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Re: Neurologists

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Elaine, I am sorry to learn of your husband's problems.  Because of the
sudden onset of his symptoms, it would certainly seem that a neurologist
should be consulted.  Demand that his geriatric psychiatrist enlist one -
that is your right.  There are many causes for sudden onset dementia,
including infection.  If you have durable power of attorney (and I hope that
you do), you can refuse nursing home placement - however, that may mean that
you have to bring your husband home.  The hospital does have a right to
discharge your husband if nothing further can be done for him.
---------
God bless
Mary Ann (Caregiver of Jamie 67/27 years with PD)
www.bentwillowfarm.org
Subject: Neurologists


My name is Elaine Wirth.  My husband has PD with frontal lobe dementia.
He went to Utah and rode in the jeep boulder hopping with my son at the
end of April.  He was coherent and his usual passive self.  In May, he
began losing his balance and falling.  Toward the end of the month, he
began having visual illusions and became paranoid with hallucinations.  He
also became agitated and combative.  He was low on oxygen and his mind
left him for most of the day.  After a fight with the hospital, they
admitted him from the emergency room to the hospital.  The insurance
company has been trying to get him entered into a custoidial care
facility.  I have read that this kind of problem can often be fixed, but
is tricky to adjust meds to put his acetycoline and dopamine levels in
balance.  I do not want my husband to be thrown away just because he is
seventy and causing the insurance company some money.  There are few
neurologists in NM and the two that work for the HMO will not
visit patients in the hospital.  Now a geriatric psychiatrist is managing
my husband's case, but as far as I know, he has not consulted any
neurologist.  If any of you know any ways to require them to provide  a
competent PD neurologist who might be able to put these  chemicals back in
balance, or at least give him the 6 to l2 weeks trials necessary, please
let me know.  I am frantic.
Elaine Wirth


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