Re: improper meds?

["Charles T. Meyer, M.D." <cmeyer2@xxxxxxxx>]

Barb,

Thanks for the  nice complement. Its feels good to be appreciated.

Charlie
----- Original Message -----
From: Barb_MSN <>
To: <PARKINSN@xxxxxxxxxxxxxxxxxxxx>
Sent: Monday, January 24, 2000 3:54 AM
Subject: Re: improper meds?


> Ves....
>
> Per our discussion earlier this evening, I read further in "Worst
> Pills, Best Pills," and one thing that really struck me was the
> comment that (paraphrasing) "one pill can cause negative side
> effects, and the MD prescribes another pill with it's OWN set of
> negative side effects, to correct the side effects of the first
> pill.  When the 2nd pill adds further negative side effects to the
> existing ones even MORE   negative side effects might show up!
> The patient is then diagnosed as being physchotic and slapped into
> a psyche ward and given MORE negative meds to keep him quiet!"
>
> And THAT seems to be what's happening to your brother!
>
> Pay heed to what our respected MD, Doctor Meyer tells ya 'cause
> he's earned the respect of all our List-brethren for his
> thoughtful, right-on-the -button medical related advice (and even
> for things non-medical!)
>
> We're all rooting for Wayne and you, Ves!
>
> Barb Mallut
> barb_msn@xxxxxxxxxxxxx
>
> -----Original Message-----
> From: ves <ves@xxxxxxxxxx>
> To: PARKINSN@xxxxxxxxxxxxxxxxxxxx <PARKINSN@xxxxxxxxxxxxxxxxxxxx>
> Date: Sunday, January 23, 2000 8:04 PM
> Subject: Re: improper meds?
>
>
> >Wayne Shirley, age 65, weitht 145 lbs (lost 40 pounds in one
> year)
> >REcent dosage:
> >sinemet - one CR 50.200 three times daily ( 9 am, 1 pm and 5 pm)
> >Haldol:  Prescribed as needed for agitation:  2 mg by injection
> every four
> >hours.  Given three injections in two weeks (jan 8th, 15th, and
> 17th)
> >Risperdal:  1 mg/dose at 8 am and 5 pm.  This medication was
> stopped on Jan
> >15th since he was becoming extremely sleepy.  Then resumed on the
> 21st at 0.5
> >mg/dose at 9 am and 5 pm
> >Ativan: 1 mg injection every 6 hours as needed or 1 mg by mouth
> as needed.
> >Three injections were issued.  On the 21st there was one
> injection.  And two
> >injections were administered on the 22nd.
> >He fell twice on the 21st and twice more on the 22nd.  He is now
> in the
> >hospital and the doctor is trying to get him committed to an
> asylum or another
> >geriatric facility.
> >He is supsected of also having alzheimers.  I am in the process
> of getting his
> >affairs straight so he can qualify for medicaid and then get him
> with me in
> >North Carolina.  It appears as if I am running out of time.
> >Thanks, CHarles.
> >
> >"Charles T. Meyer, M.D." wrote:
> >
> >> Ves,
> >>
> >> Since your brother has been diagnosed with PD has he been
> prescribed any
> >> Haldol?  Please be more specific about what , when and how much
> he took of
> >> the different medications.  I think that if you can provide us
> that
> >> information there are a number of us on the list  that would
> venture an
> >> opinion on whether his medication regimen has been or is being
> less than
> >> optimally managed (or frankly mismanaged).
> >>
> >> Charlie
> >>
> >> ---- Original Message -----
> >> From: ves <ves@xxxxxxxxxx>
> >> To: <PARKINSN@xxxxxxxxxxxxxxxxxxxx>
> >> Sent: Sunday, January 23, 2000 9:13 PM
> >> Subject: improper meds?
> >>
> >> > My brother has parkinsons and I think has been
> >> > mis-medicated(?).
> >> > Reasons for this suspicion:
> >> > 1.  Has been on sinement for about 7 years.
> >> > 2.  Has been being previously medicated with Haldol.
> >> > 3.  More recently medicated with Risperdal and Ativan.
> >> > I understand sinemet can have delayed symptoms as well as a
> >> > reduced affect with prolonged use.
> >> > I also understand from the parkinsons drug database that the
> >> > meds in items 2 and 3 can have some negative effects with
> >> > parkinsons patients.
> >> > He is in the hospital in Electra Texas and the doctor really
> >> > does not want to take into account these pieces of
> >> > information I have told her of.  Any PK patients around
> >> > wichita falls or vernon texas who might refer me to some
> >> > kind of second opinion that is an informed second opinion on
> >> > meds for PK patients?
> >> >
> >> > ves shirley
> >> > 336-342-3641
> >> > I will accept collect calls.
> >> > I really need some quick feedback.
>