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Consultation advice for parkinson's disease - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
User :   My father is being treated by Psychatrist for last 7-8 years. His problems seems to have all signs of Parkinsonism - termors, reduced movement, difficulty in maintaining balance while walking, difficulty on swallowing food but he also shows typical signs of psychological problems like fear of unknown, depression, loss of appetite, lack of interest, social withdrawal.I am in a dilemma. Shall I approach neurologist or continue with psychatriac consultation                                                  
Doctor :   Hi
Doctor :   I'm Dr.xxxx
User :   hi
Doctor :   Let me read your query
Doctor :   These symptoms are treated by Psychiatrist.
Doctor :   Your are showing it to the right person
User :   But do you think that his problems may be additonal affect of Parkinsonism
User :   like his physical activity has declined slowly over last 1-2 years
Doctor :   Even then they managed by psychiatrist
Doctor :   It is due the mental condition
User :   Like he is finding it difficult to even walk properly these days- though his age is 75 -he was reasonably active till 2-3 years back
Doctor :   It is due Parkinson disease
Doctor :   You have to consult your psychiatrist before moving forward
User :   Over all are you sure even if it is Parkinson disease, it is best to be treated by Psychatriast
Doctor :   It is treated by psychiatrist
Doctor :   Neurologist deal with physical damage to the nervous system
Doctor :   psychiatrist deals with mental conditions of the brain
User :   why i had this doubt is that recently he was in hospital due to fall and injury and a psychatriast also attended him- he looked at medicines prescribed by treating doctor like Madopar(levdopa) and said normally we dont use this but i suppose this one main treatment for Parkinsonism
Doctor :   When did he have the injury?
User :   2 weeks back he lost balance while walking and fractured his arm
Doctor :   Ok
Doctor :   Who prescribed levodopa?
User :   Psychatrist who has been treating him for last 7-8 years
Doctor :   Ok
Doctor :   For what reason did he say, he was prescribing these drugs?
User :   he said he is showing sign parkinsonism
Doctor :   Ok
Doctor :   Levodopa is prescribed for parkinsonism
Doctor :   You should continue with it
User :   so you are of opinion psychatriast is best for him
Doctor :   Yes
Doctor :   You have to consult him
Doctor :   and then go forward
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