Posted: Mon Mar 03, 2008 8:23 pm Post subject: Stroke/ Brain attack
Dear Doctor, I wish to share my experience on how the stroke attack/Brain attack on me when I was driving and the symptoms are as follows:-
I. numbness of the face,arm,or leg 2 difficulty speaking 3. dimness and loss my vision 4.problems with balance and coordination 5.problems with walking
My prescriptions are : 1/2 dosage of Diovan, 1 dosage of Cardiprin and one dosage of Plavix daily.
There are the medicines help prevent more blood clot from forming.
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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Wed Mar 05, 2008 8:25 am Post subject:
Any neurological events especially when driving need immediate attention. We of course always worry about stroke and TIA; but we also worry about PD related sleep attacks when driving. These may be due to PD itself or more likely PD meds or a sleep disorder. Get help!_________________Michael S. Okun, M.D.
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What Mr Teo experienced was Transient Ischemic Attack (mini-stroke). Fortunately, he has completely recovered. He is back to his regular exercise at the gymn again. I admire the strong spirit of Mr Teo in dealing with two different brain disorders. He is a PD fighter. I wished that there are many more PD patients like him. Dr Chew Nee Kong, Kuala Lumpur.
Posted: Sat Mar 15, 2008 4:56 am Post subject:
In fact I have the following syndromes for the past of two years. It comes and goes as it does not cause me a stroke. I was told that my syndromes were over exercises in the gym centre. Besides I am diagnosed as a Parkinson's disease. It is a shock for me that I have Transient ischaemic attack
A transient ischaemic attack (TIA) is a serious condition caused by a temporary reduction in blood and oxygen supply to part of the brain. This can then cause acute symptoms such as loss of vision, leg and arm weakness, slurring of speech and loss of consciousness.
A TIA is sometimes called a mini-stroke because symptoms are the same as a stroke. However, severe symptoms normally last up to 30 minutes, and all symptoms disappear within 24 hours. A TIA is a full stroke if symptoms last longer than 24 hours. If you have a TIA, you will need to see your GP as soon as possible.
TIAs are a clear warning that further TIAs, or even a life-threatening stroke, may occur soon. A second TIA often causes more damage to your body than the first.
Without treatment, one in ten people who have had a TIA will have a full stroke within the next year. Therefore, TIAs should always be investigated so the cause can be found, and treatment can be given.
Every year, around 30,000 people a year have a TIA in the UK.
Wednesday, March 5, 2008
Potassium
I'd like to share the following Information about Potassium:
Potassium, a mineral element and an important constituent of the human body
It is the main base ion of intracellular fluid. together with sodium it helps to maintain the electrical potential of nervous system and is thus essential for the functioning of nervous and muscle.
Patient with deficiency may lead to general muscle paralysis.
Potassium, a mineral element and an important constituent of the human body
It is the main base ion of intracellular fluid. together with sodium it helps to maintain the electrical potential of nervous system and is thus essential for the functioning of nervous and muscle.
Patient with deficiency may lead to general muscle paralysis.
Tuesday, March 4, 2008
Water and dehydration by Dr.Chew
Water and dehydration by Dr.Chew
Post subject: Water and Dehydration?Water is the one of the most important components of cells in many vital organs (including the brain). Water plays a major role in maintaining the integrity of the blood-brain barrier. Thus, dehydration certainly causes brain cell dysfunction. However, it difficult to ascertain whether the degree of cell dysfunction, due to dehydration, is sufficient to lead to brain diseases such as Parkinson's Disease. Dr Chew, NeurologlistBack to top
Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of FloridaPosted: Fri Feb 29, 2008 1:10 pm Post subject:Thank you for the comment. Dehydration has been linked to worsening symptoms, but is not linked to causing PD. I agree._________________Michael S. Okun, M.D.
Post subject: Water and Dehydration?Water is the one of the most important components of cells in many vital organs (including the brain). Water plays a major role in maintaining the integrity of the blood-brain barrier. Thus, dehydration certainly causes brain cell dysfunction. However, it difficult to ascertain whether the degree of cell dysfunction, due to dehydration, is sufficient to lead to brain diseases such as Parkinson's Disease. Dr Chew, NeurologlistBack to top
Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of FloridaPosted: Fri Feb 29, 2008 1:10 pm Post subject:Thank you for the comment. Dehydration has been linked to worsening symptoms, but is not linked to causing PD. I agree._________________Michael S. Okun, M.D.
Box and kick exercise (Thai style)
Box and Kick Exercise (Thai Boxing)
It is a good exercise for Parkinson Patient. I am taking this Box and Kick Exercises (Thai Boxing) for two and half years in my fitness centre. I engage a trainer to guide me two times a week and each training last for a hour. It is advisable to engage a trainer as PD patients would find difficulty to do box and kick exercises as it involves your body balance and mobility. It trains your endurance and flexibility.
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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Fri Feb 29, 2008 1:09 pm Post subject:
This is probably too rigorous for most patients, but as long as you have assistance and are not pushing too hard I think it is great you do this._________________Michael S. Okun, M.D.
It is a good exercise for Parkinson Patient. I am taking this Box and Kick Exercises (Thai Boxing) for two and half years in my fitness centre. I engage a trainer to guide me two times a week and each training last for a hour. It is advisable to engage a trainer as PD patients would find difficulty to do box and kick exercises as it involves your body balance and mobility. It trains your endurance and flexibility.
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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Fri Feb 29, 2008 1:09 pm Post subject:
This is probably too rigorous for most patients, but as long as you have assistance and are not pushing too hard I think it is great you do this._________________Michael S. Okun, M.D.
Can Exercise do for Parkinson's Patients what medicine can't
Can exercise do for parkinson's patients what medicine can't
Besides exercises medication are important for PD patients. Medications help you to relieve your body movement and mobility as to help you during exercises. Both are related. Consistencies, persistences, dsciplines towards exercises besides medication are the key for you to combat the diseases. I spend nearly three years in the fitness centre three hours daily in gym exercises classes except Sunday I finally combat the disease. I do not look like Parkinson's Patient as told by my neurologlist, fitness members and instructors. Besides I engage two personnel trainers to align my body posture and do strectching my stiffness muscles. I do Box and Kick exercises and cardio as well as weights lifting two times a week and last an hour to train my endurance and flexibility. It is hard work.
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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Fri Feb 29, 2008 1:07 pm Post subject:
There are a lot of recent studies and ongoing studies showing the benefits of exercise. Exercise is like a drug in PD and it seems to change neural networks in potentially meaningful
Joined: 03 Mar 2007Posts: 74Location: Malaysia
Posted: Wed Mar 05, 2008 7:02 am Post subject:
Dear Mr Teo
Both medications and regular physical exercise are helpful - they complement each other in the treatment of PD. Exercise helps to maintain body fitness. For the purpose of carrying out regular exercise, the PD patient should be taking adequate dose of medications (obviously). A common observation in Malaysia is that there are many PD patients who do not carry out physical exercise simply because they are under-medicated. In our country, the treatment of PD is rather conservative - the total daily dose of medications is relatively low compared with other countries. This is a pity because without adequate dose of medications, many of our PD patients are deprived of activities such as physical exercise, driving, etc. Dr Chew Nee Kong, Kuala Lumpur._________
Besides exercises medication are important for PD patients. Medications help you to relieve your body movement and mobility as to help you during exercises. Both are related. Consistencies, persistences, dsciplines towards exercises besides medication are the key for you to combat the diseases. I spend nearly three years in the fitness centre three hours daily in gym exercises classes except Sunday I finally combat the disease. I do not look like Parkinson's Patient as told by my neurologlist, fitness members and instructors. Besides I engage two personnel trainers to align my body posture and do strectching my stiffness muscles. I do Box and Kick exercises and cardio as well as weights lifting two times a week and last an hour to train my endurance and flexibility. It is hard work.
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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Fri Feb 29, 2008 1:07 pm Post subject:
There are a lot of recent studies and ongoing studies showing the benefits of exercise. Exercise is like a drug in PD and it seems to change neural networks in potentially meaningful
Joined: 03 Mar 2007Posts: 74Location: Malaysia
Posted: Wed Mar 05, 2008 7:02 am Post subject:
Dear Mr Teo
Both medications and regular physical exercise are helpful - they complement each other in the treatment of PD. Exercise helps to maintain body fitness. For the purpose of carrying out regular exercise, the PD patient should be taking adequate dose of medications (obviously). A common observation in Malaysia is that there are many PD patients who do not carry out physical exercise simply because they are under-medicated. In our country, the treatment of PD is rather conservative - the total daily dose of medications is relatively low compared with other countries. This is a pity because without adequate dose of medications, many of our PD patients are deprived of activities such as physical exercise, driving, etc. Dr Chew Nee Kong, Kuala Lumpur._________
Monday, March 3, 2008
Live to eat or eat to live?
Live to eat or eat to live?
Which one come first?_________________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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')
Archie DukeJoined: 12 Aug 2007Posts: 134
Posted: Sat Feb 09, 2008 8:32 am Post subject:
If you don't take care of what you eat, you won't live.
Which one come first?_________________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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')
Archie DukeJoined: 12 Aug 2007Posts: 134
Posted: Sat Feb 09, 2008 8:32 am Post subject:
If you don't take care of what you eat, you won't live.
Do you challenge your doctor?
Post subject: Do you challange your doctor?
Doctors are human and human sometime make mistakes. Some doctors are good and some are bad. Let us share your experience "do you challange your doctor"? I have so far changed three neurologists. The first and second diagnosed me as age agiing and the third one diagnosed me as Parkinson's patient. It is not too late for me as I have battled the disease as I have a good neurologlist Dr. Chew for his excellent medications._________________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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Rogerstar1Joined: 14 Mar 2007Posts: 234
Posted: Wed Feb 27, 2008 10:04 am Post subject:
Hi Teokimhoe: While I have not challenged my PD neurologist 'pill juggler' as new aches and pains have presented over the past twelve months in terms of distonia, arthritis, ulnar tunnel syndrome(?), carpel tunnel, a pinched nerve I discover I have outstrippped medical delivery systems and Drs who are not in communication. One set of x rays don't illuminate adequately for all physicians. They all need a unique set. Dr visits becsome a full time job and clear answers seem just as elusive. Alas...there is no cure after all. Best to you in Malaysia fr. Rogerstar.
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Rogerstar1Joined: 14 Mar 2007Posts: 234
Posted: Fri Feb 29, 2008 12:13 am Post subject:
....further, medication adjustment is near hope and prayer based anyway. Frequently I, as the pateint have been hard pressed to tell the Dr. two or three weeks after beginning the regimen whether I felt any different. The jolt of Simemet from a standstill or an aspirin in quelling a headache is not to be found in other PD drugs whose influence, if at all, is far more subtle. There is placbo and pschosomatic effect to rule out and then try an formulate an objective point of view whether its the new med or emotional state on the day of the appointment that is making you feel nominally better. The Dr can't realy help you make a determination. Mine rarly sees me medicated to the same level in successive appointments. I rather doubt she could recall from week to week anyway. Make and bring videos to the appointment for Dr to see? I prefer just going with my gut feeling. As long as I have my mental faculties Dr appears willing to follow my wishes to make decisions. I'm wondering if a second try of each med that 'didn't' work is tried one last time before brain surgerys. Not that I contemplate going that way. In the medication adjustment games, a neurologist willing to authorize from her offce directly to my pharmacy is a big help. Her difficult staff and CVS Pharamacy make it as difficult as possible I think sometimes. Medicaire Part C ( prescriptions?) can also be a hassle. To conclude, I can't imagine arguing with my Dr. over what med to take or try. It also must be very difficult for caregiviers to to make these descions for advanced patients who don't communicate well. R.
Doctors are human and human sometime make mistakes. Some doctors are good and some are bad. Let us share your experience "do you challange your doctor"? I have so far changed three neurologists. The first and second diagnosed me as age agiing and the third one diagnosed me as Parkinson's patient. It is not too late for me as I have battled the disease as I have a good neurologlist Dr. Chew for his excellent medications._________________to help the PD patients aware the diseases and encourage to set up support groups to educate the patients and their immediate families
Back to top
Rogerstar1Joined: 14 Mar 2007Posts: 234
Posted: Wed Feb 27, 2008 10:04 am Post subject:
Hi Teokimhoe: While I have not challenged my PD neurologist 'pill juggler' as new aches and pains have presented over the past twelve months in terms of distonia, arthritis, ulnar tunnel syndrome(?), carpel tunnel, a pinched nerve I discover I have outstrippped medical delivery systems and Drs who are not in communication. One set of x rays don't illuminate adequately for all physicians. They all need a unique set. Dr visits becsome a full time job and clear answers seem just as elusive. Alas...there is no cure after all. Best to you in Malaysia fr. Rogerstar.
Back to top
Rogerstar1Joined: 14 Mar 2007Posts: 234
Posted: Fri Feb 29, 2008 12:13 am Post subject:
....further, medication adjustment is near hope and prayer based anyway. Frequently I, as the pateint have been hard pressed to tell the Dr. two or three weeks after beginning the regimen whether I felt any different. The jolt of Simemet from a standstill or an aspirin in quelling a headache is not to be found in other PD drugs whose influence, if at all, is far more subtle. There is placbo and pschosomatic effect to rule out and then try an formulate an objective point of view whether its the new med or emotional state on the day of the appointment that is making you feel nominally better. The Dr can't realy help you make a determination. Mine rarly sees me medicated to the same level in successive appointments. I rather doubt she could recall from week to week anyway. Make and bring videos to the appointment for Dr to see? I prefer just going with my gut feeling. As long as I have my mental faculties Dr appears willing to follow my wishes to make decisions. I'm wondering if a second try of each med that 'didn't' work is tried one last time before brain surgerys. Not that I contemplate going that way. In the medication adjustment games, a neurologist willing to authorize from her offce directly to my pharmacy is a big help. Her difficult staff and CVS Pharamacy make it as difficult as possible I think sometimes. Medicaire Part C ( prescriptions?) can also be a hassle. To conclude, I can't imagine arguing with my Dr. over what med to take or try. It also must be very difficult for caregiviers to to make these descions for advanced patients who don't communicate well. R.
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