Our goal is to provide education to the public regarding Parkinson's disease, as well as other movement disorders and health concerns that are related.
I was a physical therapist from 1998-2001(New Jersey, USA & PR licensed). I graduated from medical school in 2005 and subsequently completed full residency training in Internal Medicine in 2009 and Neurology in 2012. Following that, I underwent a one-year Neuro-Critical Care fellowship at the Cleveland Clinic and another fellowship in Movement Disorders at the University of Nebraska Medical Center. I am board-certified in Internal Medicine, Neurology, and Epilepsy. Currently, I work as a full-time practitioner at the University of Tennessee Medical Center.
For appointment: 865-909-4030
DISCLAIMER:
*These videos are for education only and are not to be construed as personalized medical advice, and the content here does not constitute a patient-doctor relationship. Consult your own physician for any medical issues.
Пікірлер
Doctor buenas noches, tengo 60 años, y hace 1 año y 2 meses me diagnosticaron Parkinson, el neurologo me receto Selegilina , una por la mañana y una por la noche, .......
@@giselabeatrizcaceresrodas3191 selegeline es un buen medicamento para empezar cuando los síntomas motores son leves. Generalmente se toma por la mañana y al mediodía, pq se metaboliza en anfetamina, lo cual podría ayudar con la fatiga en Parkinson
Otro sintoma que tengo que quiero hablar y no puedo. Tengo la palabra en la cabeza prro no puedo pronunciar nada.
Tengo todos los síntomas. 😢
Yo TENGO temblor en reposo
You must be proud of your daughter! She’s a wonderful young woman
You can also have runny nose with Lewy Body Dementia which I have
@@toryberch yes
Yporke..yo le tengo parkinsonposera kemkedo.dlrmido.y enel.mometo.mediserto con mucho escalofrío
I do deal with constipation I've been living with Parkinson's for 22 years
Gracias por los tips. Las habas me han servido demasiado y como somos un sede de estudio del pk hay un avance con probioticos, algo que esta fase de prueba es el trasplante fecal y ha tenido buen resultado y en control motor.
Dr Luis saludos desde Mexico. Tengo duda de porque le recetaron levodopa y carbidopa tomarla con coca cola. Con diagnostico de parkinsonismo lo toma media pastilla a las 8-12-4-8 al dia.
Coca Cola contiene demaciada azúcar sin ningun valor nutritivo. Si le recetaron eso para disminuir la probabilidad de tener nausea, combinalo con otra cosa pero no Coca Cola or ninguna soda. El unico liquido que recomiendo es agua. En cuanto a la frecuencia de la levodopa eso depende de cada paciente. Si el parkinson esta empezando tomarlo a las 7 am, 12-1 pm y 6-7 pm esta bien, pero hay personas que lo necesitan mas frecuente.. Te recomiendo que veas un especialist en desordernes de movimiento. www.movementdisorders.org/MDS/Resources/Patient-Resources/Movement-Disorders-Specialist-Directory-Listing.htm
Gracias Dr Luis. Aclarada mi duda. Nueva suscriptora para aprender y así apoyar a mi mamá con su enfermedad saludos desde Mexico
Mine is not its atrohied due to neuroleptics if it hadnt been overdosed my brain would still be big enough.dopamine inhibitors were given unecessarily id like to know what shrinkage of brain does to vessels in this case and its not age because then at36 i was still training improving with intent getying 10 s to 10.5 at100m.thats why back isdue could nerded resolving .im tored of abuse denialby drs.muscleweakness antipychotics cause (neuroleptics) is so bad its like muscular dystrophy , and i got fluid coming out it said spinal chord fluid.i was gymnast its not age its directlyneurolepyics lying down slering makes stiff walking rids it it was imediate on injection had i neen left alone id not id still be sprinting they were sameuntil this it took 6 months its not age to say so would be denial abuseatrophy starts in 70s .i was naturally muscular person i had low blood pressure just as bad.i dont belei e in age in my case body builder had muscles in 70s .it ages us by 20 years and im ovese due to neuroleptics not diet its five years despite regulary intervals of 7 day fasting still obese thats over 5 years.i was picture of health before they did this bar few things infection is one issue i think rare because not spotted adenoids were infected .i want to runagain before its too late.ithink they ship wrecked neurologicalsystem endocrine system i been running since i was 8 ,20 mins a night no problem and no knee or ankle or hipproblems .any pain is caused by them .i nearly died as result of them started craving carbs.before no crisps nosmoking no fizzy drinks no alcohol .i checked for diabetes its negative .later as teenager idid at least 35km on bike ran swam inclub once week aswellcompeted did circuit training fell walking mountaineering all energy systems.i cant do slow too painfull .fristrating i try but i get a hes cramps.unless i can push past wall then i can go for ages.i had big muscles at 5 or less .i think muscles lost if one sits at ofgice desk loses out on fartlek training like kids in playground get a lot off sto run five minutes rest again go on slide etc so maximun heart rate near maximum and atspecific rate when tbey run around play ground they do this.i used to jump up fown on huge concrete tubes i think hips ankles strengthen die to all jumping .hanging on frame extended spine too it used to feel good and then seining etc .peoplr don't do this in hospital .
Thank you, great video!
10:21 antidepressants Venlafaxine (recommended by Movement Disorder Society) Common brands: Effexor XR Sertraline Common brands: Zoloft Escitalopram Common brands: Lexapro
6:21
2:35
Thank you, that was very informative & understandable!
Doctor buenas tardes yo tomo el cioysone antes de aserme efectos daasficsio maqueta el pecho q siento morirá quese debemuchas grasias
What if you’re 36, prothrombin gene, and low blood pressure?
can Small vessel disease cause white matters? i have few but they not active
Doctor buenas noches que bendición ver su video yo llevo una año y medio con mi mano izquierda casi sin movimiento y solo me tiembla cuando la fuerzo a coger algo, esta sin fuerza, y mi pie izquierdo lo arrastro un poco, pero llevo un año y medio dándome descensos, fatigas como desmayos musculares lo que no pierdo el conocimiento se me desvanece el cuerpo, cuando hago cualquier esfuerzo 😢 hasta por bañarme, hasta por comer y llenarme, no tengo calidad de vida solo se me pasan cuando me acuesto o me suben los pies o me ponen oxígeno. Me diagnostican parkinson. Me siento lenta y rígida, ha cambiado mi vida. Ayúdeme por favor.
Yeah I try not to watch them anymore, they are bias, not showing both side, them and Al Jazeera always against Israel and are full on fir Palestine, I have gone off both Chanel’s because they don’t report truth they just continually report what they want us to see, in fact I find most main med are the same, I like sky news and various independent news rebel news and just steer clear of that other junk because they are really influential on many people and brainwashing is a real thing.
Yo tomo kepra cre que esa medesina pudiera ocasionar la enfermedad de las piernas
No creo. El efecto secundario más común de keppra que veo en la clínica o en el hospital es sedación, irritabilidad .
GRACIAS POR LA INFORMACIÓN ❤
Mientes vulgarmente. Tengo una tía, que sufría psrkinson , le dimos Mucuna y se logró, estabilizar muy rápido.
Tenía entendido que el Alzahaimer era una forma de demencia..gracias por la infirmacion🤗
Es la causa mas comun de dementia, pero hay muchas otras cosas mas, como lewy body dementia, vascular dementia, y muchas otras
Gracias, Dr. Si trato de tomar de dos a tres litros de agua. No he tenido estreñimiento, tengo parkinson desde hace 3 años.
Dr yo tengo parquinson ace 5 años ace cómo un mes estoy perdiendo fuerza en todo en todo mi cuerpo a q se debe o es parte de la enfermedad
😢😮😮😮😮😅 0:47
Que consume hay que tener cuidado con la levodopa mi padre estuve en decandencia y los neurologos le ajustaban de todas formas la levodopa al final era el mismo farmaco toma super poco, mejoraron muchas cosas que varios especialistas no pueden explicar hay que analizar siempre que consumió, uno piensa que la enfermedad avanzo y los neurologos no saben cuando avanza todo es visual y eso no sirve asi como dicen que no sirve la mucuna.
‘‘I am not only happy am alive but also glad that "#DrMadida" was able treat and cure me with his herbal medication of my parosmia, Meniere disease and Parkinson disease (PD) 🦠🦠with their herbal treatment. My smile is so bright because I am happy 😊😊😊😊’’..
Alcohol seems to alleviate rigidity and slowness of movement in not yet medicated Parkinson sufferer, what is your take on alcohol, it does boost dopamine levels...
Tengo 20 años y desde niño he tenido temblores en las manos y a medida que envejezco el temblor se hace más progresivo. Me da miedo estar desarrollando los primeros síntomas del parkinson 😢
Gracias
Vicenta ayala tengo12añoscon estae1nfermedadtengo9mesesde nover aundoctor ysientoquue estoy mas mal
Yo tiemblo cuando estoy nerviosa, pero cuando no estoy nerviosa también tiemblo pero menos, sobre todos las manos al coger cosas, como cubiertos, vasos, lapicero, pero se incrementa los temblores cuando hablo en público 😢😢😢 q hago 😢
Me identifico 😢
Buenas doctor, yo estudié prótesis dental, y veía que me temblaban las manos, no podía agarrar los dientes en cera, las pinzas, comencé a preocuparme tanto q no quería q nadie se.diera cuenta, terminé la carrera muy temblorosa, deprimida,fueron años perdidos, no sé realmente q temblor tngo, me preocupa comer com otras personas y vean mi mano temblorosa al coger los cubiertos o el vaso, hace poco le ví a mi papá con sus manos temblorosas cuando cojió un libro y mi hno mayor también le tiembla un poco las manos, no les dije nada, he llegado hasta pensar q sea hereditario, 😢, fui al psiquiatra y me dijo q es ansiedad y tomo un antidepresivo, pero el temblor sigue, no sé q hacer, ayúdeme doctor con algún consejo pf
Temblor hereditario, o temblor esencial
Gracias
Gracias por la informacion
Mucha gracia dc aml hermana recién le diagnosticaron esra enfermedad pero ellla desde hace tiempo se caía y si presentan estos síntomas se fue quedando rígida hast ahora sólo le dan medicamentos par a dormí des Nicaragua gra ❤❤❤😊
Genial, gracias
Dr gracias, 🙏🏼 estamos tratando de descifrar si mi padre está presentando algún síntoma de los que usted describe! Mil gracias ☺️ por ser un doctor aún humano.
Thank you for this presentation, Dr. Zayas. I can usually recognize the slight signs and symptoms of Parkinson disease (PD) well before other medically-trained or specialized diagnosticians/clinicians because I've had experience working with patients for many years with varying neurological and cognitive disorders, including PD. If caught early enough, progression can be slowed. There are multiple things a patient can do to slow the effects of this disabling disease: ROM exercises to prevent contractures, exercising in general, eating neuro-protective and neuro-regenerative foods like adaptogens and functional mushrooms (nootropics) and with cognitive stimulation. Pharmaceutical companies should produce better medication that affects M1 muscarinic receptors. A huge pathognomonic sign of PD very early on are violent or restless dreams. Resting tremors can occur in childhood and throughout adulthood and into the senior years, where they become much more pronounced. That's when you can also start to see the uncontrollable jerking movements due to the effects of demyelination. Shaky voice and vocal cord issues, as well as swallowing issues commonly occur first, as will the "masking" face of PD, where the patient's lack of expression becomes evident. There is a definite cognitive decline, with signs of dementia and almost mutism that can occur early on in PD. Behavioral changes also occur, such as hypersexuality or other pathological impulse control disorders (binge eating, compulsive shopping, gambling, etc.). It's my belief that demyelination diseases like this may be due to genetics; however, like many disorders and diseases, neurological insult can occur due to environmental factors like metallotoxins (like with deodorants which contain aluminum, or by the cumulative effects of vaccinations with metals in the adjuvants), viruses that invade and hijack and dismantle the nervous system (such as alpha viruses like herpes or coronaviruses), as well as bacterial infection (spirochetes, etc.) or post-infectious states secondary to such viruses or bacteria. Providers should prescribe neuroregenerative and neuroprotective supplements which affect M1 muscarinic receptors in the early stages of this disease, before radical demyelination. That's why it's important to recognize the signs and symptoms of Parkinson's disease early!❤
I'm 49 and started getting a jaw tremor in my mid 30's. (I have Tourette and I'm autistic) Then, after a terrible infection in my bone marrow 9 years ago, that ate its way through my bones into my tissue. , I started having issues with muscle weakness and gait.. my gait has changed gradually over the years and I started falling a lot more , about 8 years ago, losing my balance, shake weak legs , to the point I walk with a stick due to falls. In the last three years , my gait has slowed, and I'm now shuffling a lot more . Both feet often turn in the way, and I often place the ball of my feet first. I get intermittent feelings like my face , arms, and legs don't belong to me, like a weird numb feeling.. Tremors have gradually worsened to hips, legs, hands, and fingers intermittently, almost aleays during resting.., I've also been having vision problems with partial hallucinations, like a slight distortion of peripheral vision , which is frightening and distance vision, slight hallucinations. I have moments where I lose sense of reality and can't tell the time and loss of long-term memory. (My G.P thinks the confusion is caused by meds I take for herniated discs, and tremors are possibly tourette related) which I don't think they are tourette related other than its the same arrangement of brain affected and dopamine in tourette and parkinsons. My doctor has referred me to a falls clinic at a local hospital, which is frustrating as I really felt i need to see a neurologist, as I'm pretty certain I have parkinsons.
Voice change, also.
Hola. Vivo. En. México. Mi esposo tiene. Las piernas. Inquietas Es. Un. Terror. Sufrir. Diario. No dormir por. FABOR. Ayude. Por. FABOR. Po FABOR. Ayúdenos. No. Save. Cuanto. Nos a. Afectado. Y ver. Lo. No. Dormir. 😢😢😂
A doctor said it’s hormones.. how true is this..
Biden?
Just watch Joe Biden!
Yuuuup. Why do you think he has so many views?!?
Doctor, un gusto saludarlo desde Colombia, tengo una duda grande,mi madre tiene 70 años y hace un año fue diagnosticada con Parkinson y en este momento esta con tratamiento de levodopa 3 veces al día, pero cada día esta peor me refiero al malestar que le da,queremos hacer tratamiento con medicina alternativa pero el neurólogo dice que no se puede suspender el tratamiento,Doctor le agradezco si me contesta, mil gracias.
No es imposible darle una opinion sin evaluar a la paciente. Pero si la levodopa (Sinemet en USA) 25/100 no le esta mejorando los movimientos lentos o la rigidez -->lo mas seguro no tiene la enfermedad del parkinson y tiene otra cosa parecida. Los pacientes de la enfermedad del parkinson responden a la levodopa siempre y cuando ese sea el diagnositico. Los temblores frecuentemente no responden a la levodopa.
Doctor mil gracias, le agradezco inmensamente y hablaré con el médico tratante, un abrazo y que Dios lo bendiga.
Learnt alot....thank you Dr
My dad stays up puking all night now since starting
Gracias Dr. Valiosa información.
I was diagnosed with SVD about 10 years ago. I have recently noticed that I am much slower in moving, my memory is being affected, my balance is off and I can't lift my left leg like I should when I walk. It is stiff and mildly drags....I can't seem to lift my toes on my left foot. I hope this doesn't mean I will need to go into a facility soon. 🥺 ADD: I also have SLE, am prediabetic and have moderately high blood pressure, but my doctor doesn't think I need any further eval or treatment. This makes me MAD! I do exercise regularly, but not vigorously. When I was diagnosed with SVD, I went in because I was having chest pain and they saw part of my heart had died. They did an Atherectomy thinking I had blocked arteries, which caused a blockage to my hear, butmy large arteries were fine. That's when I was diagnosed with SMV and IHD.