Substantial Matters: Life

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...

Parkinson’s disease (PD) is more than a movement disorder. While motor symptoms may be a prominent outward symptom of PD, mood and other emotional changes are also common- and not just for the person with PD. Their care partners may also experience such changes. Often, the best way to recognize these problems and figure out coping strategies may involve other health professionals in addition to a movement disorders physician, such as social workers or psychologists. Licensed Clinical Social...

Mental health issues are often a part of a chronic disease such as Parkinson’s, but no one comes into a disease as a blank slate. They bring with them their whole being – their relationships, anxieties, social and personal experiences. Therefore distress in the setting of a disease should not only be ascribed to having the disease but should also take the whole person into account. In this podcast, Licensed Clinical Social Worker Kara Barton, a clinical instructor at the University of...

Depression is common in Parkinson’s disease (PD) and may manifest itself in different ways for each individual. While the core symptom is a negative mood, other symptoms may be variable and can include changes in sleep, appetite, energy, or pain. These symptoms may overlap with the PD itself, making it difficult for the person with PD or even healthcare providers to recognize the depression. In this podcast, movement disorders specialist, Irene Richard, a professor of neurology and...

Before therapies make it into clinical trials, they undergo a series of laboratory testing. These preclinical models of the disease may include animals, cell lines, or single cell organisms to help validate the success of a potential treatment. Additionally, preclinical models of Parkinson’s disease may help us to understand the mechanisms and the molecular or genetic pathways that control or interfere with normal and abnormal functions. Understanding the underlying disease processes is...

Developing medical treatments today for the most part depends on identifying a problem, whether it is physical, metabolic, behavioral or psychological and then targeting a treatment for that problem. Knowing what process causes a disease or symptom helps direct discovery of its potential treatments. In the case of Parkinson’s disease, modern techniques such as brain imaging, biochemical tests, and laboratory studies can reveal likely targets for designing new treatments. In this podcast,...

The prevalence of Parkinson’s disease and parkinsonism has been on the rise since the 1970’s, but a true estimate of how many people are affected had been difficult to ascertain because of how we collected the early data. It is important to know the prevalence of the disease in order to allocate health care resources, including health care professional training as well as money for research into the conditions of PD. The Parkinson’s Foundation has taken a leading role in determining the...

The mission of the Parkinson’s Foundation is to improve the lives of people with Parkinson’s disease (PD). Since each person’s experience with PD is unique, a wide range of factors must be evaluated to learn what the most effective treatments are, who can best benefit from each treatment or intervention, and how to help caregivers. Thus, the groundbreaking Parkinson’s Outcomes Project was begun in 2009. Through this study, the Parkinson’s Foundation’s Centers of Excellence track and monitor...

The Parkinson's Foundation is committed to working with health care professionals to improve the way care is delivered to families affected by Parkinson's disease. One way is through the Foundation’s signature program, Allied Team Training for Parkinson’s (ATTP), developed to increase knowledge of PD and build capacity for comprehensive interprofessional care in the treatment of Parkinson’s disease. Physicians, physician assistants, nurses, nurse practitioners, social workers, speech...

Parkinson’s disease is a complex condition, involving more than just movement. And to ensure the best outcomes and quality of life, people with PD should have a coordinated team of health professionals to help with their physical, social, and emotional needs. Since PD is a progressive disease, this array of health professionals can keep a constant eye on the changing condition and provide appropriate therapies as needs arise. Today, Lisa Mann, the nurse and education director for the Oregon...

Medical professionals have a lot to offer people in the early and middle stages of Parkinson’s disease. People with PD can visit their teams of doctors, nurses, social workers, and other health professionals on a regular basis in an office or clinic setting. A problem can arise, however, when determining how to best help people in the more advanced stages of the disease, when they develop more symptoms of greater severity and have limited mobility. Dr. Jori Fleisher of the Rush University...

As people with Parkinson’s disease experience a variety of symptoms and challenges beyond movement problems, a comprehensive, team approach can benefit them with matters such as blood pressure drops, urinary symptoms, sleep disturbances, sexual and intimacy matters, and other quality of life issues affecting them and their caregivers. However, due to the associated stigma or potential feelings of embarrassment, people with PD may not bring these matters up with their clinicians. In this...

Among the non-motor symptoms of Parkinson’s disease, cognitive and behavioral challenges also can be troubling and disabling. Medication, surgery, and other therapies can help alleviate motor symptoms, but the treatment of mental changes lags behind. Addressing cognitive, behavioral, emotional, and other neuropsychiatric issues may be daunting both for physicians and for the people with Parkinson’s whom they treat. Through a Parkinson’s Foundation grant, Dr. Jennifer Goldman has set up an...

More and more people are exploring medical marijuana, also called cannabis, as a treatment option for various chronic health conditions, including Parkinson’s disease. Several states have legalized medical cannabis, but because federal drug laws have prevented scientific investigations on cannabis and its components for many years, much is still unknown about its use for medical purposes. Patients have questions about it, and physicians are still feeling their way through the landscape of...

There is no single, definitive test for Parkinson’s disease (PD). The diagnosis is made by an expert clinician who asks questions about a person’s health and medical history and observes their movement. But an enterprising high school student is working on a system that analyzes movements of facial muscles to make an early diagnosis and track Parkinson’s progression. Erin Smith of Shawnee Mission West High School in the Kansas City, Kansas, area adapted a real-time facial expression...

Despite great advances in genetics and molecular biology, many aspects of research on diseases affecting the brain, including Parkinson’s, still depend on actual human brain tissue for study. How do researchers get these brains for study? They need you to become a brain donor! It is important for people with neurological diseases to donate their brains after death, but healthy brains are also needed for comparison. Brain retrieval must occur very quickly to be useful, so advance planning is...

People with Parkinson’s disease may experience sensory misperceptions (hallucinations or illusions) or false beliefs (delusions). These tend to occur more in the later stages of the disease, and they can be mild and non-threatening or severe. Dr. Martha Nance, director of the Parkinson’s Foundation Center of Excellence at the Struthers Parkinson’s Center in Minneapolis, explains the causes of these symptoms, gives examples of how people with Parkinson’s might experience them and discusses...

Hallucinations might not be something you associate with Parkinson’s disease (PD), but they are a possibility in PD and can be a big problem, especially as the disease progresses. Visual hallucinations are the most common, but auditory and other sensory hallucinations also may occur. At first, it may be easy to distinguish the hallucinations from reality, but over time they can become more distressing for the person with Parkinson’s and their family, as well as a challenge for medication...

Parkinson’s is a complex disease with many symptoms that affect multiple parts of the body. These symptoms can lead to common complications, such as falls and food going down the windpipe into the lungs, causing pneumonia. At the same time, people with Parkinson’s disease (PD) are at risk for conditions that occur in the general population, especially as we age, including heart disease and cancer. Some conditions (i.e., diabetes) even seem to be associated with a higher risk of Parkinson’s....

The Edmond J. Safra National Parkinson’s Wellness Initiative aims to build community hubs for people with Parkinson’s – outside the medical setting – to create more opportunities for exercise, connect people to support and educational resources and provide motivation to get out and be active. Founded ten years ago in New York and now expanded to Boston, Chicago, Tampa, FL, and Washington, DC, the initiative is a partnership between Parkinson’s Foundation Centers of Excellence and Jewish...