Parkinson’s disease is a progressive, incurable neurological disorder associated with a loss of dopamine-generating cells in the brain. It is primarily associated with progressive loss of motor control, but it results in a complex array of symptoms, including many non-motor symptoms.


Current estimates from the Parkinson's Foundation, an organization based in the United States, puts the number of people with Parkinson's at 10 million worldwide.  They are here


Since its discovery in 1817, Parkinson’s disease was believed to only affect posture, mobility, gait, and balance.


But now we realize just how PD can impact a person in a multitude of ways, including non-motor symptoms. Top offenders include constipation, bladder control, drooling, swallowing, memory, depression, anxiety, sleep issues, cognition, and impaired executive functioning.


While the typical Parkinson's medications address the lack of Dopamine in the brain, they do not tackle these additional non-motor symptoms that occur.


In our case, Ann has issues with almost all the non-motor symptoms necessitating additional medications being consumed on a daily basis.


So, managing the issues associated with Parkinson's is not just as simple as taking the standard Parkinson's medications. You end with veritable pharmacology of medications that have to be managed and dispensed - on time every time.


This leads to one of the most important aspects of Parkinson's Medications - they have to be taken on a strict timetable - or as it often stressed - on time every time.


In addition to the medications, Ann also sees a Physiotherapist regularly. Initially, this was every 10 to 14 days and is currently every three weeks.


Also, Ann needs to see a podiatrist regularly, something not needed in past years, as the Parkinson's starts to affect her feet.  Ann now wears orthopedic boots, also a new event, but they are helping significantly.


Ann has membership at our local Gym and normally we go three times a week for a 30 minute workout on a variety of equipment.


The major Parkinson's organizations all stress the need for people with Parkinson's to surround themselves with a Care Team - in addition to their partner.


Ann has a team, her Neurologist, her Physiotherapist, her General Practioner, her Podiatrist, and her Gym Instructor. 


The Neurologist, Physiotherapist, and General Practioner all communicate with each other via email to update each other's records of treatment as they progressively manage Ann's Parkinson's.


This teamwork is essential in the effective management of Parkinson's.


The Gym owner and his wife kept a close watching brief on Ann, as evidenced below when Ann was back on the bike after Rotator Cuff surgery in 2016.   They have since sold the Gym and the new owner is not quite as hands on.

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