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Parkinson's and remission of Parkinson's Disease
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sparky1109 posted:
I have recently moved to a supportive living facility and discovered a marked improvement in the physycal sypmtpms of my disease.I previously lived in a high rise condominium in the depths of a large city. My current abode is in a more rural area, and the facility contains many large spaces.Also, my symptoms have varied widely with the changing of the seasons, and the quality of the weather over a period of time.My PD is classified ideopathic, however at various times in my life I have experienced extraordinary stress. I was diagnosed eight years ago at which time I exhibeted extreme tremour and have, at times, suffered long bouts of dysconesia of which there is not trace now and has not been for at
least a year.Lastly Parkinson's is supposed to get worse as time goes by. I swear my physical symptoms are improving. Psychiatric difficulties are, however another matter. Is it possible that I have been misdiagnosed?
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DUKE MEDICINE
Mark A Stacy, MD responded:
Hi, sparky1109,
I am not sure if I can really answer your questions, but do believe rural living agrees with you! In my practice if a patient has a rapid worsening of PD symptoms I look for three basic things: 1) Medication Error, 2) another illness - usually an infection, such as a pneumonia or urinary tract infection and 3) severe stress.

I suspect that the worry of life in your prior living situation, and your worry about the new home was quite intense. When all turned out for the better - so did you.

With that said you may want to establish care with a new neurologist in the area, and ask the new doctor your questions.


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