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Re: National Database/Dee

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Dee, I agree with your comments re the Barrow.  Dr. Holly Shill, the 'Chief
Investigator" WAS  going to be my neuro, but dropped me when I had to 
cancel
my first appt due to inability to get there.  I was originally referred to
Dr.Mark Stacey who went to Vanderbilt University shortly before I moved to
AZ.  I'm going to the AZ Medical Clinic near my home and Dr. Pagano is my
neuro.  Apparently specialists are in short supply here in AZ.  After 
almost
4 months I finally got this appt with him last week.

Do you live in AZ?
Ray---- Original Message -----
From: "Dolores Buente" <Annieann12345@xxxxxxx>
To: <PARKINSN@xxxxxxxxxxxxxxxxxxxx>
Sent: Monday, April 25, 2005 6:02 AM
Subject: Re: Training document for MD's - National Database


Thank you Ray and Linda for your information concerning the Barrow
Neurological Institute's data base and the California Parkinson's Disease
Registry.
While I am not familiar with California's registry, I am participating in
the
Barrow database program and have twice now filled out their questionnaire.
I
believe the first time I completed their questionnaire was about 6 months
ago.  I
just completed and submitted their most recent questionnaire a few days
ago.

while I feel that the Barrow's questionnaire serves a purpose in gathering
data that is pertinent to people living with Parkinson's disease I feel
that it
falls very short in asking personal history questions that could determine
a
link between environmental/genetic causes of Parkinson's.

Upon completing the 'first round' questionnaire, I notified the staff at
Barrow's that I thought  their survey was lacking in this respect.  They
responded
that they were attempting to refine and improve their project and it would
take some time to make needed changes.  Upon completing the 'second round'
questionnaire (which I thought was an improvement over the first) my
comments to
Barrow's were that I still think that the survey questions lean toward
information gathering that better serves pharmaceutical/physician interest
over PD
cause/cure interest.

I've printed a copy of my completed questionnaire and will keep it on file
so
that I will have a reference to future questionnaires.  I am hoping that,
in
time, we will be seeing questions on the survey that will pertain to
lifelong
personal history data gathering such as
a)  chemicals that you've been exposed to/or worked with.
b)  trauma to the head (any incidents that have occurred since infancy)
and
any serious symptoms as a result of the injury.
c)  viral or bacterial infections since infancy (herpes infection,
whooping
cough, polio, encephalitis, etc.)
d)  family members who have/have had neurological disorders (Parkinson's
disease, essential tremor, epilepsy, Alzheimer's, Huntington's disease,
etc.)
e)  age at which symptoms of Parkinson's disease presented and factors
that
influenced your life prior to/or at the time the symptoms presented.  (
stress,
trauma (either emotional or physical)  menopause, illness, surgical or
medical procedure which involved anesthetics, work or leisure activities
that
involved use of pesticides or chemical agents.

I'm sure this list could be expanded greatly by experts in the field of
Parkinson's research and I feel that these are the type of questions we
should be
addressing rather than "Does your pharmaceutical health plan cover generic
or
brand name drugs?"  "What is your co-pay?"  "What is your yearly income?"
"How
far do you travel to attend aquatics classes?"

I hope that this post does not sound cynical or unappreciative. This type
of
research is very important to the Parkinson's community and I am grateful
for
its implementation.  I just think that there is room for improvement and
that
this tool can have immense power in answering important questions about
Parkinson's disease if it is used to its fullest potential.

Dee

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