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if you believe you have parkinsons how should you be diagnosed?

 
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  • Answered by:neuromd2012
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Customer Question

if you believe you have parkinson's how should you be diagnosed? only by neuro can the brain be operated on if the conditions cause chronic migraine and neck pain?

 

Optional Information:
Person's Gender: Female
Person's Age: 44

Already Tried:
PT, exercise, psychotropic meds, cpap, weight loss, diet, stress reduction, anything without a confirmed dx

Submitted: 287 days and 15 hours ago.
Category: Neurology
Value: $38
Status: CLOSED

Accepted Answer

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Expert:  neuromd2012 replied 287 days and 15 hours ago.


neuromd2012 :

hello

neuromd2012 :

I am waiting for you to come online.

Customer :

hello

neuromd2012 :

hi are you there?

Customer :

yes I am attaching my history is that okay?

neuromd2012 :

so the diagnosis of parkinson's is made by history and physical exam for starters.

neuromd2012 :

great

Customer :

2001-present seeing Endochronologist and MD Dr. Lyn Conlon regarding Post Traumatic Stress, anxiety, depression (genetic)

2012 New diagnosis
Three previous auto accidents two in 2011
Bone fragments C5, C6, C7 seeing West Front Primary Care Dr. XXXXXXX XXXXX, Dr. Nicholas March
Seeing Dr. Justin VanSkyhock and Dr. Rob Lyons/Chiropractors, Traverse City, MI Three times per week
Current Patient of Dr. Vincent Pruscik and receiving physical/water therapy to strengthen osteoarthritis left knee and right foot plantar tendon tear 2 times per week
Receiving massage when I can afford it out of pocket; taking water aerobics class at the resort three times per week since bike was damaged unable to afford new bike
Employer Health Insurance through Priority Health ended as of 4/3/2012; still covered under BCBS PPO/Joel Hohbein's policy.
Diagnosed in XXXX XX XX. Charles Lockhart DT used a NTT and broke it with my jaw
Had three sleep studies performed currently use a ResiMed CPAP sleep apnea machine and dental appliance for mild obstructive sleep apnea and TMJ
DX
Allergic Rhinitis

Former Surgeries
Tonsils and Adnoids 197?
4/20/95 Lap Endometriosis (genetic)
5/1/97 Lap Endo
6/4/97 HSG Hysterosalipingogram
1998 LAP
2/17/99 LAP
2006 D & C; Polpectomy
2007 Polpectomy
7/2008 IVF HSG

5/19/09 Lap supracervical hysterectomy LSO R Ovarian also had an appendectomy
Surgical path report Good Samaritan Hospital Two foci of well differentiated endometroid carcinoma
no evidence of myometrial invasion is identified.
University of Chicago rec'd 25 consult slides from Good Samaritan Hospital Downer's Grove, IL
Specimen reveals two microscopic foci; 0.2 cm anterior endometrium and 0.8 cm posterior endometrium with a complex architecture showing closely packed glands, squamous metaplasia and focal necrosis. Each gland still appears to be separated by a thin rim of stroma, therefore these foci are considered as atypical complex hyperplasia.

NO Evidence of cancer Dr. Rana signed a document that stated this in 2010 when I worked for six months at Reproductive Medicine Institute

Customer :

migraines are more frequent

Customer :

right lobe behind right ear, balance, vision, focus, wounds not healing injuries not healing foot, knee

Customer :

maternal mother died osteosacroma in situ

Customer :

father/uncle kidney/bladder ca

Customer :

shaking, left arm strength weakening

neuromd2012 :

thank you for all that.

neuromd2012 :

first of all, are you in traverse city, you lucky dawg, what are you complaining about????

Customer :

just want to know if I need to schedule in person another H & P

Customer :

NOT complaining just want to live longer:)

Customer :

I love TC and that is why I moved back

Customer :

where are you located?

neuromd2012 :

I am stuck in NYC grew up in Michigan in Grosse Ile, and I miss it to death

Customer :

come back or fly me out I'll be your patient:)

Customer :

do you operate?

Customer :

on brains?

Customer :

i only get relief temporarily with massage and chiro but then it comes back

neuromd2012 :

no I am a neurologist, I do deal with parkinson's of course, I do a lot of experimental imaging, and to quickly answer your first question, to diagnose parkinson's we now have special scanss

Customer :

anyway, I'll let you type, I only paid $39 for this interaction:)

neuromd2012 :

ok, I type you read, then you can type back ok?

Customer :

Cool do you know the name of the special scans? I'll see if they have them in TC?

neuromd2012 :

sure. these are PET scans that use a radioactive tag to look at your dopamine stores.

Customer :

cool

Customer :

$5000 I assume

neuromd2012 :

I will send you a webpage of the big place here in NYC that does them

Customer :

need auth from insurance I assume

Customer :

medical documentation I assume. Thank you. How much research have you done on Parkinson's, how is the prognosis or life expectancy

neuromd2012 :

http://www.northshorelij.com/NSLIJ/10-095

neuromd2012 :

My imaging research is not in Parkinson's , it is in drug abuse, but actually we use the same radiotracers because drugs age your brain

Customer :

Thank you. I'm heading to the chiro to get some temp relief today and my massage therapy friend will give me a myofacial MT tomorrow:) Thanks again. Dr.

Customer :

Does zoloft age my brain

neuromd2012 :

the scans are expensive, and you would want to have insurance, no doubt

Customer :

It has helped me a little for only 50 mg per day

neuromd2012 :

zoloft does not age your brain

neuromd2012 :

but your neck pain is probably the cause of your arm weakness

Customer :

cool, thanks again for your input, I'm on the right healing track I appreciate your online direction look me up if you are ever in TC Beth XXX XXX XXXX you have a condo or place to rest your head:)

neuromd2012 :

and your arm pain

Customer :

cool good to know

Customer :

neck pain I see neuro spine all connected strengthen the neck muscles, etc.

neuromd2012 :

yes exactly

neuromd2012 :
neuromd2012 :

hang in there and enjoy the cherry festivals and the bay and all that stuff, get your bike fixed

Expert TypeBoard Certified Physician
Category: Neurology
Pos. Feedback: 95.3 %
Accepts: 5281
Answered: 6/27/2012

Experience: General Adult Neurologist. Board Certified. Experimental Neuroimaging and Neurodiagnostics

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Expert:  neuromd2012 replied 287 days and 15 hours ago.

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