Download PDF by Abraham Lieberman: 100 Questions & Answers About Parkinson Disease

By Abraham Lieberman

ISBN-10: 0763704334

ISBN-13: 9780763704339

A patient-oriented advisor to dealing with Parkinson affliction and the actual and emotional problems linked to the illness.

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Extra resources for 100 Questions & Answers About Parkinson Disease

Sample text

Softness of voice (hypophonia) results from rigidity and slowness of movement of the muscles of the pharynx, larynx, and vocal cords, and the muscles of respiration (those that move air through the larynx and vocal cords). Hypophonia can vary from being an annoyance, forcing you to speak louder during ordinary conversation, to being a major problem in a lawyer or a politician. Hypophonia develops slowly, and you may be unaware your voice is inaudible. Hypophonia may be helped by a special type of training called the Lee Silverman Voice Training (LSVT).

If a stranger, even the doctor, rapidly points out the obvious, it succeeds only in reinforcing your guilt and redirecting the anger toward the doctor. ” For a satisfactory doctor-patient relationship to be established, the doctor must appear caring and involved. After such a relationship has been established, his diagnosis is more likely to be accepted and his recommendations followed. During the history, you may make a remark that confirms the diagnosis. ” It may become apparent to the doctor that you are not aware of any difficulty either because of denial or because of your inability to sense the difficulty.

This implies their PD is progressing more slowly than they thought. If your non-dominant hand is primarily affected, the questions should be directed to include those activities you usually performed with that hand. Thus if you’re right-handed with left-sided PD, you may be asked how you button your shirt sleeves on your right side or how you wash your right shoulder. People rarely associate difficulty with turning in bed with a disease, so they do not mention it and are surprised when asked. Such questions provide you with 29 l eb02 11/13/02 11:20 AM 1 0 0 Page 30 Q & A A B O U T P A R K I N S O N D I S E A S E insight into the scope of your disease; you realize that symptoms as different as tremor, drooling, and difficulty turning in bed are part of the same process.

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100 Questions & Answers About Parkinson Disease by Abraham Lieberman


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