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Patient #4: Parkinson's disease
Transcript of Patient #4: Parkinson's disease
Moving in slow motion
Having difficulties moving
Loss of balance
Small illegible handwriting
Speech becomes soft/slurred
Parkinson's disease is a progressive disorder of the nervous system that affects your movement,the disorder also commonly causes stiffness or slowing of movement.Normal nerve cells make an important chemical called Dopamine. Dopamine sends signals to the part of your brain that controls movement. It lets your muscles move smoothly and do what you want them to do. When you have Parkinson’s, these nerve cells break down causing you to no longer have enough dopamine, which makes movement become very difficult.
Parkinson's disease is both chronic, meaning it persists over a long period of time, and progressive, meaning its symptoms grow worse over time.The severity of symptoms vary from patient to patient. Throughout time, patients' symptoms will greatly increase.Although, Parkinson's patients are expected to have about the same lifespan as someone without the disease
perform scientific research and apply chemistry principles to study human diseases
minimum degree of bachelor of science in biological chemistry
can pursue med school if wanted
work in pathology labs, government agencies, and private companies
medical doctor trained to diagnose and treat adult nervous system disorders and diseases
perform CAT scans, MRI's, and spinal taps
on call 27/7
twelve to thirteen years of schooling/training
John, 55 years old, comes in to your office with his wife, Rita. She is concerned because she has seen some changes in her husband. She reports that at some points he seems to be moving in slow motion. Getting dressed and ready to leave the house in the morning seems to take longer every day. She has also noticed that he often loses his balance and when he thinks she is not looking, he often keeps a hand on the wall for support. John keeps relatively quiet and when asked, claims nothing is wrong, but as he passes you his paperwork, you notice that his hand is shaking. You look down at the paper and notice that his handwriting is so tiny that it’s almost illegible.
Medicines and Therapy
Levodopa is the most used drug treatment, the body converts levodopa into domapine
Dopamine Agonists- trigger dopamine receptors when dopamine is absent
cell therapy restores brain tissue
physical therapy can help people develop new movement techniques
John has Parkinson's disease because, it effects your nervous system, causing slow movement. It also causes muscle tremor which explains his shaky hands and illegible handwriting.
Stages of Parkinson's
1) Tremor in one limb. Family members can notice a difference in facial expressions and loss of balance.
2) Day to day tasks become difficult and impaired walking occurs.
3) In-ability to stand and slowing movements
4) Extreme rigidity and walking is unlikely, tremors are non existent.
5) Can't live alone, lose ability to swallow,disease takes over physical movements