What Parkinson’s patients should take in stride

I met some patients in the clinic “tossed” their own patients, all Parkinson’s friends can be compared to their own, to see if there are the following four aspects of the situation, Parkinson’s friends should grasp the degree of which? 1, copying the drug program: I heard that a patient used a certain drug, the effect is good, he also copied over, many patients because of Parkinson’s disease and bonding, they have similar experiences, each other to share the experience of anti-Parkinson’s disease, to pass on the positive energy, it is worth encouraging. But sometimes do not grasp the degree, for example: I heard that a Parkinson’s friend taking a certain receptor agonist effect is particularly good, I also try, directly 1 tablet, three times a day, I did not expect to appear nausea, vomiting, hallucinations, sleepiness and other adverse reactions, the reason for this is that the way the drug is titrated and the medication did not allow the doctor to assess the patient has no relevant risk of taking the drug. Some time ago, the clinic met an 81-year-old old man, tremor is obvious, listening to the same village of the Palmers said that Antan treatment of tremor effect is good, directly take 2 pills, three times a day, the old man tremor not only did not get control, 3 days later also add new problems: hallucinations, urination difficulties. We know that this is all because of Antan. The use of medication is just like wearing shoes, only you know whether the shoes fit! You can listen to the advice of your friends, but it may not be right for you. Individualized treatment with a professional doctor who has extensive clinical experience is the right way to go! You can’t copy the medication program of other patients. 2, self-adjustment of the treatment program: some patients in the early stages of treatment, in accordance with the doctor’s instructions, achieved good therapeutic results, and later, met more patients, the opportunity to exchange experience is also more, there is a kind of “long time to become a doctor” feeling, coupled with each time to look for the doctor’s follow-up appointment is required to increase the cost of medical treatment, and therefore adjusted their own medication dosage. There was a patient who increased the dosage of Methyldopa to 12 capsules per day and suffered serious side effects. Here, I would like to tell the patients, don’t be afraid of trouble, if the condition fluctuates, the best and the only way is to find a professional movement disorder doctor for consultation. 3. Excessive “blocking” of Methyldopa/Hypnin: This phenomenon is very common among the early-onset Parkinson’s patients I met. I can understand the concerns of Parkinson’s patients: the fear of future drug adjustment space is small, premature movement. I suggest that Parkinson’s patients learn the “middle way” of Chinese Confucianism, which is a very good concept for Parkinson’s treatment. The most important goal of the patient is to maximize the relief of his pain, which is a natural match with the doctor’s idea. I always tell my patients that they should not blame the medication for their problems. It’s like driving a car, most of the problems are caused by the driver, not the car itself. The so-called side effects of Medopa have more to do with the dosage and the progression of the disease, and we can delay the complications as much as possible by rationally combining different antipalpine drugs. 4, the degree of surgery time window opening is not well grasped: DBS surgery for Parkinson’s patients is the second honeymoon period, Parkinson’s patients in the development of the disease process, if the efficacy of regression, anisometropia, and other motor complications, in line with the timing of the operation (known as the time window). Some Parkinson’s patients have some fears and concerns about the surgery, such as: the problem of complications and the degree of improvement of the disease after the surgery (some patients believe that they should recover as normal after the surgery), delaying the timing of the surgery