I am doing well with Requip 4 mg / 4 mg / 2 mg, Sinemet one / half / half and Selegiline 5 mg bd. My blood pressure is no longer low. In fact it has gone up to 150 / 80 in the late evening. In the evening, I also feel tired and tense. I know that my Parkinson's is well controlled, but I am often worried about the possibility of recurrence of TIA. I can fall asleep easily with Lorazepam 1.5 mg at night, but often wakes up early (4 am). After that, I can't fall asleep anymore. Kindly advise.
Posted: Sun Jun 08, 2008 11:15 am Post subject:
I have no further tips on TIA's and PD and I would refer you to your general doc and your neurologist for an in person discussion. Good luck._________________Michael S. Okun, M.D.
Joined: 02 Mar 2007Posts: 470Location: MI
Posted: Mon Jun 09, 2008 6:23 am Post subject:
Dear Teo Kim Hoe, Welcome to the 4:00 am club, I was there for a while. See if your doctor might prescribe a sleeping pill rather than the lorazepam. Lunesta works for me--I'm now in the 6:00am club! I don't know if your Selegiline limits your choices, but you seem to have a good doctor who will know. Best wishes, Sue W.
Sunday, June 8, 2008
Friday, June 6, 2008
DBS Surgery
Dear Dr. Chew,
Kindly enlighten me the risks of DBS Surgery:-
What kind of risks the patients taking after they received the DBS Surgery?
What kind the risk the patient taking during the DBS Surgery?
What is the successful rate?
After the DBS Surgery do the patients continue the PD medication?
Thanks
Teo Kim Hoe
Kindly enlighten me the risks of DBS Surgery:-
What kind of risks the patients taking after they received the DBS Surgery?
What kind the risk the patient taking during the DBS Surgery?
What is the successful rate?
After the DBS Surgery do the patients continue the PD medication?
Thanks
Teo Kim Hoe
Thursday, June 5, 2008
Seroquel and Paroxetine
Dear Mr Teo Seroquel helps to treat hallucination and abnormal thought process (paranoia). Paroxetine is a medication that helps elevate the mood (anti-depressant). DR Chew
Date: Mon, 2 Jun 2008 18:32:16 -0700From: teokimhoe@yahoo.comSubject: seroquel and ParoxetineTo: nkchew33@hotmail.com
Dear Dr. Chew,
Is there any difference on treatment between Seroquel and Paroxetine hydrochloride medication?
Kindly elaborate
TeoKimHoe
Date: Mon, 2 Jun 2008 18:32:16 -0700From: teokimhoe@yahoo.comSubject: seroquel and ParoxetineTo: nkchew33@hotmail.com
Dear Dr. Chew,
Is there any difference on treatment between Seroquel and Paroxetine hydrochloride medication?
Kindly elaborate
TeoKimHoe
Deep Brain Stimulation Surgery
Dear Mr Teo Brain surgery (Deep Brain Stimulation) is an effective treatment for Parkinson's patients. It does not cure PD, but the quality of life of Parkinson's patients is improved, as well as the symptoms (slowness of movement, tremor) and dyskinesia. The benefit of DBS has been observed to last up to seven to ten years after surgery. Yes, DBS is a hot topic nowadays because its discovery has been one of the most dramatic advances in medicine. Timing of surgery is an important issue. DBS is generally indicated for patients who are in the advanced stage of illness (i.e. beyond 10 to 15 years of illness), when the quality of life is significantly impaired despite maximal medications. However, for the relatively young Parkinson's patients (age < 50) who are still working, DBS may be carried out at an earlier stage of illness (i.e. less than ten years of illness). This is because for these young patients, one of the main objective of DBS is to help maintain their careers. Realizing that DBS is an essential treatment for PD, we have set up the Lloyd Tan Trust Fund (Lloyd Tan was the founding father of the Malaysian Parkinson's Disease Association, who passed away in 2007) in May 2008, which helps to provide financial assistance for patients opting for DBS. Dr Chew Nee Kong, Kuala Lumpur.
Dear Dr.Chew,
Brain surgery in Parkinson's is stranger for everbody,'
It is frighten. It becomes a hot topic in the brain surgery world. It is a new surgery for PD patient to slowdown the PD from its progression as the PD medication are not helpful for them.
Besides Brain surgery there are deep simulation and brain cell transplatation.
Kindly elaborate
How long for a PD patient to live after doing the surgery?
At what age and stage of PD are suitable for the Brain Surgery?
How would lead them a good quality life after the surgery as it does not cure PD?
TEOKIMHOE
Posted: Sun Jun 08, 2008 11:12 am Post subject:
We have a complete forum on surgery at www.parkinson.org- called ask the surgical team. We update new surgeries on the What's Hot column. There is a free book from NPF at www.parkinson.org on DBS. DBS is the approved therapy but it is only for a minority of well selected and well screened patients performed at experienced centers. Duodopa is a dopamine pump, spheramine is a transplantation therapy and there are a few viral gene therapies, and other experimental surgeries being done...for research only!_________________Michael S. Okun, M.D
Dear Dr.Chew,
Brain surgery in Parkinson's is stranger for everbody,'
It is frighten. It becomes a hot topic in the brain surgery world. It is a new surgery for PD patient to slowdown the PD from its progression as the PD medication are not helpful for them.
Besides Brain surgery there are deep simulation and brain cell transplatation.
Kindly elaborate
How long for a PD patient to live after doing the surgery?
At what age and stage of PD are suitable for the Brain Surgery?
How would lead them a good quality life after the surgery as it does not cure PD?
TEOKIMHOE
Posted: Sun Jun 08, 2008 11:12 am Post subject:
We have a complete forum on surgery at www.parkinson.org- called ask the surgical team. We update new surgeries on the What's Hot column. There is a free book from NPF at www.parkinson.org on DBS. DBS is the approved therapy but it is only for a minority of well selected and well screened patients performed at experienced centers. Duodopa is a dopamine pump, spheramine is a transplantation therapy and there are a few viral gene therapies, and other experimental surgeries being done...for research only!_________________Michael S. Okun, M.D
Tuesday, June 3, 2008
Blood sample on patients
Posted: Mon Jun 02, 2008 5:35 pm Post subject: Blood sample on patients
There would be a "blood sample" on antioxdant and vitamins & mineral profile as well as hormone therapies on patients who receive the treatment on appointment. TEOKIMHOE
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Kathrynne Holden, MS, RDJoined: 22 Jan 2007Posts: 94Location: www.nutritionucanlivewith.com
Posted: Tue Jun 03, 2008 8:45 am Post subject:
Dear Teokimhoe, I am certain that any physician prescribing hormone therapy would do so on the basis of thorough labwork and any other appropriate tests. You state that your doctor is monitoring your progress, which is sound medical practice. It appears that you are in very good care, congratulations
There would be a "blood sample" on antioxdant and vitamins & mineral profile as well as hormone therapies on patients who receive the treatment on appointment. TEOKIMHOE
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Kathrynne Holden, MS, RDJoined: 22 Jan 2007Posts: 94Location: www.nutritionucanlivewith.com
Posted: Tue Jun 03, 2008 8:45 am Post subject:
Dear Teokimhoe, I am certain that any physician prescribing hormone therapy would do so on the basis of thorough labwork and any other appropriate tests. You state that your doctor is monitoring your progress, which is sound medical practice. It appears that you are in very good care, congratulations
A Miracle by Rev.John Kok
Words by Mr Teo’s Pastor
Rev John Kok
I have known Mr Teo Kim Hoe for almost 18 years. He started attending Kuala Lumpur Baptist Church with his family the time I was appointed as the Pastor-in-charge of the Church in 1989. He together with his wife, were baptized in our church on April 11, 1993. They were faithful and God’s loving members of the church. They even opened their house for a Care Group to meet and I was the leader of that group. Even now, even though I am no longer the leader of their Care group, his house is still open for the Care Group to meet once a week.
I know Mr Teo very well as we share, talk and have many meals together. He has a strong faith in God and is a very optimistic person which came in handy when in his later years he was diagnosed as having Parkinson disease. He did not allow it to affect him personally or in his service to God. He began to do his own study and discovery about Parkinson disease which later he was encouraged by his doctor to start his own blog to share his own experiences how he fought his own Parkinson disease. Often time he would forward to me his article to read and also to pray for him.
Just a few months back I received a call from his wife informing me that he had a minor stroke and was admitted to the hospital. My wife and I rushed to the hospital to visit him and was surprised that he could still be in his jovial self to talk about his condition and his excitement about writing his book on Parkinson disease to encourage people. He never stopped talking despite us and his family telling him to stop and to rest. We prayed for him and all his Care Group members also prayed for him when they heard that he was admitted to the hospital. God is good. He heard our prayers and Mr Teo was discharged from the hospital the next day. It was a miracle and even his doctor said it was a miracle he could recover so fast.
Today Mr Teo is still driving around town and still the optimistic and confident person I knew when he first came to the church. I pray that his book will be an encouragement to all who read it on how God can use someone like him without any medical knowledge of Parkinson disease to be a blessing to many.
Rev John Kok
I have known Mr Teo Kim Hoe for almost 18 years. He started attending Kuala Lumpur Baptist Church with his family the time I was appointed as the Pastor-in-charge of the Church in 1989. He together with his wife, were baptized in our church on April 11, 1993. They were faithful and God’s loving members of the church. They even opened their house for a Care Group to meet and I was the leader of that group. Even now, even though I am no longer the leader of their Care group, his house is still open for the Care Group to meet once a week.
I know Mr Teo very well as we share, talk and have many meals together. He has a strong faith in God and is a very optimistic person which came in handy when in his later years he was diagnosed as having Parkinson disease. He did not allow it to affect him personally or in his service to God. He began to do his own study and discovery about Parkinson disease which later he was encouraged by his doctor to start his own blog to share his own experiences how he fought his own Parkinson disease. Often time he would forward to me his article to read and also to pray for him.
Just a few months back I received a call from his wife informing me that he had a minor stroke and was admitted to the hospital. My wife and I rushed to the hospital to visit him and was surprised that he could still be in his jovial self to talk about his condition and his excitement about writing his book on Parkinson disease to encourage people. He never stopped talking despite us and his family telling him to stop and to rest. We prayed for him and all his Care Group members also prayed for him when they heard that he was admitted to the hospital. God is good. He heard our prayers and Mr Teo was discharged from the hospital the next day. It was a miracle and even his doctor said it was a miracle he could recover so fast.
Today Mr Teo is still driving around town and still the optimistic and confident person I knew when he first came to the church. I pray that his book will be an encouragement to all who read it on how God can use someone like him without any medical knowledge of Parkinson disease to be a blessing to many.
Unsafe Vitamin supplements and hormone therapies
Posted: Sun Jun 01, 2008 4:26 pm Post subject: Unsafe Vitamin supplements and Hormone thereapies?
Dear Doctor, Why some vitamins supplement and Hormone therapy aree unsafe for taking for a certain times? There are sideeffect that cause your Blood Pressure level and others and to be monitored by doctor regulary.I am one of the sufferers. Kindly brief them Thanks TEOKIMHOE
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Kathrynne Holden, MS, RDJoined: 22 Jan 2007Posts: 94Location: www.nutritionucanlivewith.com
Posted: Sun Jun 01, 2008 6:21 pm Post subject:
Dear Teokimhoe, You need to be more specific. Please list the particular vitamins, supplements, and hormone therapies of concern to those with PD and I will answer if able._________________Best regards, Kathrynne Holden, MS, RD -- For a Parkinson Tip of the Day visit: http://www.nutritionucanlivewith.com/
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Anonymous
Posted: Sun Jun 01, 2008 8:26 pm Post subject: Vitamin supplements and Hormone therapies
The Hormone therapies are DHEA-S, PSA,Testosterine,Estradiol,Free T3,T4 and TSH. Vitamin supplements and mineral are Boron, Chromium (blood),Copper(blood), Manganese, Vanadium, ,Selenium, Zine(blood). The Doctor has to monitor the BP level on patients who recieve the treatment. Sideeffect would be on patients for certain times. Kindly eleborate TEOKIMHOE
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Kathrynne Holden, MS, RDJoined: 22 Jan 2007Posts: 94Location: www.nutritionucanlivewith.com
Posted: Mon Jun 02, 2008 6:21 am Post subject:
Dear Teokimhoe, Some hormones may cause edema (fluid retention in the tissues) which can increase blood pressure; thyroid hormone can have many possible side effects, including a rise in blood pressure. The minerals you name would not ordinarily be expected to cause a rise in blood pressure; I assume your doctor is monitoring your overall condition and considers these a factor. PSA, as I understand it here in the west, is not a hormone, but the name of a laboratory test called Prostate Specific Antigen. T3 and T4 are also the names of tests, used to determine thyroid function, not hormones._________________Best regards, Kathrynne Holden, MS, RD
Posted: Mon Jun 02, 2008 5:18 pm Post subject: Unsafe Vitamin supplements and Hormone thereapies?
I also do not routinely recommmend heavy metals (copper, manganese) to my Parkinson's patients. There is no firm evidence that this treatment helps in Parkinson's. In fact, exposure to heavy metals is known to be one of the predisposing factors for Parkinson's. Dr Chew Nee Kong, Kuala Lumpur
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Anonymous
Posted: Mon Jun 02, 2008 5:21 pm Post subject: Unsafe Vitamin supplements and Hormone thereapies?
Dear Mr Teo I am not sure whether these hormone therapy has any effect of lowering your blood pressure. But what is certain is that I do not recommend such treatment to my patients if they do not have any hormonal disorder. Dr Chew Nee Kong, Kuala Lumpur
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Dear Doctor, Why some vitamins supplement and Hormone therapy aree unsafe for taking for a certain times? There are sideeffect that cause your Blood Pressure level and others and to be monitored by doctor regulary.I am one of the sufferers. Kindly brief them Thanks TEOKIMHOE
Back to top
Kathrynne Holden, MS, RDJoined: 22 Jan 2007Posts: 94Location: www.nutritionucanlivewith.com
Posted: Sun Jun 01, 2008 6:21 pm Post subject:
Dear Teokimhoe, You need to be more specific. Please list the particular vitamins, supplements, and hormone therapies of concern to those with PD and I will answer if able._________________Best regards, Kathrynne Holden, MS, RD -- For a Parkinson Tip of the Day visit: http://www.nutritionucanlivewith.com/
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Anonymous
Posted: Sun Jun 01, 2008 8:26 pm Post subject: Vitamin supplements and Hormone therapies
The Hormone therapies are DHEA-S, PSA,Testosterine,Estradiol,Free T3,T4 and TSH. Vitamin supplements and mineral are Boron, Chromium (blood),Copper(blood), Manganese, Vanadium, ,Selenium, Zine(blood). The Doctor has to monitor the BP level on patients who recieve the treatment. Sideeffect would be on patients for certain times. Kindly eleborate TEOKIMHOE
Back to top
Kathrynne Holden, MS, RDJoined: 22 Jan 2007Posts: 94Location: www.nutritionucanlivewith.com
Posted: Mon Jun 02, 2008 6:21 am Post subject:
Dear Teokimhoe, Some hormones may cause edema (fluid retention in the tissues) which can increase blood pressure; thyroid hormone can have many possible side effects, including a rise in blood pressure. The minerals you name would not ordinarily be expected to cause a rise in blood pressure; I assume your doctor is monitoring your overall condition and considers these a factor. PSA, as I understand it here in the west, is not a hormone, but the name of a laboratory test called Prostate Specific Antigen. T3 and T4 are also the names of tests, used to determine thyroid function, not hormones._________________Best regards, Kathrynne Holden, MS, RD
Posted: Mon Jun 02, 2008 5:18 pm Post subject: Unsafe Vitamin supplements and Hormone thereapies?
I also do not routinely recommmend heavy metals (copper, manganese) to my Parkinson's patients. There is no firm evidence that this treatment helps in Parkinson's. In fact, exposure to heavy metals is known to be one of the predisposing factors for Parkinson's. Dr Chew Nee Kong, Kuala Lumpur
Back to top
Anonymous
Posted: Mon Jun 02, 2008 5:21 pm Post subject: Unsafe Vitamin supplements and Hormone thereapies?
Dear Mr Teo I am not sure whether these hormone therapy has any effect of lowering your blood pressure. But what is certain is that I do not recommend such treatment to my patients if they do not have any hormonal disorder. Dr Chew Nee Kong, Kuala Lumpur
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