Substantial Matters: Life & Science of Parkinson's

Just as people in the general population have to contend with various unrelated medical conditions, so may people with Parkinson's disease (PD). Such conditions are termed "comorbidities," that is, diseases or conditions occurring along with, in this case, PD. Examples are cardiovascular disease, strokes, arthritis, diabetes, asthma, cancer, cataracts, other diseases of aging, as well as those tha...

La distonía es un trastorno del movimiento que causa contracciones involuntarias de los músculos. Estas contracciones llevan a posturas anormales de partes del cuerpo y a veces a movimientos repetitivos.   En este episodio, hablamos con la doctora Marta San Luciano, Profesora Asociada de Neurología en la University of California San Francisco, acerca de la definición y el manejo de la distonía. La...

Forty percent of people living with Parkinson's disease (PD) are women, but compared to men, they have a longer time to diagnosis, less access to neurologist care, and are underrepresented in research studies. Although PD presents special considerations for women, they are, overall, treated the same as men. Some of the differences are body weight, drug metabolism, symptoms, monthly hormone cycles,...

Dyskinesia is a condition involving erratic, uncontrollable muscle movements such as twitches, jerks, twisting, or writhing of the face, arms, legs, or trunk. It can be a complication after long-term use of levodopa to treat Parkinson's disease. Dyskinesias can be mild, or they may be severe enough to interfere with normal functioning.   Basic laboratory research has revealed some of the changes i...

En los últimos años, se han publicado varios estudios que sugieren que empezar la fisioterapia en las etapas tempranas de la enfermedad de Parkinson puede tener beneficios neuro-protectores, lo que significa que ayuda a mantener el cerebro más saludable. En el caso de las personas con Parkinson, la fisioterapia puede ayudar con el equilibrio, con la marcha y para mantener buena fuerza.   En este e...

Regular exercise in its various forms is one of the most important things that people with Parkinson's disease (PD) can do for themselves. It can promote aerobic conditioning, strength, balance, and flexibility and help slow the decline in mobility while improving quality of life.   Findings from the Parkinson's Foundation Parkinson's Outcome Project, the largest ever clinical study of PD, suggest...

Medicare, the U.S. government health insurance program, covers more than 63 million people, with more than 49 million people also receiving prescription drug coverage. It provides health insurance for adults over 65 as well as people with some medical conditions or disabilities. The system has many moving parts, and beneficiaries need to understand it to derive the most benefit, know what it cover...

Sabemos que existen otras cosas aparte de la medicina como parte del tratamiento para una persona con la enfermedad de Parkinson; por ejemplo, la actividad física, que sabemos que puede ayudar a la salud del cerebro.   En este episodio, hablamos con la doctora Giselle Petzinger, Profesora Adjunta de Neurología en la Keck School of Medicine de la University of Southern California, acerca de un estu...

As many people get older, they start to think about where they want to reside for the rest of their years. For many of them, that place is the home they are already in. But it is not as simple as just staying put. One must consider mobility issues, staying safe physically, nearby services, social support, transportation issues, along with present and future medical needs.   These are issues common...

Among the many kinds of outreach and activities that help people with Parkinson's disease (PD), art programs are popular and beneficial. They can provide social interaction, creativity, and movement, with the potential to enhance emotional and physical wellbeing. One program, Smile Through Art, benefited from a Community Grant from the Parkinson's Foundation, allowing it to continue to reach peopl...

Parkinson's disease (PD) does not exclusively affect the older population. In fact, about four percent of people with PD in the United States developed the disease before age 50. This is called Young-Onset Parkinson's disease (YOPD). While the disease in younger people resembles in many ways PD in the older age group, it presents some unique challenges, including issues with employment, sexuality,...

En este episodio, hablamos con Sebastián Krys, productor e ingeniero argentino y ganador de 19 Latin GRAMMYs y GRAMMYs, sobre su experiencia navegando las emociones que acompañan su recorrido por el Parkinson. Desde el diagnóstico inicial hasta la etapa de aceptación, Sebastián comparte cómo navega los obstáculos diarios que acompañan al Parkinson y dónde encuentra el mayor apoyo. Entre la creativ...

Although people often think of Parkinson's disease (PD) as one affecting the elderly, approximately one in 25 people living with PD in the United States received their diagnosis before age 50. This is known as Young-Onset Parkinson's disease (YOPD). While it shares many motor and non-motor symptoms with typically older onset disease, it does differ in some ways, particularly in terms of speed of p...

Comprender todos los aspectos de una prueba genética – desde los positivos hasta los negativos – es un factor importante del trabajo de la consejería genética para que uno entienda y tenga una idea más clara de por qué se presentó/apareció o se manifestó una enfermedad en la familia.   En este episodio, hablamos con Priscila Delgado Hodges, asesora genética certificada y licenciada en el Departame...

Stress is almost a constant in our lives and especially when coping with changing symptoms of Parkinson's disease. Adding to the usual stresses are the pandemic with its social isolation and uncertainty of when it will be over, as well as the flood of local and international news. So we all deserve some time to focus on ourselves, and one useful technique is mindfulness meditation, in which a pers...

The cause of most cases of Parkinson's disease (PD) is unknown. Researchers have found genes or genetic variants that are associated with risk for the development of PD, but genetic causes are thought to play a role in only a minority of cases. However, accumulating evidence from epidemiologic studies, laboratory basic research, and animal models indicates that exposure to environmental toxins can...

Entender si existe una correlación entre cultura, idioma y opciones de tratamiento en el Parkinson nos ayuda a saber cómo se comunica la información de la enfermedad entre los hispanohablantes (desde las opciones quirúrgicas hasta la información general de la enfermedad).   En este episodio, hablamos acerca de la neuropsicología, la familia y la cultura en la medicina con el doctor Xavier E. Cagig...

Restorative sleep is vital for optimal physical, mental, and emotional health. Sleep problems affect a large proportion of the general population and take many forms, so the consequences of poor sleep are widespread. In particular, sleep disturbances affect more than 75 percent of people with Parkinson's disease (PD). And according to our expert guest, Dr. Aleksandr Videnovic of Harvard Medical Sc...

It is a long road to become an anesthesiologist – four years of medical school and another four years of postgraduate training and residency. To subspecialize in cardiac anesthesiology requires at least one more year. And Dr. Jonathan Lessin, our guest today, did all of that before he was diagnosed with Parkinson's disease in his late 30's, forcing him to adjust his career path.   Anesthesiology i...

In this podcast episode, we 'Meet the Researcher', featuring a prominent investigator who has received support from the Parkinson's Foundation. We illustrate how a research career develops, what motivates people to study what they do, and to give some insight into what support from the Parkinson's Foundation can accomplish in understanding the disease better and finding solutions.   In this episod...

People with Parkinson's disease (PD) may experience mental health problems, such as depression, apathy, and anxiety more frequently than the general population. Psychosis, such as delusions or hallucinations, may occur as part of the disease or from medications used to treat it. Fortunately, these conditions are treatable if recognized. Unfortunately, clinicians may not screen for them, and theref...

Neuropathy is a broad category of non-motor symptoms of Parkinson's disease (PD), basically resulting from damage or dysfunction of one or more nerves. It typically may result in numbness, tingling ("pins and needles"), pain, or weakness in the area served by the specific nerve or nerves. Some pain sensations may be sharp, burning, or throbbing. According to the Cleveland Clinic, about 25% to 30%...

En honor al Mes Nacional de los Cuidadores Familiares, en este episodio, hablamos con Ruby Rendon, Coordinadora de Alcance Hispano en el Muhammad Ali Parkinson Center y cuidadora principal de su mamá, Corina Villalobos, que hace ya 15 años fue diagnosticada con la enfermedad de Parkinson.   Poco después del diagnóstico de su mamá, se interesó en aprender más sobre la enfermedad y fue así como enco...

For many years, Western medicine focused on disease and on keeping people healthy. Then it evolved to view the "whole person," including the physical, mental, emotional, social, and environmental aspects of one's functioning. Today's medicine goes even beyond that model and encompasses the family, especially care partners, who take on so much when caring for a loved one with a chronic disease.   A...

Until the ultimate goal of finding a cure for Parkinson's disease (PD) is achieved, researchers are taking various approaches to developing a treatment that significantly slows its progression. Here, clinical science and basic science come together to understand the underlying biological mechanisms of PD and then using that knowledge to test medications that target those mechanisms. Having discove...