i.e tightness and contraction in the throat weaken muscles that control
breathing
The breathing is not in full i.e the chest wall doesn't move i.e reducing sense of smell that dampen the appetites contributing the malnutrition.
Therefore people have PD find difficulty/ reducing sniffing i.e desperately difficulties breathing large amount of air. As the result PD patients have mask face ( muscle stiffness)
There are 40% at the older age die on pneumonia worsen made by PD itself.
Therefore PD is a Body, Mind and Soul disorders diseases.
Kindly comment.
Thanks
Teo Kim Hoe
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Tue Apr 17, 2007 6:47 am Post subject:
--------------------------------------------------------------------------------
In general breathing problems in PD are not prominent, although late in the disease we worry about immobility and swallowing dysfunction leading to aspiration pneumonia.
Earlier sometimes wearing off of medications can result in shortness of breath.
_________________
Michael S. Okun, M.D.
Back to top
Anonymous
Posted: Thu Aug 30, 2007 12:59 pm Post subject: Shortness of Breath when 'Off'
--------------------------------------------------------------------------------
Why do we experience shortness of breath when meds are off? Is it because any movement requires additional exertion or is it because Parkinson's affects the muscles that control breathing? Thank you.
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sat Sep 01, 2007 8:47 pm Post subject:
--------------------------------------------------------------------------------
Wearing off in PD can be manifested in different ways. Most often, it is manifested by the return of or an increase of stiffness (rigidity), slowness (bradykinesia) and shaking (tremor). But sometimes, wearing off can be manifested in other ways, such as shortness of breath, even slowed thinking, depression, anxiety, panic attacks. I can't tell you why patients experience wearing off differently.
Sometimes, when dyskinesias are significant, the coordination of diaphragmatic muscles and chest muscles are not as well in sych so even peak dose or diphasic dyskinesias can also be manifested by shortness of breath.
Yours,
_________________
Hubert H. Fernandez
Back to top
--------------------------------------------------------------------------------
Dear Doctor,
In reply to your article "Weight Loss" with PD.
I understand Breathing difficulties with PD i.e tightness and contraction in the throat weaken muscles that control
breathing
The breathing is not in full i.e the chest wall doesn't move i.e reducing sense of smell that dampen the appetites contributing the malnutrition.
Therefore people have PD find difficulty/ reducing sniffing i.e desperately difficulties breathing large amount of air. As the result PD patients have mask face ( muscle stiffness)
There are 40% at the older age die on pneumonia worsen made by PD itself.
Therefore PD is a Body, Mind and Soul disorders diseases.
Kindly comment.
Thanks
Teo Kim Hoe
Back to top
Dr. Okun
Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Tue Apr 17, 2007 6:47 am Post subject:
--------------------------------------------------------------------------------
In general breathing problems in PD are not prominent, although late in the disease we worry about immobility and swallowing dysfunction leading to aspiration pneumonia.
Earlier sometimes wearing off of medications can result in shortness of breath.
_________________
Michael S. Okun, M.D.
Back to top
Anonymous
Posted: Thu Aug 30, 2007 12:59 pm Post subject: Shortness of Breath when 'Off'
--------------------------------------------------------------------------------
Why do we experience shortness of breath when meds are off? Is it because any movement requires additional exertion or is it because Parkinson's affects the muscles that control breathing? Thank you.
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sat Sep 01, 2007 8:47 pm Post subject:
--------------------------------------------------------------------------------
Wearing off in PD can be manifested in different ways. Most often, it is manifested by the return of or an increase of stiffness (rigidity), slowness (bradykinesia) and shaking (tremor). But sometimes, wearing off can be manifested in other ways, such as shortness of breath, even slowed thinking, depression, anxiety, panic attacks. I can't tell you why patients experience wearing off differently.
Sometimes, when dyskinesias are significant, the coordination of diaphragmatic muscles and chest muscles are not as well in sych so even peak dose or diphasic dyskinesias can also be manifested by shortness of breath.
Yours,
_________________
Hubert H. Fernandez
Back to top
Complications of last stage of parkinson's disease
Posted: Wed Aug 29, 2007 7:57 pm Post subject: Complication of last stage of Parkinson's
--------------------------------------------------------------------------------
I refer to Dr.Chew Nee Kong "understanding Parkinson's disease" most sufferers of parkinson's eventually develop numberous complications especially during the last stage of the illness as follows:
a) motor complications
These complications are attributed to both progression of PD and long term sides effect of levodopa. Motor complications have been reported to occur in 50% of patients after three to five years of levodopa treatment.
These complications are as follows:
1,"wearing off ' effect
At early stage of the illness,patients generally feel good(the" on "period}gradually shorten with times and the patients have "wearing off" and need to take lavodopa more frequently than before.
2. Mental complications
More often mental complications are attributed to the PD drugs
hypoglycemia (low blood glucose) and electrolyte disturbances.
The mental complications are as follows:
a.Depression b,psychosis c.confusion 4.dementia
3.dysautonomia
a.constipation b. reflux oesophagitis and dysphagia
4. falls
5. sleep disorders
Sufferers of Parkinson's develop numerous complications in addition to the problem with movement. The doctor alone is not enough to deal with the long list of complications of PD.
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sat Sep 01, 2007 8:43 pm Post subject:
--------------------------------------------------------------------------------
Thanks, Teo!
Yours,
_________________
Hubert H. Fernandez
--------------------------------------------------------------------------------
I refer to Dr.Chew Nee Kong "understanding Parkinson's disease" most sufferers of parkinson's eventually develop numberous complications especially during the last stage of the illness as follows:
a) motor complications
These complications are attributed to both progression of PD and long term sides effect of levodopa. Motor complications have been reported to occur in 50% of patients after three to five years of levodopa treatment.
These complications are as follows:
1,"wearing off ' effect
At early stage of the illness,patients generally feel good(the" on "period}gradually shorten with times and the patients have "wearing off" and need to take lavodopa more frequently than before.
2. Mental complications
More often mental complications are attributed to the PD drugs
hypoglycemia (low blood glucose) and electrolyte disturbances.
The mental complications are as follows:
a.Depression b,psychosis c.confusion 4.dementia
3.dysautonomia
a.constipation b. reflux oesophagitis and dysphagia
4. falls
5. sleep disorders
Sufferers of Parkinson's develop numerous complications in addition to the problem with movement. The doctor alone is not enough to deal with the long list of complications of PD.
TEOKIMHOE
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sat Sep 01, 2007 8:43 pm Post subject:
--------------------------------------------------------------------------------
Thanks, Teo!
Yours,
_________________
Hubert H. Fernandez
The stage of PD patient
Posted: Sat Sep 01, 2007 3:02 pm Post subject: The stage of Parkinson's patient?
--------------------------------------------------------------------------------
Posted: Fri Aug 31, 2007 6:17 pm Post subject: Q: A sad story of Parkinson's family
--------------------------------------------------------------------------------
i heard you are going to seek a second opinion from another
doctor. Im really thankful for the time and effort that u spend on my dad. I
shall now give ya a brief summary of my dad's illness.
Basically:
1) In accordance to his doctor and you, he indeed suffers from PD. He has
difficulty carring out his daily activity like walking short distances or
even remain seated for a short period of time. He was given MADOPOR( 250 mg
0.5 a tablet, 3 times a day) and LEXOTAN( 1.5 mg 0.5 a tablet, 3 times a
day) from the doctor.
I believe my dad does suffer from PD but i am not very convinced by your
claim that he has reached the later stages of PD. Yes, i agree that PD runs
in a family as it is hereditary. However, i do not believe that my dad's
condition is like what u claim- the later stages.
Reasons to support my humble opinion:
Firstly, my dad indeed has got limitations to his movements. However, on
certain occations, he has the ability to get up from the bed or even walk
short distances without any help from anyone. This shows that my dad's
condition is not as severe as you have claim (ie only have got 6 mths to
live?!)
Moreover, my dad is able to carry out most of the task that his physical
trainer asked him to do. For example, he is able to walk to the NTUC outside
our house with the trainer, or even have luch with his family members. He
often complain tightness of his stomach when seated down for too long.
In my opinion, I conclude that my dad is indeed surrfering from PD. Its in
fact rather common that many patients develope symptoms before the age of
50, especially if PD runs in the particular family. However, my dad's
condition is not as bad as what many may think. My dad definitely lacks
CONFIDENCE. He always has this fear that he will fall to his death. Its due
to such unnecessary fear that he has which causes him to lose canfidence in
himself, thus losing to PD too! We, as his family members have put in
tremendous effort for him to build up his confidence, but our efforts were
in vain. Should he not be able to get over his own fear, how can one help
him?
My dad too may be suffering from IBS. This problem also comes with age. As a
person age, their muscles will definitely weakens while some may just lose
their functions. However, this issue is no long posing to much of trouble to
him as we moninter his diet closely, with the help of his physical trainer
of cos. He consumes other suppliment such as Methycobal( a form of vitamin)
and S- Factor. Occasionnally, he still suffers but constipation but is not
as frequent compared to the past.In addition, my dad's back problem may have
also affected his bowls movement.
My dad too show symptoms of depression. He is always very negative and also
says that he will die anytime. As we are his family members, we shower him
with much love and concern as we know that the love from his family members
means a lot to him when he is suffering from depression. However, there are
many times whereby he completely shut off our care and concern for him. For
example, when we wan to dine out on a particular day, he would always just
want to stay at home and not leave home no matter how we persuade him.
Best regards
HOn WEi
'
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sat Sep 01, 2007 9:28 pm Post subject:
--------------------------------------------------------------------------------
Thanks for sharing your story.
I hope things get better.
_________________
Hubert H. Fernandez
--------------------------------------------------------------------------------
Posted: Fri Aug 31, 2007 6:17 pm Post subject: Q: A sad story of Parkinson's family
--------------------------------------------------------------------------------
i heard you are going to seek a second opinion from another
doctor. Im really thankful for the time and effort that u spend on my dad. I
shall now give ya a brief summary of my dad's illness.
Basically:
1) In accordance to his doctor and you, he indeed suffers from PD. He has
difficulty carring out his daily activity like walking short distances or
even remain seated for a short period of time. He was given MADOPOR( 250 mg
0.5 a tablet, 3 times a day) and LEXOTAN( 1.5 mg 0.5 a tablet, 3 times a
day) from the doctor.
I believe my dad does suffer from PD but i am not very convinced by your
claim that he has reached the later stages of PD. Yes, i agree that PD runs
in a family as it is hereditary. However, i do not believe that my dad's
condition is like what u claim- the later stages.
Reasons to support my humble opinion:
Firstly, my dad indeed has got limitations to his movements. However, on
certain occations, he has the ability to get up from the bed or even walk
short distances without any help from anyone. This shows that my dad's
condition is not as severe as you have claim (ie only have got 6 mths to
live?!)
Moreover, my dad is able to carry out most of the task that his physical
trainer asked him to do. For example, he is able to walk to the NTUC outside
our house with the trainer, or even have luch with his family members. He
often complain tightness of his stomach when seated down for too long.
In my opinion, I conclude that my dad is indeed surrfering from PD. Its in
fact rather common that many patients develope symptoms before the age of
50, especially if PD runs in the particular family. However, my dad's
condition is not as bad as what many may think. My dad definitely lacks
CONFIDENCE. He always has this fear that he will fall to his death. Its due
to such unnecessary fear that he has which causes him to lose canfidence in
himself, thus losing to PD too! We, as his family members have put in
tremendous effort for him to build up his confidence, but our efforts were
in vain. Should he not be able to get over his own fear, how can one help
him?
My dad too may be suffering from IBS. This problem also comes with age. As a
person age, their muscles will definitely weakens while some may just lose
their functions. However, this issue is no long posing to much of trouble to
him as we moninter his diet closely, with the help of his physical trainer
of cos. He consumes other suppliment such as Methycobal( a form of vitamin)
and S- Factor. Occasionnally, he still suffers but constipation but is not
as frequent compared to the past.In addition, my dad's back problem may have
also affected his bowls movement.
My dad too show symptoms of depression. He is always very negative and also
says that he will die anytime. As we are his family members, we shower him
with much love and concern as we know that the love from his family members
means a lot to him when he is suffering from depression. However, there are
many times whereby he completely shut off our care and concern for him. For
example, when we wan to dine out on a particular day, he would always just
want to stay at home and not leave home no matter how we persuade him.
Best regards
HOn WEi
'
Back to top
Dr. Fernandez
Joined: 20 Jan 2007
Posts: 90
Posted: Sat Sep 01, 2007 9:28 pm Post subject:
--------------------------------------------------------------------------------
Thanks for sharing your story.
I hope things get better.
_________________
Hubert H. Fernandez
A sad story
Joined: 22 Jan 2007
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Sat Sep 01, 2007 10:08 am Post subject:
--------------------------------------------------------------------------------
Dear Hon,
I am so sorry to hear of your family’s and father’s troubles; so much could be avoided by just a bit of caring and sympathy on the part of family members.
However, I am not certain that you meant to address this post to me. I am not a physician, but a registered dietitian. I do not diagnose or treat PD, my area of practice is with nutrition-related concerns. Therefore, I could not, and would not, attempt to diagnose, nor determine his stage of, PD.
I do think that it’s a good idea to make sure he has supplements of vitamin B12, as we don’t always metabolize (digest) this well, as we age, and the symptoms of deficiency can mimic those of Alzheimer’s disease. I also think that servings of fish, if he will accept it, would be very good. Fish contain omega-3 fatty acids, which benefit the brain and nervous system, as well as the heart; if deficient, it can result in a type of depression that is not well-treated with medication.
It sounds to me as though you and your family are doing a fine job of caring for your father, and it is a shame that other family members do not appreciate this. Unfortunately, this happens all too often. Try to keep up your good work and trust in God, who sees and knows your efforts, and also hears and knows of the nasty comments from his relatives.
_________________
Best regards,
Kathrynne Holden, MS, RD
Posts: 94
Location: www.nutritionucanlivewith.com
Posted: Sat Sep 01, 2007 10:08 am Post subject:
--------------------------------------------------------------------------------
Dear Hon,
I am so sorry to hear of your family’s and father’s troubles; so much could be avoided by just a bit of caring and sympathy on the part of family members.
However, I am not certain that you meant to address this post to me. I am not a physician, but a registered dietitian. I do not diagnose or treat PD, my area of practice is with nutrition-related concerns. Therefore, I could not, and would not, attempt to diagnose, nor determine his stage of, PD.
I do think that it’s a good idea to make sure he has supplements of vitamin B12, as we don’t always metabolize (digest) this well, as we age, and the symptoms of deficiency can mimic those of Alzheimer’s disease. I also think that servings of fish, if he will accept it, would be very good. Fish contain omega-3 fatty acids, which benefit the brain and nervous system, as well as the heart; if deficient, it can result in a type of depression that is not well-treated with medication.
It sounds to me as though you and your family are doing a fine job of caring for your father, and it is a shame that other family members do not appreciate this. Unfortunately, this happens all too often. Try to keep up your good work and trust in God, who sees and knows your efforts, and also hears and knows of the nasty comments from his relatives.
_________________
Best regards,
Kathrynne Holden, MS, RD
Saturday, September 1, 2007
A sad story of Parkinson's family
Dear uncle,
i heard you are going to seek a second opinion from another
doctor. Im really thankful for the time and effort that u spend on my dad. I
shall now give ya a brief summary of my dad's illness.
Basically:
1) In accordance to his doctor and you, he indeed suffers from PD. He has
difficulty carring out his daily activity like walking short distances or
even remain seated for a short period of time. He was given MADOPOR( 250 mg
0.5 a tablet, 3 times a day) and LEXOTAN( 1.5 mg 0.5 a tablet, 3 times a
day) from the doctor.
I believe my dad does suffer from PD but i am not very convinced by your
claim that he has reached the later stages of PD. Yes, i agree that PD runs
in a family as it is hereditary. However, i do not believe that my dad's
condition is like what u claim- the later stages.
Reasons to support my humble opinion:
Firstly, my dad indeed has got limitations to his movements. However, on
certain occations, he has the ability to get up from the bed or even walk
short distances without any help from anyone. This shows that my dad's
condition is not as severe as you have claim (ie only have got 6 mths to
live?!)
Moreover, my dad is able to carry out most of the task that his physical
trainer asked him to do. For example, he is able to walk to the NTUC outside
our house with the trainer, or even have luch with his family members. He
often complain tightness of his stomach when seated down for too long.
In my opinion, I conclude that my dad is indeed surrfering from PD. Its in
fact rather common that many patients develope symptoms before the age of
50, especially if PD runs in the particular family. However, my dad's
condition is not as bad as what many may think. My dad definitely lacks
CONFIDENCE. He always has this fear that he will fall to his death. Its due
to such unnecessary fear that he has which causes him to lose canfidence in
himself, thus losing to PD too! We, as his family members have put in
tremendous effort for him to build up his confidence, but our efforts were
in vain. Should he not be able to get over his own fear, how can one help
him?
My dad too may be suffering from IBS. This problem also comes with age. As a
person age, their muscles will definitely weakens while some may just lose
their functions. However, this issue is no long posing to much of trouble to
him as we moninter his diet closely, with the help of his physical trainer
of cos. He consumes other suppliment such as Methycobal( a form of vitamin)
and S- Factor. Occasionnally, he still suffers but constipation but is not
as frequent compared to the past.In addition, my dad's back problem may have
also affected his bowls movement.
My dad too show symptoms of depression. He is always very negative and also
says that he will die anytime. As we are his family members, we shower him
with much love and concern as we know that the love from his family members
means a lot to him when he is suffering from depression. However, there are
many times whereby he completely shut off our care and concern for him. For
example, when we wan to dine out on a particular day, he would always just
want to stay at home and not leave home no matter how we persuade him.
Many of his relatives drop nasty comments saying that ' we neglect him',
'only wans money from him' , 'wan him to die' and i believe U heard much
more. Are such comments necessary? I do not think so. Should we not care for
him, would we even try to cheer him up everyday? Would my mum always pray
for his health without fail every day? Would his children buy his fav food
(expensive cake) for him? Trust me, the list could really go on and on. If
we are like what THOES SINNERS claims, we could have just jolly well throw
all responsiblity to the trainer and maid and not give a DAMN to anything.
Did we? Definitely not.
Im really thankful that you care so much for my dad, i am also saying thank
you on his behalf. I may have wasted much of your precious time, however, I
really need to clarify things and not let my poor mother being labled as a
lousy wife when she has done so many 'behind the scene' stuff for my dad. I
would be anticipating the opinion of another doct regarding my dad's
condition. Hope to hear from you soon!
Regards
Hon Wei
i heard you are going to seek a second opinion from another
doctor. Im really thankful for the time and effort that u spend on my dad. I
shall now give ya a brief summary of my dad's illness.
Basically:
1) In accordance to his doctor and you, he indeed suffers from PD. He has
difficulty carring out his daily activity like walking short distances or
even remain seated for a short period of time. He was given MADOPOR( 250 mg
0.5 a tablet, 3 times a day) and LEXOTAN( 1.5 mg 0.5 a tablet, 3 times a
day) from the doctor.
I believe my dad does suffer from PD but i am not very convinced by your
claim that he has reached the later stages of PD. Yes, i agree that PD runs
in a family as it is hereditary. However, i do not believe that my dad's
condition is like what u claim- the later stages.
Reasons to support my humble opinion:
Firstly, my dad indeed has got limitations to his movements. However, on
certain occations, he has the ability to get up from the bed or even walk
short distances without any help from anyone. This shows that my dad's
condition is not as severe as you have claim (ie only have got 6 mths to
live?!)
Moreover, my dad is able to carry out most of the task that his physical
trainer asked him to do. For example, he is able to walk to the NTUC outside
our house with the trainer, or even have luch with his family members. He
often complain tightness of his stomach when seated down for too long.
In my opinion, I conclude that my dad is indeed surrfering from PD. Its in
fact rather common that many patients develope symptoms before the age of
50, especially if PD runs in the particular family. However, my dad's
condition is not as bad as what many may think. My dad definitely lacks
CONFIDENCE. He always has this fear that he will fall to his death. Its due
to such unnecessary fear that he has which causes him to lose canfidence in
himself, thus losing to PD too! We, as his family members have put in
tremendous effort for him to build up his confidence, but our efforts were
in vain. Should he not be able to get over his own fear, how can one help
him?
My dad too may be suffering from IBS. This problem also comes with age. As a
person age, their muscles will definitely weakens while some may just lose
their functions. However, this issue is no long posing to much of trouble to
him as we moninter his diet closely, with the help of his physical trainer
of cos. He consumes other suppliment such as Methycobal( a form of vitamin)
and S- Factor. Occasionnally, he still suffers but constipation but is not
as frequent compared to the past.In addition, my dad's back problem may have
also affected his bowls movement.
My dad too show symptoms of depression. He is always very negative and also
says that he will die anytime. As we are his family members, we shower him
with much love and concern as we know that the love from his family members
means a lot to him when he is suffering from depression. However, there are
many times whereby he completely shut off our care and concern for him. For
example, when we wan to dine out on a particular day, he would always just
want to stay at home and not leave home no matter how we persuade him.
Many of his relatives drop nasty comments saying that ' we neglect him',
'only wans money from him' , 'wan him to die' and i believe U heard much
more. Are such comments necessary? I do not think so. Should we not care for
him, would we even try to cheer him up everyday? Would my mum always pray
for his health without fail every day? Would his children buy his fav food
(expensive cake) for him? Trust me, the list could really go on and on. If
we are like what THOES SINNERS claims, we could have just jolly well throw
all responsiblity to the trainer and maid and not give a DAMN to anything.
Did we? Definitely not.
Im really thankful that you care so much for my dad, i am also saying thank
you on his behalf. I may have wasted much of your precious time, however, I
really need to clarify things and not let my poor mother being labled as a
lousy wife when she has done so many 'behind the scene' stuff for my dad. I
would be anticipating the opinion of another doct regarding my dad's
condition. Hope to hear from you soon!
Regards
Hon Wei
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