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PD Community Blogs

We’ve searched the “blogosphere” for creative, informative and educational blogs that might be of interest to you.

Kate Kelsall: Shake, Rattle and Roll
Kate was diagnosed with Parkinson’s disease in the mid-1990s. In addition to being an activist for Parkinson research, she is a co-facilitator of a DBS support group in Denver.

Here’s a few more blogs that are worth checking out.

Patient Blogs

Caregiver Blogs

National Parkinson Foundation: Caregivers on the Blog

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Global Community Conference on Parkinson's Disease - Speaker Slides

Date: Apr 07, 2014

The Global Community Conference on Parkinson's Disease; Beyond the Limits, was held on March 2-4, 2014 in Keystone, Colorado at the Keystone Conference Center. The Parkinson Association, Teva Neuroscience and HealthOne presented the Global Community Conference as a one of a kind conference wihich aimed at bringing renowned experts in Parkinson's and related disroder out of their labs and classrooms for a unique opportunity to connect with those intersted in Parkinson's Disease care and managment. The conference provided a unique opportunity to connect the researchers who are working to solve some of the more global issues associated with Parkinson's Disease to come into cotact and have conversations with people living with the disease. 

Below you can find some of the slides of the presetantions from some of the renowned speakers we were lucky enough to have present at the conference. Note: We will be updating the blog when additional slides come in. 

 

Sleep & Fatigue, by Benzi Kluger, MD 

The Dynamic Family, by Jane Barton, MTS, MASM

Complementary & Alternative Medicine, by Lisa Corbin, MD

Make Exercise Medicine - Top 10 How To's, by Becky Farley, PhD

Nonmotor Symptoms in Parkinson's Disease, by Aaron Haug,MD

Caring Conversations, by Nora Reznickova, MD

Lewy Body Dementia, Parkinson's Sleeping Bear, by Helen & James Whitworth, Authors

Psychological Issues & Managment, by Benzi Kluger, MD

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Applying for Social Security Disability for Someone with Parkinson's Disease

Date: Apr 03, 2014

Parkinson’s disease is among the Social Security Administration’s (SSA’s) listing of impairments, which means there are clear-cut eligibility criteria for qualifying for disability benefits.

The Blue Book

To meet the SSA’s listing for the condition, which appears in Section 11.06 of the Blue Book, you must experience one of the following symptoms, and your symptoms must affect at least two of your extremities:

  • Serve muscle rigidity
  • Tremors
  • Uncontrollably slow movement known as Bradykinesia

As a result of your symptoms, you must also have:

  • Long-term issues with gross and dexterous movements
  • Pronounced issues with walking, standing, and moving about

Recent and thorough medical records are the key to proving your disability. These should include:

  • A detailed statement from your doctor summarizing your case
  • Documentation of any tests, including neuroimaging results supporting the diagnosis
  • Records of past and present medications and their affects

For more information on medically qualifying with Parkinson’s disease visit:  http://www.disability-benefits-help.org/disabling-conditions/parkinsons-disease-and-social-security-disability

 

The Compassionate Allowances Program

The SSA’s Compassionate Allowances (CAL) program ensures rapid review and virtually unchallenged approval of disability applications for certain medical conditions. Parkinson’s disease is not among the listing of CAL-approved conditions, but there are similar conditions which are:

  • Shy-Drager Syndrome
  • Neurologic Orthostatic Hypotension
  • Shy-McGee-Drager Syndrome
  • Parkinson's Plus Syndrome
  • Striatonigral Degeneration
  • Sporadic Olivopontocerebellar Atrophy

Collectively these conditions are known as Multiple System Atrophy (MSA) and they are quite similar to Parkinson’s disease and often seen in conjunction with it. They are in fact so similar that they are often diagnosed as Parkinson’s and are considered by many to be variants of the same disease: Parkinsonian syndrome. 

MSA can be extremely challenging to diagnose and to differentiate from Parkinson’s. Only specialists that are exceptionally familiar with all types of Parkinsonian syndrome are typically able to make the distinction.

To be eligible under CAL, you must have a formal diagnosis of MSA, not Parkinson’s. You must also be able to support your claim through appropriate medical records, which include:

  • MRIs of the brain showing abnormalities consistent with the disease
  • Physician notes, documenting progression of the disease and lack of response to available treatments
  • Neurological exam notes from specialist appointments
  •  Activities of daily living (ADLs) report(s) completed by a caregiver or relative, documenting the affects of symptoms on everyday life

Financially Qualifying for SSD Benefits

There are two disability programs the SSA runs:

  • Social Security Disability Insurance (SSDI)
  • Supplemental Security Income (SSI)

Medically qualifying is only half of the process. You must also meet the financial/technical eligibility rules in order to receive benefits through either or both programs.

  • For SSDI, you must have worked in the past and paid Social Security taxes. Those taxes amount to “work credits” and you must have a minimum number of work credits from the previous 10 years of your employment. You must additionally have earning from employment no higher than $1,070 per month (as of 2014).
  • For SSI, you must have very limited income and other financial resources, including assets, as this is a need-based program. 2014 limits are set at $721 per month, but only certain sources of income/resources are “counted”.

You can learn more about SSDI and SSI benefits here:  http://www.ssa.gov/disability/

Submitting an Application on Behalf of Someone Afflicted by Parkinson’s

The first step in filing a claim for SSD benefits is to complete the SSA’s application. This can be done online at the SSA’s website, or by making an appointment to complete your application in person at the SSA’s local office in your area. Filing online is often the fastest method for initiating a claim, but you will need to follow up at the local office to submit medical records and other supporting documentation.

It is also important to note that SSI applications can only be completed locally. Online application for this program is not available.

Keep in mind as well that the application for benefits is just one aspect of the claim you will file. Thorough medical records are also necessary. Additionally, ADL reports completed by you, the applicant, and by his or her doctor are also crucial.

When applying for benefits, either for yourself or on behalf of someone with Parkinson’s, you will want to consider consulting an attorney or Social Security advocate. Someone more familiar with the process can help you collect the necessary medical records and can assist with the initial application and any appeals that may be required.

Ram Meyyappan
Social Security Disability Help

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Nonmotor Symptoms in Parkinson's Disease, Part I

Date: Mar 06, 2014

By Aaron Haug, M.D., Blue Sky Neurology

Tremor gets the most attention. It is often the resting tremor that first brings Parkinson disease (PD) to someone’s attention. It may be that people with Parkinson’s (PWP) ask their physicians about it, or their physicians may be the first to notice it, but resting tremor is often the symptom that leads to the diagnosis of PD.

Because tremor is the most obvious symptom for many PWP, it can sometimes remain the center of attention for too long. While tremor and other motor symptoms certainly can cause functional disability and should be treated optimally, it is often the nonmotor symptoms of PD that cause a significant portion of the discomfort and disability for PWP.

Nonmotor symptoms can affect a wide range of bodily functions. This two-part article will present some of the most common symptoms and their treatments. Not everyone will experience all of these symptoms! It can be overwhelming to see all of these symptoms listed one after the other, but it is important for PWP and their loved ones to be aware of these symptoms so that treatments can be considered.

Sleep Symptoms.

REM Sleep Behavior Disorder (RBD). Normally, a person’s body is paralyzed during sleep. In some PWP this safety mechanism is lost, and they can unknowingly act out their dreams. This is often noted by the bed partner as kicking or punching behavior. Treatment with clonazepam, a benzodiazepine, can be very effective.

Restless legs syndrome (RLS). RLS is described as a creepy-crawly, achy, tight, or restless feeling in the legs, which is usually worse in the evening and briefly relieved by moving the legs. Many of the medicines that are used to treat tremor and motor symptoms (levodopa, pramipexole, ropinirole, rotigotine) are effective for RLS, and clonazepam can also be effective. Opiate or opioid-like medicines (such as hydrocodone, oxycodone, or tramadol) are sometimes used in more severe cases.

Insomnia. Difficulty falling asleep or staying asleep is common in PWP. An important part of treating insomnia is good sleep hygiene. This includes behaviors such as setting a regular bedtime; not drinking caffeine after noon; and not drinking alcohol in excess. If one has been in bed for more than 15 minutes and is not falling asleep, it is advisable to get out of bed, do something boring (like read the phone book), and then try again. As far as medicines, melatonin is a supplement available over-the-counter that can be very effective in PWP. Prescription medicines such as clonazepam and Ambien can be effective but are not meant to be used long-term. Medicines that contain diphenhydramine (i.e. Benadryl, which is an ingredient in medicines such as Tylenol PM or Advil PM) should generally be avoided as they can cause confusion in older patients, and this problem can be more prominent in PWP.

Excessive Daytime Sleepiness. First, try to improve nighttime sleep with the strategies above. If sleepiness persists, brief naps can be very helpful. If these measures are not enough, medicines such as methylphenidate (Ritalin), modafinil (Provigil), or armodafinil (Nuvigil) are often used.

Behavioral Symptoms.

Anxiety and Depression. These symptoms are both common in Parkinson disease. This is partly because levels of brain chemicals involved in mood, such as serotonin and norepinephrine, are decreased in PD along with dopamine. Counseling and talk therapy can be helpful and are worth considering before prescription medicines. Benzodiazepines, such as clonazepam, can be helpful for anxiety. There are many medicines that can be helpful with depression as well as anxiety: fluoxetine (Prozac), sertraline (Zoloft), citalopram (Celexa), escitalopram (Lexapro), paroxetine (Paxil), buproprion (Wellbutrin), venlafaxine (Effexor), desvenlafaxine (Pristiq), mirtazapine (Remeron), vilazodone (Viibryd), and  trazodone.

Dementia. Memory loss and changes in thinking can occur in PWP. Cholinesterase inhibitors can improve thinking and memory in some PWP; these include donepezil (Aricept), rivastigmine (Exelon, Exelon patch), and galantamine (Razadyne). Occasionally PWP with dementia can become agitated or have hallucinations. Quetiapine (Seroquel) and clozapine (Clozaril) can be helpful for these symptoms. Other antipsychotic medications, such as haloperidol (Haldol), risperidone (Risperdal), aripiprazole (Abilify), olanzapine (Zyprexa), and ziprasidone (Geodon) should be avoided as they can make the motor symptoms of PD worse. 

 

In the next issue, autonomic nonmotor symptoms such as orthostatic hypotension, overactive bladder, erectile dysfunction, and gastrointestinal symptoms will be discussed.  Again, although not everyone will experience these symptoms, it is important to be aware of them so that treatment options can be considered and discussed.

 

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Nonmotor Symptoms in Parkinson's Disease, Part II

Date: Dec 16, 2013

By Aaron Haug, M.D., Blue Sky Neurology

 This is second article in a two-part series discussing nonmotor symptoms in Parkinson disease (PD).  Although it is often tremor that first brings PD to someone’s attention, the nonmotor symptoms of PD can cause a significant portion of the discomfort and disability for people with Parkinson’s (PWP). Not everyone will experience all of these symptoms, but it is important for PWP and their loved ones to be aware of these symptoms so that treatments can be considered.

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PAR's new iPhone and iPad app is here!

Date: Mar 28, 2011

PD Life can help you simplify and improve the accuracy of reporting to the doctor your compliance with the cumbersome regimen of Parkinson's medications.

While "on-the-go," PD Life simultaneously reminds you to take your Parkinson's and other medications and record how you are feeling in the moment. No longer do you have to recollect how you felt two months ago. Without a second thought, you are developing a personalized database of medications taken, side affects experienced, and disease symptoms present. You can easily share this data with your physician. More accurate information may significantly affect and improve your course of treatment for Parkinson's disease.

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Spring time in the Rockies

Date: May 05, 2011

Spring time in the Rockies. What does that mean to you? One can use the analogy of Parkinson's and Spring. The weather is unpredictable in the Spring. There are beautiful days outside. Sometimes, storms which vary in severity. There can be an extreme range of temperatures and conditions. Sound familiar with your own case of Parkinson's. Each one of you may have different extremes on any given day of symptoms. Some days, you may feel like you can't go out because of your symptoms. Other days, nothing can stop you from exploring the outdoors.

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Parkinson Wellness Recovery (PWR!) Project

Date: May 24, 2011

People with PD can get better... and stay better longer with exercise!
That is the MOTTO of the Parkinson Wellness Recovery (PWR!) Project – a project sponsored by NeuroFit NetWorks (www.nfnw.org). The PWR! Project was started in October 2009 when Dr. Becky Farley, a researcher, LSVT® BIG inventor, physical therapist, neuroscientist, and Parkinson’s exercise specialist opened a model community-based neurofitness center for people with PD in Tucson, AZ…

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Cognitive Changes: What Was I Thinking?

Date: Jun 24, 2011

Is your brain less agile and your memory less reliable? Compared to last year, are you more easily confused and slower to process information? While these types of cognitive changes are common in individuals with Parkinson’s disease, they are also part of the normal aging process. A significant number of the elderly live with some memory deficiencies, collectively known as age-associated memory impairment.

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Summer in Colorado

Date: Jul 25, 2011

Outdoor activities in the summer can be wonderful. As usual when having a leisurely evening barbeque with family and friends, you are the designated grill master. As you are running in and out of the house to tend to the grill you notice it is not as easy as it was last summer. At times you lose your balance, stumble and even fall. However, you are determined not to lose your place as grill master. You are not going to let Parkinson's disease get in the way.

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Was I Dreaming?

Date: Sep 19, 2011

I woke up Monday morning to a slight buzz throughout my body. “Today is the day!” I thought. I rode the BX bus from Boulder to Market Street Station, then took a quick 16th Street Shuttle ride, and walked a block or so to my destination. The buzz was still present as I walked through the door of the Colorado Ballet and read the note saying “Rhythm & Grace meets in Practice Room C.” I was 30 minutes early for the noon class. “Today is the day!” Wow!

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