50 Ways Parkinson's Could Affect You
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About this ebook
Dr. Abdul Qayyum Rana is a neurologist who specializes in Parkinson's disease and Movement disorders. He is currently the Director of Parkinson's Clinic of Eastern Toronto and Movement Disorders Center, located in Toronto, Canada. Dr. Rana completed his neurology residency training in New Jersey Neuroscience Institute, New Jersey, U.S.A. He then did a fellowship in Parkinsons disease and Movement disorders at the University of Ottawa, Canada. Dr. Rana is well known for promoting public awareness of Parkinson's disease and Movement disorders. Dr. Rana is also founder of World Parkinson's Education Program. Dr.Rana has written extensively on various aspects of Parkinson's disease and Movement disorders. Some of the books and publications of Dr. Rana are as follows,
Book titlesA Synopsis of Neurological Emergencies
An Aid to Neuro-ophthalmology
An Introduction to Essential Tremor 50 Ways Parkinson's Could Affect You
Educational BrochuresFrequently Asked Questions About Parkinson's disease
This is a series of educational brochures about Parkinson's disease which have been translated in different languages and are used in many countries around the world.
Abdul Qayyum Rana
About The Author Dr. Abdul Qayyum Rana is a neurologist who specializes in Parkinson's disease and Movement disorders. Dr. Rana, who is considered the authority in Movement disorders, is currently the Director of Parkinson's Clinic of Eastern Toronto and Movement Disorders Center, located in Toronto, Canada. Dr. Rana completed his neurology residency training in New Jersey Neuroscience Institute, New Jersey, U.S.A. He then did a fellowship in Parkinson’s disease and Movement disorders at the University of Ottawa, Canada. Dr. Rana is well known for promoting public awareness of Parkinson's disease and Movement disorders. Dr. Rana is also founder of World Parkinson's Education Program. Dr.Rana has written extensively on various aspects of Parkinson's disease and Movement disorders. Some of the books and publications of Dr. Rana are as follows, An Introduction of Essential Tremor A Synopsis of Neurological Emergencies An Aid to Neuro-ophthalmology 50 Ways Parkinson's Could Affect You What is Parkinson's disease in Arabic Frequently Asked Questions About Parkinson's disease which are a series of thirteen educational brochures about Parkinson's disease, translated in Chinese simplified, Chinese traditional, Arabic, German, Urdu, Bengali, French, and many other languages.
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50 Ways Parkinson's Could Affect You - Abdul Qayyum Rana
50 Ways
Parkinson’s
Could Affect
You
Abdul Qayyum Rana
Director, Parkinson’s Clinic of Eastern Toronto
&
Movement Disorders Center
Consultant Neurologist,
Rouge Valley Hospital Toronto
Toronto, Canada.
iUniverse, Inc.
Bloomington
50 Ways Parkinson’s Could Affect You
Copyright © 2011 Abdul Qayyum Rana
All rights reserved. No part of this book may be used or reproduced by any means, graphic, electronic, or mechanical, including photocopying, recording, taping or by any information storage retrieval system without the written permission of the publisher except in the case of brief quotations embodied in critical articles and reviews.
The information, ideas, and suggestions in this book are not intended as a substitute for professional medical advice. Before following any suggestions contained in this book, you should consult your personal physician. Neither the author nor the publisher shall be liable or responsible for any loss or damage allegedly arising as a consequence of your use or application of any information or suggestions in this book.
iUniverse books may be ordered through booksellers or by contacting:
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Because of the dynamic nature of the Internet, any Web addresses or links contained in this book may have changed since publication and may no longer be valid. The views expressed in this work are solely those of the author and do not necessarily reflect the views of the publisher, and the publisher hereby disclaims any responsibility for them.
ISBN: 978-1-4502-4054-3 (pbk)
ISBN: 978-1-4502-4055-0 (ebk)
Printed in the United States of America
iUniverse rev. date: 2/21/2011
Illustrations by Evelyn Shifflett
PREFACE
I have been working in the field of Parkinson’s disease and movement disorders for several years. I like to educate patients, their caregivers and the general public about the debilitating effects and treatment of Parkinson’s disease. My inspiration for writing this book came from several incidents that occurred when I was assessing a few of my patients as described below.
I was assessing an elderly man in his late 70’s. He had Parkinson’s disease for about three years and was referred to me for further management. While assessing him, I asked him about drooling. He said, Doc, I had lot of trouble with drooling lately. It’s these dentures! They don’t seem to fit well. I have changed these several times to get rid of the drooling. This is the third set I am trying but they don’t seem to help either.
I was left with the difficult task of informing him that his drooling was likely caused by Parkinson’s disease and not his dentures.
I was seeing another man in his 60’s. He was having right shoulder pain and discomfort for about a year. He had difficulty carrying out his activities of daily life. He had X-rays done and a course of physiotherapy without any success. Analgesics were not helping him. He has had steroid injections without any improvement. Nerve conduction studies had been done and were normal. He was waiting to be seen by an orthopedic surgeon. During an assessment, the Physiatrist noticed that he was not swinging his right arm while walking. On inquiry, the patient’s wife told that she had first noticed lack of his right arm swing about a year ago when they used to go for morning walk. This led to neurology consulation. When I asked him further about his shoulder pain and lack of arm swing, his wife said, Doc, our neighbour had a similar problem and it turned out to be rotator cuff. After operation he is much better
. After the detailed examination, I diagnosed him with Parkinson’s disease. I also had to explain to them that the shoulder problem was likely due to frozen shoulder
which is not uncommon in Parkinson’s disease.
I was assessing a lady who was diagnosed with Parkinson’s disease two years ago and was referred to me for further management. During the history taking, I asked her How is your sense of smell?
She replied, Doc, I haven’t been able to smell anything for the last five years, but I am here to see you about my Parkinson’s.
Her husband then abruptly said, Doc, she has seen ear and nose doctors and had all the tests done, they did not find any thing wrong with her nose
. He then paused, looked at me, and said, Doc, you are a neurologist! Are you not a Parkinson’s doc?
Sadly, I had to explain to both of them that the loss of sense of smell may be associated with Parkinson’s disease.
These and many other similar incidents related to my patients had a profound impact on me. Thus, I decided that it would be best to collect the known symptoms associated with Parkinson’s disease into one manual to educate patients, their caregivers and the general public.
An effort has been made to present the most accurate and up-to-date information available, although the field of medicine is always expanding. Some of the information presented in this guide is based on