PLEASANT TRIP TO TRARALGON ..

 27forParkinson's: Day 17

Diagnosis of Parkinson's 

The onset of Parkinson's symptoms is gradual and obtaining a firm medical diagnosis can take some time in spite of the obvious nature of many of the symptoms.

Currently, there is no definitive laboratory test or radiological procedure which diagnosis  Parkinson's and autopsy-based studies have shown that even among neurologists, diagnostic accuracy results in up to 25% of cases proven incorrect at time of death.

In spite of advances in the management of Parkinson's, the provisional medical diagnosis continues to be based on the clinical picture of four cardinal symptoms and a positive response to levodopa (medication). The diagnostic checklist is composed of:

Bradykinesia 

Muscle rigidity 

Tremor

 Postural instability

 Specialised Medical Diagnosis and Management

Most people will visit their GP as they become aware of the development of symptoms and it is recommended that a referral to a neurologist or geriatrician be obtained.

Parkinson's organisations in each state can supply a list of locally-based specialists who have an interest in treating Parkinson's.

Some states have government-funded Parkinson's clinics. 

The basis of diagnosis is the assessment of presenting symptoms, past medical history, including exposure to substances (both pharmaceutical and environment ) and a review of family history.

 A neurological examination will reveal bradykinesia, tremor, rigidity and balance issues 

 Bill was referred to a physician/geriatrician early last year as we were concerned with problems with his memory - he'd had difficulty understanding tennis and cricket scoring and as he was a sports 'nut' this was so out of character - this and most of the other problems he was encountering were previously put down to the intensive radiation he'd received in the past. 

Covid and lockdown meant a wait of four months before we could obtain a face-to-face appointment. 

At this appointment, the testing consisted of the cognitive test (usually done annually after age 75), sign his name, and a walking test ... we were not prepared for the diagnosis of Parkinson's with dementia - was reasonably certain there was dementia.

I have wondered, since doing this challenge and researching, what may have been different if we had been aware of the Parkinson's symptoms back then - my hope is that by sharing this knowledge it may help someone, even just one other person to get an earlier diagnosis. 

Nicer weather today, H & I made the trip to Traralgon to Kmart to return clothing I'd ordered for Bill but arrived too late - thanks Kmart for making the returns so easy. Thanks H.

Rang Marg to see hows she's fairing

Emailed Sale Cemetery for details - need to 'get my ducks in a row' as H said, so when the borders are open we can organise a Rememberance Ceremony ...