Cognitive and Non-motor Symptoms of Parkinson's Disease
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- Опубликовано: 21 апр 2015
- Benzi M. Kluger , MD, MS is an Assistant Professor of Neurology and Psychiatry at the University of Colorado Denver. In this Living Well Challenge webisode, Dr. Kluger discusses how cognitive and non-motor Parkinson's symptoms affect quality of life and how they can be treated medically or with behavior modification or non-medical therapies. Depression, sleep disturbances, fatigue, social isolation compulsive behavior are all addressed. People with Parkinson's, their care partners and loved ones can all benefit from Dr. Kluger's recommendations.
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My father had Parkinson’s, it paralyzed him. He had most the symptoms you described but was never diagnosed with Parkinson’s till in one day he could not move , eat, nor talk, then a neurologist diagnosed him after which I learned it ran in our family thru great grandfathers an distant cousins but not our down line then all these symptoms which seemed to be separate, all made sense, he should have been treated for Parkinson’s years ago but was not, he even had tremors in his hands at one point, then it stoped? Till he was not able to move, talk, in one day, he lived for four years after that day, as his caretaker it would have been nice to have a support group an doctors that understand his disease, it still upsets me now when I watch an learn how much info is now available an how my dad could have been helped better instead of dealing with stuff that just happened in a day without any warning. The medical field really need to get it together so ppl do not fall through the cracks an miss valuable treatment. Such as my dad. An he was a welder as if that did not increase the chances of Parkinson’s. I only wish I knew then what I know now.
Once again, this is Dave Olsen you talk on the nonmotor symptoms was very good. I got a lot of insight. Thank you so much for all that you do. I asked the question recently right above this one and I hope you can give me an answer. Thank you so so much. It’s nice to hear that people are thinking of us, this is life-threatening but it’s extremely annoying and it affects me every day. Thanks again for all that you do.
You need to get to the exercises immediately
Very informative, thanks!
Amazing! No words
Excellent presentation ... !
That was excellent !,,
Thank you!
Thanks a lot for this upload!
A family member was diagnose one year ago and this video was very helpful.
Shinobi Engineer kk
Absolutely inspirational - so moving , left me in floods of tears but also with the resolve to stay as fit as possible.
Your are so right my friend.
Learning all you can about PK is the beginning to managing effective caregiving for a loved family member. thank you. This helped with understanding non-motor symptoms.
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@@waynee.rogers3819
My wife is having Parkinson's from four years . She can not stand or walk. Having three Sandopa plus daily. Please advise. You suggest DBS . It will help her ?
@@waynee.rogers3819 1
Thanks Benzi, Mother got PD, it explains everything for me as a caregiver
I have Parkinson for 15 years with only medication to take care of symptoms. No drooling but I have a feeling of throat dryness. Gait is ok for now but there is less of urination
Cognitive problems are beginning were a memory problem
I have a thinking problem, dementia started. But the major problem I have is that I am permanently in depression (bipolar.). I have no job, used all my resources and am worried. I am in India( Faridabad) and i am looking for assistance.
Excellent information! Thank You.
I was thinking about the
Other symptoms 😂😂
and found this very helpful😊
This was very helpful. I have PD and have prisms in both lenses. I have illusions and several other things you talked about. It will help me with my next neurologist appointment.
Felt better after listening. Thank you.
I want to appreciate Dr.Madida from youtube whom helped me reversed all the neurological symptoms of Parkinson disease.
Great presentation but could not see the slides
We also find value in this presentation from Dr. Kluger, but yes, unfortunately we were unable to include the slides in the video due to practical limitations on the day the presentation was recorded.
This was a good overview. As a caregiver, the problems that I’ve found the most difficult to deal with is the Apathy (getting him to exercise), the impulse control disorder (overspending and accumulating mounds of credit card debt due to multiple subscriptions), and coping with his incontinence which I’m not sure about. Is incontinence related to the Parkinson’s dementia? He had the prostate obstruction surgery so that is not an issue now. The other difficult issues which I dealt with was a complete lack of filtering what he will say. He is so negative now compared to how he used to be. Is that the dementia? I was in such denial about what was taking place because he seemed to function cognitively well at times. He has the best docs, the best doses of meds, and the best medical care. I have been through many of the phases of the disease you have discussed but the dementia has been so insidious and devastating to him and myself, emotionally and financially. I wish doctors would pull the caregiver aside and explain this more when they see it.
Thank you for watching, Margaret. It sounds like your husband has a lot of the symptoms that makes Parkinson's so challenging - apathy, impulse control disorders, and cognitive decline/dementia. You have a lot on your plate. Here are a few resources about apathy, urinary issues, dementia, and impulse control disorders (ICDs).
Apathy - davisphinneyfoundation.org/parkinsons-and-apathy-a-primer
ICD - davisphinneyfoundation.org/impulse-control-disorders-and-parkinsons-what-they-are-and-how-to-manage-them/
Dementia - davisphinneyfoundation.org/dementia-and-later-onset-parkinsons-2
Urinary Issues - davisphinneyfoundation.org/urinary-dysfunction-parkinsons
Pplm....
Excrllent!
My depression & anxiety is very bad. Brain fog, all over body exhaustion. Easily irritated. Had to go down at work just 4 nights a wk. On maximum dose of meds on it. My vision is going fast. I can barely see to drive anymore. All over body pain. Very stiff.
Parkinson symptoms before diagnosed: extreme premature ejaculation ,low sex drive ,low libido
My name is David a Olsen. I’ve had Parkinson since 2017 but my eye movement is very bad. It’s always been bad since I was very young I can’t move my eyes don’t move by themselves left or right or up and down. I must move my head that’s why reading is very difficult for me along with the other symptoms. It’s very annoying because when I’m driving or reading, my eyes don’t move down to the next line. Sometimes I start rereading the same line. Is there any thing you can help me with? I have glasses now they help somewhat but it’s really not doing what I need for my problem. Is there any help or advice you can give me thank you very much.
Thanks for your question. Vision issues are common in Parkinson's, and you might benefit from visiting a neuro-ophthalmologist. Your regular eye doctor can help you connect with one of these providers near you. This site may help, too: www.nanosweb.org/i4a/memberDirectory/index.cfm?directory_id=3&pageID=3390
As for specific things you can do to help you read: Consider keeping a journal to note whether reading is easier when your medication is at peak effectiveness and your other symptoms are more effectively managed. The very precise movements required to read can be affected just as the fine motor control involved in tying shoes or buttoning buttons can be affected. It may also be helpful to read using an e-reader or a computer screen on which you can make the font larger (and therefore the movements of your eyes can be bigger). Also try to use lubricating eye drops before you read or drive; this, too, can make it easier for your eyes to move more smoothly.
This video may be helpful, as well: ruclips.net/video/8z-kx3BVCIw/видео.html
And please reach out to us at blog@dpf.org if we can be of any additional help!
My father has Parkinson's. It's sort of unfair because he was an alcoholic his whole life so he's quite good at playing the victim when it was unwarranted. Now, he's got a legitimate disorder and if the speaker says "depression is as much a part of the disease as the motor disfunction" so now he's a legit victim. Anyone know about connections to alcoholism (and the entourage effects of malnutrition/ laziness/ toxicity from binge drinkng)?
This may help, ruclips.net/video/akuAUvYpZ6U/видео.html
So he was medicating himself? I hope you all find a way
I know it’s a lot of inflammation
If you read literature, it says alcohol and cocaine increase the risk.
You are commenting on a video being watch by many of us with parkinsons, many of us who were highly motivated (PhD), exercising (lifting, half marathon), and consuming nutrient rich foods. Statistically there are exponentially more alcoholic folks than those who develop parkinsons. In fact the years my underlying disease was developing and I started experiencing the non motor symptoms I was told how healthy I was and too young, it was all the stress.
I can see how your painful experiences can look like causal relationships, just as I can look at myself and question how this happened to me. I know now much of it was out of my control in terms of genetics and my fathers drafted military service exposures.
We are all different. I'm sorry your dad disappointed you. He likely also has a similar mix and was pushed to his limits.
@@CF-wn2ce looking back on this comment, I was in a pinch emotionally and posting with some vitriol. your salients are appreciated and from all I’ve learned since posting, a judicious reconciliation of the reality I’ve been exposed to regarding Parkinson’s. My exact frustration as I remember was my father had said all of his doctors never mentioned alcohol being linked. So he could keep drinking. Still does to this day but i’ve learned to let go. It’s possible my dad was not being fourthcoming with doctor’s orders but maybe not. I’ve struggled to find data linking alcohol to Parkinson’s other than plausible bits I catch about inflammation/ neurodegenerative effects and alcoholics having shrunken brains. Thank you for your input and do you have any googleable resources on anything you may think would assist me? I seem to find lots of studies showing no link. Any meta studies would help.
So I see VA doctors and am medicated 25/250 4 times a day uhm I keep hearing about medical teams uhm mine don't seem to talk to everyone and I worry about the drugs they have me on, aside from Parkinson's I have esophagus cancer and ulcers just wondering about absorption of medication, any help would be appreciated
Here's an article that describes some factors related to medication absorption: onlinelibrary.wiley.com/doi/10.1111/ene.15734#:~:text=GI%20barriers%20to%20levodopa%20transport,can%20further%20alter%20levodopa%20pharmacokinetics
There are many things related to the digestive process that can affect absorption, and one way you can check to see if the "team" has access to the same information is to ask if they all use the same medical record system. Pharmacists can also be helpful: its easy to skip by the question "do you have any questions" when you pick up medications, but if you have any concerns about medication related interactions, this can be a good way to start to get answers. It can also help to bring a list of ALL medications and supplements you take to every appointment.
My name is James white Houston tax
I have Parkinson’s disease for 10 years.
I like to mess with people and tell them I have a “photogenic memory”.
My boyfriend was prescribed a medicarion for Parkinsons that caused him such anxiety and depression. He killed himself on 09-14-22. He didn' t have any symptoms but slight shaking of one of his hands. He was on a medication that was working. New Dr. decided to add this. I saw drastic change in his personality.
I'm so sorry this happened. I wish more people (both the person with Parkinson's, the family and all the treating providers) knew more about the non-motor symptoms.
My husband has got Parkinsons he was prescribe a common medicine. He took one tablet within hours he was in a very bad depressed state it took six days to get back to normal. He’s vowed not to take any medicines. I’m certain that if he had carried on regardless the out come would have been very different. My heart goes out to you and what happened. Xx
@@peterremnant9362 thank you.
Would be helpful if we knew what drugs.
Can you tell me the name of the drug that caused such terrible side effects?
I have a DPS for about 5 years
Going to have a BM has on sight
The pi’s on the brain
PARKINSON. Dr Kluger
⁵⁵⁵ the Doctor is the
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