Answers to Frequently Asked Questions in Parkinson's Disease: A Resource Book for Patients and Families

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Overview

While science searches for a cure, modern therapy has helped remove much of the gloom and doom frequently associated with PD. However, varying symptoms, responses to treatment, and progression of the disease continue to generate a plethora of questions from all the key players -- patients, care-givers and health professionals. Increasing demands on physicians' time have left them hard-pressed to answer the many questions patients have about PD. Three years ago Age Net created an "Ask the Doctor" internet column ...
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Overview

While science searches for a cure, modern therapy has helped remove much of the gloom and doom frequently associated with PD. However, varying symptoms, responses to treatment, and progression of the disease continue to generate a plethora of questions from all the key players -- patients, care-givers and health professionals. Increasing demands on physicians' time have left them hard-pressed to answer the many questions patients have about PD. Three years ago Age Net created an "Ask the Doctor" internet column for Dr. Cram to address the public need for information. This has proven to be a popular, effective vehicle for responding to the wide array of PD questions, often not answered by busy practitioners. This valuable reservoir of questions and answers, previously unpublished, is the foundation for his new book.

Answers..., Dr. Cram's second book on PD, takes a fresh look at tough challenges. He discusses in detail many less common symptoms of the disease, such as freezing and orthostatic hypotension. A physician who has lived with PD for twelve years, Dr. Cram is in a unique position to cast light on the health implications of PD -- adding credibility, professionalism and personal compassion to his answers. With wisdom and warmth, his "voice of experience" offers knowledge, confidence, and hope -- so critical to PD patients and families seeking ways to better cope with this distressing disease, while maximizing quality of life. The organization and substantive content of Answers... translate into an easy-to-read resource about Parkinson's Disease -- essential to every family affected and valuable to any healthcare professional who deals with PD.

ABOUT THE AUTHOR:

Fulfilling a lifelong dream, in 1959 Dr. David Cram received his medical degree with honors from the University of Wisconsin Medical School, Madison, Wisconsin. From 1963 to 1966, he trained for his dermatology specialty at the Mayo Clinic, Rochester, Minnesota, where he earned a Master of Science in Dermatology.

Upon completion of his medical training, Dr. Cram was assigned to the United States Air Force Base Hospital in Lakenheath, England, where he became Chief of the Department of Medicine. During those formative years of what was to become a prestigious medical career, he received the Air Force Commendation Medal and rose to the rank of Lt. Colonel.

In 1971, Dr. Cram joined the staff of the University of California, San Francisco, where he became Chief of the Dermatology Clinic. There he served as teacher, lecturer, and research scientist. Dr. Cram wrote more than seventy-five scientific papers on a wide variety of subjects with a special interest in psoriasis. He is known for establishing the first Psoriasis Day Care Treatment Center in the United States and was considered an internationally recognized expert in this disease.

Dr. Cram left his academic career and opened a private practice in dermatology in 1986. To his dismay, in 1989 he was diagnosed with Parkinson’ s Disease. Given the physical implications of the disease, he retired prematurely in 1991 from the medical practice he loved. With growing resolve, he took on the personal challenges of Parkinson’s Disease. Bringing his years of scholarship and medical experience to bear, he began an extensive search of the literature to learn all he could about Parkinson’s Disease.

A disease known for its limitations and isolating effects led Dr. Cram to widen his outreach to Parkinson’s Disease patients and their families through his web page at Age Net, where he maintains an “Ask the Doctor” column. In addition, he has become a prolific author, having in the past five years published four books, including two on Parkinson’s Disease: this newest book, Answers to Frequently Asked Questions in Parkinson’s Disease (Acorn Publishing, 2002) and Understanding Parkinson’s Disease: A Self-Help Guide (Addicus Books, 1999). His other two books are The Healing Touch:

Keeping the Doctor-Patient Relationship Alive Under Managed Care (Addicus Books, 1997) and Coping with Psoriasis: A Patient’s Guide to Treatment (Addicus Books, 2000).

Dr. Cram’s many awards include an appointment as Clinical Professor Emeritus by the University of California in 1991. More recently, in 2001 tribute was paid by colleagues and supporters through establishment of The David L.  Cram, M.D. Fund for Parkinson’s Disease Research at the University of California Medical School, San Francisco.

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Product Details

  • ISBN-13: 9780971098886
  • Publisher: Acorn Publishing, Battle Creek, MI
  • Publication date: 5/28/2002
  • Pages: 170
  • Product dimensions: 5.82 (w) x 8.48 (h) x 0.39 (d)

Table of Contents

Foreword

Introduction

1.   Financial Considerations

     Where to turn for help

      Staying in the work force

 

2.   Diagnosing Early Disease and Tremor

     Early stages of Parkinson’s Disease

    Young-Onset Parkinson’s Disease

     Essential Tremor

 

3.   Parkinson’s Disease and Heredity

      What have we learned so far?

      Twin study

      Families with Parkinson’s Disease

     Genetics and the environment

 

4.   Medications in Parkinson’s Disease Tips on taking medications Drug-related Parkinsonism

      Drugs that may interfere with Parkinson’s Disease

      Drugs that can interact with Parkinson’s Disease medications

      Drugs that can produce Parkinson’s disease-like symptoms

 

5.   Stress and Exercise

      The role of stress in Parkinson’s Disease

      Good and bad stress

      The effects of stress

      Does stress cause Parkinson’s Disease?

      Stress and your partner

      Coping with fear

      Managing stress

      The importance of exercise

      Use it or lose it

      Facts about exercise in Parkinson’s Disease

      The benefits of exercise

      A word about expectations

 

6.   Preparing for Hospital

     The importance of an advocate

 

7.   Problems with Vision, Sleep, and Restless Legs

     Visual complaints in Parkinson’s Disease

     The role of drugs

     The importance of eye movements

     Contrast sensitivity

      Double vision

      Dopamine in the retina

      Sleep Disorders in Parkinson’s Disease

      Restless Legs Syndrome

 

8.   Fear of Falling, Freezing, and Low Blood Pressure Can falls be prevented in Parkinson’s Disease?  What are the causes of falls?

    Postural imbalance

   What can be done to reduce falls?

    Common sense

    Trained dogs

    Freezing in Parkinson’s Disease

    What is freezing and what can be done about it?

     What causes freezing?

      Treatments for freezing

      Tricks and other suggestions to break the freeze Do surgical procedures help?

      Other methods tried for freezing

      Orthostatic Hypotension in Parkinson’s Disease

      The autonomic nervous system

      The symptoms of orthostatic hypotension

      What are the recognized causes of orthostatic hypotension?

      How is orthostatic hypotension treated?

 

9.   Undesirable Side Effects

      Hallucinations

      Dementia

      Dyskinesias and Dystonia

      Lost hope in Parkinson’s Disease

 

10.  Surgery in Parkinson’s Disease

       Deep brain stimulation

11.  New Discoveries

       Looking for the cure

       Neuroimmunophilins-Ligands

       Neurotrophic factors

       Neural tissue transplants

       Stem cell transplants

       Gene engineering and therapy

       So, you have just been diagnosed with Parkinson’s Disease

       Glossary

 

      Glossary of Terms is provided

      Resources

      Beside the book itself, many useful resources are included.

      Index

      A full index is provided for ease of reference

 

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  • Anonymous

    Posted August 14, 2003

    Answers ALL your questions

    This is a very appropriately titled book. Dr Cram is also affected by Parkinsons's Disease. He really does Answer all those Frequently Asked Questions about Parkinson's Disease. With his medical background and training you would expect it to be full of medical terms, but it isn't. There are so many questions that get asked and this is one powerful resource book for anyone that is affected by Parkinson's Disease, wether a patient, a care-giver or even a medical professional, this wonderfully written book will truly ANSWER your questions. He has also made it even easier to look up the Answers, there is a very useful index in this book, superb for referencing the content very quickly, making it an ideal reference for the busy medical professional!

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