Tuesday, April 26, 2011

Dr Demi-God, paging Dr. Demi-God... Helloooooo?...



Here is a refreshing look at the Doctor/patient relationship. (Hat tip to Bill Bell for flagging this.) I love the bit with the forklift. As much as we might wish that someone with the knowledge and power could lay a hand on our forehead and cast out our PD demon, it doesn't work that way. With this disease you can't afford not to step up and help out.

As people with Parkinson's we have to be unusually involved with our care. This is true because of three big factors. First, Parkinson's manifests differently in each person to such a degree that it can be difficult to standardize care. You have to be the authority on you. Second, if you haven't got access to a movement-disorder trained doctor you must take up as much of the information slack as you can. The unfair but unavoidable truth is that a general practice neurologist doesn't have the ability to dive as deeply as possible into the complexity that is Parkinson's when patients with everything from MS to migraines also need care. Third, let's face it, in our system we ration time with your doctor. You and your doc share the examining room with an invisible bean counter who is muttering in the background and pressuring your doctor to move on to the next patient. Even if your doctor is a demi-god, (hint: none are) This doesn't leave much time to pick their brain. So you get to be part of their brain instead.

And here is where something useful can happen. You demonstrate to your doctor that you have a good working knowledge of your disease as well as ideas about how care might go forward. This allows your doctor will see you more as partner in your care, someone to practice medicine with, not someone they practice medicine on.

If you are interested in finding information, where do you go? Two words: Support group. What? You want more than two words? Well you could always check out this post from a short while back.

Sunday, April 24, 2011

Pete's Parkinson's Portraits- Francisco Franco


Like Mao and Hitler, Franco was a brutal dictator of the Twentieth Century. Like them, he suffered from Parkinson's Disease. Franco managed to hang on from the thirties to the mid seventies, miring Spain in his iron grip. "Our regime is based on bayonets and blood, not on hypocritical elections" he boasted, backing it up with his feared police the Guardia Civil.

Franco became the leader of Spain after defeating the communists and anarchists in the Spanish Civil War. This war was seen by many at the time as a a critical battle in the world-wide struggle against Facism, prefiguring WWII. Because of this idealistic foreigners like Hemingway, George Orwell and Arthur Koestler went to Spain to fight on behalf of the anti-facists. Each came out of the struggle marked for the rest of their lives by the collapse of the forces allied against Franco.

Franco continues to haunt the image of Spain years after his death. Guillermo Del Toro's searing recent film "Pan's Labyrinth" was inspired by the post-war reign of Franco, who maintained power until his death in 1975.

Friday, April 22, 2011

After 16 Years Incomunicado, "Calvin and Hobbes" Artist Bill Watterson Emerges to Help in the Effort to Stop Parkinson's Diseas


(ABOVE) Portrait of "Cul de Sac" character Petey Otterloop, by Bill Watterson

Here is one more reason to revere Bill Watterson, creator of "Calvin and Hobbes". The reclusive cartoonist has contributed the first piece of art that the general public has seen from him in 16 years to the Team Cul de Sac effort to help the MJ Fox foundation in its efforts to cure Parkinson's Disease.

You can learn more from a Washington Post blogger Michael Cavna Here, or check out the Team Cul de Sac blog here.

Many thanks to Bill Watterson, a guy who knows when and how to break a long silence!

Monday, April 11, 2011

Upcoming PD Events For Anchorage

Hi folks,
Here's your Parkinson's breaking news bulletin for Anchorage and environs. Today (Monday the 11th) there will be a telehealth presentation at Providence hospital called "An overview of treatment options for PD". Look for this event in room 2401 at 1:00 p.m. That will be followed this Saturday by a support group meeting at our usual plush digs at the Anchorage Pioneer home. We are still hoping to nail down our Tai Chi speaker for that, but I do have a backup plan should that, if you'll pardon the expression, fall through.

See you at some or all of these fab PD events

Thursday, April 7, 2011

Can you Keep a Secret? It's Parkinson's Disease Awareness Month


Pssssst... keep it under your hat. Don't tell a soul. This is your-eyes-only stuff on a strictly need to know basis, and yes, I'll have to kill you after I tell you. Can you handle the truth? It is, believe it or not, Parkinson's Awareness Month.

Once again April, in all her cruelty, demands that an oblivious world divert its attention from the disaster in Japan, War #3 in Libya, and even the lovely locks of Justin Beiber to (ahem) us.

April is the time we are supposed to raise our soft slurred voices in a cry for attention. A cry to which the World will likely reply "What? Couldn't catch that. Come again?" And who can blame it?

With the thousands of worthy causes out there demanding attention through such tired devices as "awareness" months, how do we get the world to focus on our particular little tragedy? That is the question of the moment.

But is it the right question? Isn't a better question why should anyone care? Given all the other sad, desperate conditions and predicaments that humanity faces, what can and should we do to make it worth the World's time to devote its distracted mind and heart to us?

Let's begin convincing people PD matters by ditching Parkinson's Awareness Month. Reserving a month for PD awareness leaves eleven months for Parkinson's obliviousness. We need to let people know they should care about Parkinson's Disease year-round. How? For a start, if you are hiding your PD, come out of the closet and let people know. This is especially important for young-onset patients. I have met good doctors that couldn't believe I had PD because I'm "Too young". An invisible problem is not going to rise to the top of anyone's to-do list. You must allow people to see your predicament before they can feel compelled to confront it. If you're not part of the problem, you're not part of the solution.

So you boldly step out of the closet. That's a start. What next? You have to show you care. If you can't be bothered to resist Parkinson's Disease, why should anyone with a less obvious stake in the matter be bothered? If you need some ideas about how to do this, no worries, here are a few. Start a blog, volunteer as a PD research subject, join a support group, get involved in a fund raising event. With a little enterprise on your part every month will become Parkinson's awareness month. People will be eager to cure it just to make you go away.

Learn what you can do to take better care of yourself. Whether the Lord helps those that help themselves or not, I do not know. But I am convinced that people are more apt to help out when they see you are trying to make your situation better rather than shrugging your shoulders and waiting for the next blow. Get speech therapy, work those stiff and sore muscles with regular exercise. Eat right. Manage your medication well. Do your research and learn all you can about how you can function more effectively in spite of what this disease will do to drag you under.

Whew, that'll easily fill up a year. A person might be forgiven for wondering if there is no simpler way to inspire interest and compassion from a stressed out over-busy world. Actually there is. But it would be wrong to wish PD on Justin Bieber.

Sunday, April 3, 2011

Another Walt Whitman Moment ("I celebrate and sing myself" yet again)


Hang on to your gag reflexes while the Off and On Promotions Department issues the following press release...

OK, let's get this over with quickly, minimizing our mutual discomfort at naked, opportunistic self promotion.

TheAlaskaPressClubhashonoredtheblogOffandOnwithfirstplaceinthecommentaryblogcategoryforworkdonein2010.ThisisabigdealforPeterwhoissoexcitedthatheisevennowcomposingaselfaggrandizingpressreleasewhichhewillsoonposttotheaforementionedblog.

Whew, thank heavens that's done. The management here at Off and On appreciates your forbearance in this matter, and expects to refrain from this sort of behavior for at least a year, and probably longer. Thankyou.