Re: No Subject

[Wendy Siegel <wenwolf@xxxxxxx>]

He has responded to Requip. His doctor stopped him at 3 mg 3X per day.
He was having improvements in his tremoring. I felt it wasn't enough,
and finally convinced them to try 3.5mg. This seems to help even more -
he now blinks and has expression and more personality in addition to
having reduced  tremors. When the doctor first told us about Requip, he
said we should increase the dose until we saw side effects, then back
off. Rich still doesn't experience any side effects (other than
drowsiness, which he really had even before the Requip) so I wonder if
he should be taking more?

On the other hand, does taking more Requip hasten the day when it will
no longer work and we have to start on levadopa? Of course, we want to
delay that as long as possible.

When he was first diagnosed, I researched to find the best expert in the
New Orleans area. Dr. Rao was the name everybody gave me. Unfortunately,
at the time Rich was diagnosed (right before Christmas) the earliest
appointment I could get with Dr. Rao was April 20th, so we are still
waiting to see him. In the meantime, we are seeing a neurologist who
says he is a lower-body movement disorder specialist, and although I
like him, I don't think he has the level of expertise with Parkinson's I
am looking for. We have a lot of hopes for Dr. Rao though. Has anyone
heard of him?

Thanks!

Wendy

-----Original Message-----
From: Parkinson's Information Exchange Network
[mailto:PARKINSN@xxxxxxxxxxxxxxxxxxxx] On Behalf Of Robert A. Fink, M.
D.
Sent: Saturday, March 27, 2004 12:38 PM
To: PARKINSN@xxxxxxxxxxxxxxxxxxxx
Subject: Re: No Subject

On 26 Mar 2004 at 8:01, Wendy Siegel wrote:

> As you know, symptoms do START on one side. Perhaps some people just
> take longer to progress? My husband had symptoms only on his right
> side for years before they progressed to the left. Even now, they are
> still predominantly right-side. In addition, he never hand the classic
> "pill-rolling" shake, but has a tremor more consistent with essential
> tremor.

I would still at least raise a question as to diagnosis.  How has he
responded
to "standard" treatment?

Best,

Bob

Robert A. Fink, M. D., F.A.C.S., P. C.
Neurological Surgery
2500 Milvia Street  Suite 222
Berkeley, CA  94704-2636  USA
510-849-2555     FAX: 510-849-2557
<>
"Ex Tristitia Virtus"

Disclaimer:  That which is written in my e-mail is not to be
considered as "medical advice".  Such advice can only be
given after a formal, in-person, consultation between
doctor and patient.

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