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Welcome to Season 4, Episode 21 of Winning Isn't Easy. In this episode, we'll dive into the complicated topic of "More on Parkinson's Disease." Host Nancy L. Cavey, a seasoned attorney with extensive experience in disability claims, discusses Parkinson's Disease further, including an overview of the illness, plus a dissection of the evaluation process used in every Parkinson's Disease disability claim. While Parkinson's Disease, on the surface, seems like a disease primed for an easy disability claim win, that couldn't be further from the truth. Much the same as any other illness, disability carriers do not make it easy for those with Parkinson's Disease, especially during the early stages of illness, to get the disability benefits they deserve. Today, your host Nancy L. Cavey discusses the must-knows of Parkinson's Disease disability claims.In this episode, we'll cover the following topics:1 - What You Need to Know About Parkinson's Disease, and Steps One - Three of the Evaluation Process Used by Every Disability Carrier in a Parkinson's Disease Claim2 - Steps Four - Six of the Evaluation Process Used by Every Disability Carrier in a Parkinson's Disease Claim3 - Stress and Your Parkinson's Long-Term Disability Insurance ClaimWhether you're a claimant, or simply seeking valuable insights into the disability claims landscape, this episode provides essential guidance to help you succeed in your journey. Don't miss it.Resources Mentioned In This Episode:LINK TO ROBBED OF YOUR PEACE OF MIND: https://caveylaw.com/get-free-reports/get-disability-book/LINK TO THE DISABILITY INSURANCE CLAIM SURVIVAL GUIDE FOR PROFESSIONALS: https://caveylaw.com/get-free-reports/disability-insurance-claim-survival-guide-professionals/FREE CONSULT LINK: https://caveylaw.com/contact-us/Need Help Today?:Need help with your Long-Term Disability or ERISA claim? Have questions? Please feel welcome to reach out to use for a FREE consultation. Just mention you listened to our podcast.Review, like, and give us a thumbs up wherever you are listening to Winning Isn't Easy. We love to see your feedback about our podcast, and it helps us grow and improve.Please remember that the content shared is for informational purposes only, and should not replace personalized legal advice or guidance from qualified professionals.
While Parkinson's disease is a difficult diagnosis, there is still plenty of life to be lived for patient's and their caregivers. Wanda Jackson, the outpatient care coordinator at SMH, shares some of the many resources available in the Sarasota community, and discusses why helping these patients is so personal to her.You can also watch the video recording on our YouTube channel here.For more health tips & news you can use from experts you trust, sign up for Sarasota Memorial's monthly digital newsletter, Healthe-Matters.YouTubeCheck out our other interviews with SMH experts at smh.com/podcast.
While Parkinson's disease affects over 1% of people aged 60+, and is a disease that steadily progresses, there is no cure. However, a study done in January of 2021 claims that hydrogen water and laser therapy significantly reduces the severity of Parkinson's. Join Dr. Rountree and Kristi as they discuss whether laser therapy can help Parkinson's, if hydrogen water has benefits, and whether laser therapy could cause any cellular damage. We have begun live-streaming this podcast. Watch this episode on Facebook right here, and see the next episode LIVE in two weeks!Study mentioned in this episode:Effects of concomitant use of hydrogen water and photobiomodulation on Parkinson diseaseVisit the LTI website for more information and to find a laser therapy provider near you. Are you a healthcare provider?Laser Therapy Institute Podcast YouTube ChannelHealing at the Speed of Light
How can neurodegenerative diseases be better understood to find new therapeutic techniques? Researchers use tools like deep brain stimulation and virtual reality to make new leaps. Press play to learn: The physical signs that hint at the development of Parkinson's How brain circuits can be modulated The next stages of research planned by Aasef Shaikh Aasef Shaikh, a neurologist, and neuroscientist from Daroff-Dell'Osso Ocular Motility Laboratory at Cleveland VA Medical Center, shares their experience researching neurodegenerative diseases and Parkinson's Disease particularly. By identifying key risk factors and signals that an individual may develop Parkinson's Disease, therapeutic techniques can be implemented early to begin proactive treatment. In addition, techniques like deep brain stimulation can give patients insight into their condition and allow neurologists a peek behind the curtain. Systems neuroscientists study the circuits within the brain that allow proper function throughout the body. To prevent unfortunate events like falls and slips, neuromodulators work to solve faulty brain circuits. While Parkinson's never kills the patient, the side effects do. Episode also available on Apple Podcast: http://apple.co/30PvU9C
If your loved one has been diagnosed with Parkinson’s disease, you might be feeling lost, confused, scared, and overwhelmed with concern. It’s a diagnosis no one wants to hear, but one that far too many families are impacted by year after year. In fact, according to Parkinsons.Org, about 10 million people worldwide are diagnosed with the disease each year. It’s estimated that about one million Americans have Parkinson’s disease today. That’s more than those who have muscular dystrophy, multiple sclerosis, and amyotrophic lateral sclerosis (or ALS) combined. Those are staggering numbers. But what exactly is Parkinson’s Disease? How can we provide the care our loved one needs after a diagnosis? How can we care for ourselves? What can we expect in the years ahead? On today’s episode, it’s all about understanding Parkinson’s Disease. By the end of this episode, you should have a much clearer understanding of what your loved one is experiencing – and how you can prepare for what’s to come. Let’s start with the basics. With numbers as staggering as the ones previously mentioned, it might not be surprising to learn that Parkinson’s disease is the second most common age-related neurodegenerative disease in the world. The most common of these diseases is Alzheimer’s. To learn more about Alzheimer’s Disease, head to our episode page to listen to our many episodes about understanding Alzheimer’s and dementia. Because Parkinson’s tends to be age related, most people are diagnosed over the age of 50. However, it’s estimated that about 4% of Parkinson’s patients are diagnosed at a younger age. One famous example is Michael J. Fox, who was diagnosed with early onset Parkinson’s at the young age of 29. The cause of the disease is largely unknown, but the effects are clearer. When a person has Parkinson’s, the brain cells that produce dopamine become impaired or die. Because dopamine controls movement, when these neurons are no longer functioning, movement is drastically impaired. It is unclear what exactly causes these neurons to misfunction or die. In addition to dopamine, the nerve endings in a Parkinson’s patient’s brain that produce norepinephrine are lost. Norepinephrine sends chemical messages through the sympathetic nervous system, which controls heart rate, blood pressure, and other automatic body functions. Scientists believe that this is why Parkinson’s patients often suffer from irregular blood pressure, slow movement of food through the digestive tract, and fatigue. Many people with Parkinson’s also have Lewy bodies in their brain cells – which are clumps of abnormal proteins inside neurons. Lewy bodies most often form in the parts of the brain that control memory and movement. This is why many people with Parkinson’s also suffer from Lewy body dementia. To learn more about that condition, listen to our episode on understanding Lewy body dementia. While it’s unclear what exactly causes Parkinson’s, some cases appear to be hereditary, while others have been linked to genetic mutations. In most cases, though, the diagnosis appears to be random. Researchers do believe that the disease might be caused by environmental factors – such as exposure to toxins or head injury – but not enough consistent evidence has occurred to pinpoint a straightforward cause. We can only hope that over time scientists will gain a better understanding of why the disease occurs in the first place. Parkinson’s disease varies widely from person to person. That means that while some symptoms are more frequent or expected, there’s no way to predict what specific symptoms one person might experience or when they might experience them. Parkinson’s disease is diagnosed clinically – which means that the disease cannot show up on brain scans or through blood tests. Instead, a diagnosis is based on a Doctor’s examination of a person’s medical history and evaluation of symptoms. If you’re worried that you or a loved one might have Parkinson’s Disease, but have not yet received an official diagnosis, you might want to see a movement disorder specialist. Movement disorder specialists are neurologists who specialize in Parkinson’s disease among other movement disorders. These doctors will be able to carefully assess the patient and symptoms, and make a diagnosis based off of his or her specialized expertise. So, what exactly are the symptoms of Parkinson’s disease? Again, the symptoms do vary from person to person, in terms of both the severity and the types of symptoms. Still, there are three movement symptoms that are particularly common, especially in the early stages of the disease. These three symptoms include stiffness, slowness of movement, and a resting tremor. It is possible for a person to just have one of these symptoms or have all three. Even if you or your loved one is experiencing only one of these symptoms, it’s well worth your time to schedule an appointment with a doctor. The tremor will look like a slight shaking of the hand, finger, thumb, or chin. Commonly, the tremor will occur during rest in the early stages of the disease. It is sometimes called the “rolling pill” tremor, because if a person rests a pill in their open palm and it rolls, the hand may be experiencing a tremor. Other common early signs are more subtle. Small handwriting is one of these. If a person’s writing has gotten smaller or the words are crowded together, this could indicate Parkinson’s disease. Loss of smell is another early symptom. Have your loved one try to smell certain foods – like bananas or licorice and ask them if they are able to smell them clearly. If not, this could mean that they are suffering from Parkinson’s disease, and you should get them to the doctor for examination. In addition to smell, voice can be affected early on in the disease. If a person is speaking much more quietly than usual, to the point where they sound hoarse or like they are whispering, this could be a sign of Parkinson’s. Other common early symptoms include restless sleeping, depression, constipation, stooping over, or dizziness. You might also notice that your loved one has what’s called a “masked face.” If your loved one has a constant angry or serious expression on their face, they might have Parkinson’s disease. Parkinson’s can be misdiagnosed in the early stages – especially for patients who are not suffering from tremors or muscle stiffness. Some of the other symptoms can be misconstrued as normal parts of ageing. If you feel that your loved one might have Parkinson’s, but they weren’t diagnosed, have them see a specialist for a second opinion. There are five common stages of Parkinson’s – although, again, not everyone goes through this disease in the same way. The following five stages are the most typical patterns of progression as observed by doctors and scientists. In the first stage, a person has mild symptoms, such as a tremor or changes in posture or facial expressions. These symptoms won’t usually interfere with daily life. Typically, a person in the first stage will only notice tremors or movement difficulties on one side of the body. Within three to seven years of diagnosis, most patients will notice moderate changes to these early symptoms. This means that they have officially entered stage two. Stage two of the disease, or the moderate stage, tremors and movement difficulties increase in severity. While in stage one, zipping a jacket might have been somewhat difficult, it might now take a significant amount of time to do. A person’s posture might start to slump or droop more severely in this stage, and a person might find that their tremors and muscle stiffness have moved to both sides of the body. A person in the moderate stage of Parkinson’s can usually still care for themselves but will take significantly more time to accomplish simple tasks. Some patients at this stage might request more help with daily activities. Stage three, the middle stage of Parkinson’s, is the big turning point for most patients. Reflexes will decrease as will balance. A risk of falling is increased, between a patient’s struggles with balance, walking, and posture. Patients at this stage will likely need a wheelchair to get around. A patient at stage 3 is able to maintain independence – although they will take longer to eat and get dressed and might desire a little extra help to get things done around the house and run errands. In stage four, a person can no longer be independent. While a person can stand from a chair without extra help, they won’t be able to walk from the chair to their bed or wheelchair on their own. A patient in stage four will need help to eat, dress, bathe, and move around the house. A person in stage five of Parkinson’s will require around the clock care. Advanced leg stiffness will make it impossible to stand or walk – and a person will require a wheelchair. If a Parkinson’s patient is also suffering from Lewy body dementia, then they might be experiencing increased hallucinations or delusions by this stage. Not everyone with Parkinson’s makes it to stage five of the disease. While Parkinson’s disease is certainly severe, and complications from the disease are the 14th cause of death in the United States, a person with Parkinson’s can live well with the disease. Michael J. Fox is proof that people can maintain a high quality of life after diagnosis. The disease is a progressive one, but the level of progression varies from person to person – and there are some steps a patient can take to slow the progression. Have your loved one work with their doctor to establish a treatment plan. A combination of therapies and prescription medications can help a person with Parkinson’s maintain a high quality of life. Doctors will likely prescribe dopaminergic medications, to help with the impaired dopamine neurons in the brain. While medications cannot cure the disease, they can improve symptoms to make daily living a little easier. In addition to medications, patients should get plenty of exercise. In the early stages, it’s important to get those stiff muscles moving – so activities like biking, running, tai chi, yoga, and dance are all recommended. Exercise will help a person to maintain their balance, mobility, and activities of daily living. Exercise will also improve many symptoms. According to Parkinson’s.org, “people with PD who start exercising earlier and a minimum of 2.5 hours a week, experience a slowed decline in quality of life compared to those who start later. Establishing early exercise habits is essential to overall disease management.” Of course, exercise will come with its own set of challenges for Parkinson’s patients. Balance issues, trembles, muscle stiffness, and endurance can all pose challenges to exercising – but there are plenty of ways to exercise safely. All Parkinson’s patients should consult their doctors before starting a new form of exercise and should ask for a list of recommended exercises based on their symptoms. Physical therapists will help patients with safe, specialized exercises meant to improve symptoms. Physical therapists will often recommend a routine exercise regimen that includes aerobics and resistance training. There are also community classes in most cities meant for people living with Parkinson’s disease. These classes cover everything from dance to boxing and are catered toward improving symptoms and slowing progression in patients. There are surgical options for patients with Parkinson’s disease. Deep brain stimulation, or DBS, is one surgical therapy that many patients can benefit from. The surgery works by implanting an electrode into the affected area in the brain. The electrodes are then stimulated with a device located under the skin in the chest. This allows brain to control movement at a “normal” level. DBS is not a cure for Parkinson’s, and it does not help with non-motor symptoms such as depression, loss of smell, or constipation. Before considering this surgery, be sure to get an evaluation from a movement disorder specialist. DBS is not the best choice for all patients, but a specialist will you’re your loved one determine if it’s the best choice for them. Patients with Parkinson’s can also assemble a care team of specialists – from home nurses to occupational therapists and neurologists – to help with treatment. The more organized and structured a person’s care plan is, the better. When considering the type of care a person with Parkinson’s needs, it’s important to think about where they will be living. From assisted living to at home care and everything in between, there are plenty of living options to consider with your loved one. To learn more about the best living options for your loved one, check out our episode on choosing the right type of care for seniors. Because depression is a common symptom in patients with Parkinson’s, it’s important to make sure your loved one is mentally stimulated. It’s estimated that 50% of patients with Parkinson’s suffer from depression, while 40% face anxiety. According to Parkinsons.org, “The Parkinson’s Foundation Parkinson’s Outcomes Project found that taken together, mood, depression, and anxiety have the greatest impact on health status, even more than the motor impairments commonly associated with the disease.” Depression in Parkinson’s is a direct result of changes in brain chemistry, as the parts of the brain that control mood, energy, motivation, and sleep are impacted by Parkinson’s. Social isolation can make the depression even more severe, so make sure your loved one is engaged in social activities – from visits with the grandkids to clubs and organizations. Make sure that your loved one has something to look forward to – whether trips to the movies or the park, visits, or a nice dinner. Having something to look forward to can help enhance a person’s quality of life and give them something positive to think about. According to Parkinson’s.org, “the best approach” for treating depression, “is a combination of antidepressant medication, counseling, exercise, and social support.” A counselor can provide essential support and can recommend coping skills to help with positive thinking. There are therapists and counselors who specialize in Parkinson’s Disease. Additionally, plenty of support groups exist within the Parkinson’s community. Introducing your loved one to people going through similar difficulties can help them to feel less alone in their struggle. Caring for a person with Parkinson’s also means caring for their home. Make sure that there’s nothing at the home a person can easily trip over – like throw rugs, electric cords, or slippery floors. Clear pathways, place mats in bathtubs and showers, and arrange furniture so it’s not blocking any walkways. If you want to provide additional support for your loved one, you can help them by volunteering to exercise with them, which will keep them motivated to exercise while allowing them a great opportunity for socialization, and something to look forward to. Getting your loved one out of the house as often as possible is key to their happiness, also. It’s isolating to be alone in the house all the time – so any excuse to get out will be welcomed, as long as the person is feeling up to it. While this is more difficult during the pandemic, consider taking your loved one on a walk to the park, or to an outdoor movie. You can also set up a projector in the backyard so your loved one can be outside, engaged in something fun, and comfortable. Finally, it’s important to be patient with your loved one. Don’t rush your loved one through getting dressed, standing up, or eating dinner. Remember – they are going as fast as they can and rushing them will only make them feel more frustrated. I know that this disease can be endlessly frustrating and disheartening for family members – so make sure you have an outlet to express yourself, that’s not the person suffering. Go to friends, family, a therapist to vent frustrations, so you’re in a better state of mind to be patient with your loved one the next time you see them. A Parkinson’s diagnosis is never easy – but with the right knowledge, preparation, and treatment plan, you can know what to expect and make the journey as positive as possible for you and your loved one. We want to thank you for joining us here at All Home Care Matters, All Home Care Matters is here for you and to help families as they navigate long-term care issues. Please visit us at allhomecarematters.com there is a private secure fillable form there where you can give us feedback, show ideas, or if you have questions. Every form is read and responded to. If you know someone is who could benefit from this episode, please share it with them. Remember, you can listen to the show on any of your favorite podcast streaming platforms and watch the show on our YouTube channel and make sure to hit that subscribe button, so you'll never miss an episode. Please join us next as we talk about Caring for the Caregiver. Sources: https://www.nia.nih.gov/health/parkinsons-disease#:~:text=Parkinson's%20disease%20occurs%20when%20nerve,brain%20chemical%20known%20as%20dopamine. https://parkinsonsnewstoday.com/parkinsons-disease-statistics/#:~:text=United%20States,Americans%20are%20diagnosed%20with%20Parkinson's. https://www.parkinson.org/understanding-parkinsons/what-is-parkinsons https://www.michaeljfox.org/parkinsons-101 https://www.parkinson.org/understanding-parkinsons/10-early-warning-signs https://www.apdaparkinson.org/what-is-parkinsons/symptoms/ https://www.healthline.com/health/parkinsons-warning-signs#4 https://www.parkinson.org/Understanding-Parkinsons/What-is-Parkinsons/Stages-of-Parkinsons https://www.healthline.com/health/parkinsons/stages#4 https://www.bannerhealth.com/healthcareblog/teach-me/the-5-stages-of-parkinsons-disease https://www.parkinson.org/Understanding-Parkinsons/Treatment https://www.apdaparkinson.org/what-is-parkinsons/treatment-medication/ https://www.apdaparkinson.org/what-is-parkinsons/treatment-medication/deep-brain-stimulation/ https://www.parkinson.org/Living-with-Parkinsons/For-Caregivers/Beginning-Your-Journey-with-Parkinsons/Special-Challenges-of-Caring-for-Someone-with-Parkinsons https://www.webmd.com/parkinsons-disease/guide/parkinsons#1 https://www.agingcare.com/articles/daily-caregiving-for-someone-with-parkinsons-disease-119724.htm https://www.healthline.com/health/parkinsons-disease/how-to-support#8.-Be-patient https://www.webmd.com/parkinsons-disease/guide/parkinsons-disease-progression#2 https://www.parkinson.org/Understanding-Parkinsons/Treatment/Exercise#:~:text=Biking%2C%20running%2C%20Tai%20chi%2C,on%20your%20symptoms%20and%20challenges. https://www.parkinson.org/Understanding-Parkinsons/Symptoms/Non-Movement-Symptoms/Depression
Ep. 449 - Karl Sterling - Parkinson's Regeneration Training - Karl is a NeuroRehabilitation Specialist who shares his passion for helping people and creates awareness with Parkinson's. "While Parkinson's Disease (PD) can be debilitating, there is plenty of compelling data to show that exercise is one of the best ways of managing PD symptoms and slowing disease progression. Studies show that regular exercise can improve cognition, dual-tasking abilities, mobility, balance, stability, agility, strength, and motor control for a person living with PD." Get The Book: Parkinson's Regeneration Training ® Book (order at: www.thepdbook.com) www.neuromotortraining.com www.parkinsonsglobalproject.org Latin Podcast Winner 2020 Facebook: @alittlebitofeverythingwithme Instagram: @alittlebitofeverythingwithme Merch Line IG: @avgest2020 Website: www.everythingwithange.com Buy me a Coffee: Ko-fi.com/everythingwithange --- Send in a voice message: https://anchor.fm/everythingwithange/message Support this podcast: https://anchor.fm/everythingwithange/support
While Parkinson’s disease (PD) is a broad category that includes similar symptoms, each person’s disease may have different features, rate of progression, needs and treatments connected to the specific underlying cause of that person’s disease. As we move towards “personalized” or “precision medicine,” which strives to treat each person’s condition according to their unique disease, research in neurology needs the tools to be able to define differences that can allow a truly personalized approach to treatment. Measuring biomarkers, measurable features that are characteristic of a disease, is one of these tools that provides a better understanding of the disease’s underlying biology and causes. They could be imaging such as MRI, chemicals in the blood or brain, brain wave patterns, or even specific signs and symptoms. Knowing the underlying causes of the disease can help to design and test therapies that could slow down or stop PD. Using biomarkers would be especially helpful for the design of clinical trials for several reasons. It would allow researchers to segment testing of medications by individuals with similar underlying biology in order to understand if it works for all or just some types of Parkinson’s. It would also help us better monitor if and how a drug is working. Neurologist Dr. Alberto Espay of the University of Cincinnati proposes that Parkinson’s research requires a new way of thinking based on biomarkers to know precisely what kind of disease one is dealing with, especially when participating in clinical trials. Drugs that work for one form of PD may not work for another. Dr. Espay compares the precision of treating Parkinson’s today to where the cancer field was 30 years ago.
If a person develops symptoms of tremor, slow movements, and stiffness, it could be early signs of Parkinson’s disease (PD) but it may also be the beginnings of any of a group of conditions known by the general term “parkinsonism,” conditions that have some symptoms in common with PD but differ in important ways. Also called atypical Parkinson’s disease or Parkinson’s plus, they tend to progress faster, and they may or may not respond to levodopa, and possibly only show modest benefit. While Parkinson’s disease represents 85-90% of all cases of parkinsonism, a definitive diagnosis for atypical parkinsonism may never be made while the person is alive. Licensed Clinical Social Worker Paula Wiener, a Senior Parkinson’s Information Specialist with the Parkinson’s Foundation, describes the difference between Parkinson’s disease and parkinsonism and gives some examples of Parkinson’s plus. As with PD, exercise is highly recommended for these atypical parkinsonian syndromes.
While Parkinson’s disease (PD) affects all races and ethnicities, not all communities recognize the disease equally. There is a perception in the African American community of PD as a disease attributed to older white men, and thus people may delay getting a diagnosis and help, leading to greater disability. These misperceptions may exist among healthcare professionals as well. Dr. Reversa Joseph, a movement disorders specialist and Adjunct Assistant Professor of Neurology at the Ohio State Wexner Medical Center, says one approach to this problem is outreach and education, particularly when it comes to recognizing early symptoms of the disease. She describes the perceptions in the community and her efforts to raise awareness of PD.
While Parkinson’s disease is widely known as a motion disorder, it affects other areas of the brain including cognition. Bill Mobley welcomes Vincent Filoteo in a discussion of his efforts to understand these effects both as early signs of the disease and to devise treatments to ameliorate these cognitive effects. Series: "Brain Channel" [Health and Medicine] [Show ID: 30724]
While Parkinson’s disease is widely known as a motion disorder, it affects other areas of the brain including cognition. Bill Mobley welcomes Vincent Filoteo in a discussion of his efforts to understand these effects both as early signs of the disease and to devise treatments to ameliorate these cognitive effects. Series: "Brain Channel" [Health and Medicine] [Show ID: 30724]
Guest: Robert Hauser, MD Host: Leslie P. Lundt, MD Parkinson's disease is a neurodegenerative disease that causes motor (movement) and nonmotor symptoms, such as tremor, slowed movements and stiffness, as well as many other symptoms. While Parkinson's typically manifests when a person is age 50 or 60 it can begin as early as age 30. Host Dr. Leslie Lundt welcomes Dr. Robert Hauser as he provides information on typical early symptoms of Parkinson's disease that may be easy to miss or mistake for other conditions.