Parkinson’s disease is not a fatal disease

  April 11 is the 18th World Parkinson’s Disease Day. The latest patient survey report released by the Parkinson’s Disease and Movement Disorders Group of the Chinese Medical Association’s Neurology Branch shows that the Chinese public does not know enough about the early symptoms of Parkinson’s disease, and nearly 80% of patients do not seek treatment in time. The incidence of Parkinson’s disease in China accounts for about 1% of the elderly population, and the incidence in people over the age of 65 has reached about 2%, with the current number of Parkinson’s disease patients in China reaching about 1.7 million.  Parkinson’s patients often present with symptoms such as involuntary tremors of the hands, head or mouth at rest, body stiffness, slowness of movement, and postural instability. In the early stages, they often fail to attract the attention of patients and relatives, thinking that they are old and uncoordinated in their movements and delaying the time to seek medical advice. In recent years, the age of onset of Parkinson’s disease is trending younger, and middle-aged Parkinson’s disease patients in their 40s and 50s can often be seen in outpatient clinics.  Parkinson’s disease itself is not a fatal disease and does not generally affect life expectancy after reasonable treatment. Many patients have a relatively slow progression of the disease and can still maintain good function for more than a decade after reasonable treatment. However, if patients do not receive timely and reasonable treatment, as the disease progresses, symptoms such as tremor and rigidity will gradually worsen, making life unmanageable and causing many other problems, such as emotional problems, intellectual problems, gastrointestinal problems, etc., leading to a decline in physical function and eventually complications such as pneumonia and urinary tract infections, and also easily combined with anxiety and depression. Patients with Parkinson’s disease who do not receive standardized treatment can progress to severe levels in just a few years, so early detection of Parkinson’s disease is critical to curbing and slowing the progression of the disease.  Although no prevention or cure for Parkinson’s has been found, the symptoms of Parkinson’s can be better improved through a combination of medications, surgery, and rehabilitation, which includes diet, exercise, and more.  Current treatment is still based on medication, and good medication can help patients restore function and significantly improve quality of life. However, patients should choose medication under the guidance of a doctor with neurological experience, and should not change the type of medication on their own, otherwise it may cause serious side effects.  When medication is not effective in controlling the disease, surgical treatment can be considered for patients who do not have a combination of other serious physical diseases. The original surgical treatments such as pallidum destruction and thalamus destruction are invasive and limited in their applicability. Deep brain electrical stimulation and implantation of brain pacemakers to improve symptoms through high frequency electrical stimulation are becoming more and more popular, but the price of 200,000 RMB for imported products discourages most patients. Domestic pacemakers are already undergoing clinical trials and are expected to be available in the near future, bringing good news to the majority of patients.  In contrast, stem cell transplantation therapy is still in the clinical trial stage worldwide. There are still a lot of technical challenges to be solved if stem cell technology is to be truly used for universal clinical treatment. Chinese medicine may have some improvement effect on some symptoms of Parkinson’s such as constipation, insomnia, etc., but it cannot replace the current commonly used western medicine. Parkinson’s disease treatment should focus on both body and mind, as the so-called “clear in mind, healthy in action”. Walking, tai chi, radio gymnastics, swimming, ball games, etc. are good for exercising physical strength and flexibility. Patients with Parkinson’s disease need to make appropriate adjustments to their diet according to their condition, eat more cereals and fruits and vegetables, frequent and moderate intake of milk and legumes, limited meat consumption, try not to eat fatty meat, meat and oil and animal offal, ensure sufficient water, eat half an hour after taking medication, and individualize the diet treatment, making appropriate adjustments with changes in the condition. When caring for patients, care should be taken to prevent accidents such as falls and accidental aspiration.  Many experts believe that “a clear and bright mood is a prerequisite for the recovery of Parkinson’s disease patients.” Keeping patients in an optimistic mood and a harmonious and supportive family atmosphere can help patients face the disease positively and overcome it.