How long did you have symptoms before being diagnosed with PD?
In my case, at least 8 years. I went to specialists for headache, hematology, sleep apnea, heart disease, and numerous PCP conversations. Till I complained enough that I was not making any progress in getting a reading of my illness, wanted a neurology workup, and ended up by chance at a movement disorder doc, and was diagnosed as soon as the DAT scan was done.
Same symptoms all along, I just had to (literally) find my way by trial and error to to correct specialist.
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@southwest
I am in Canada and I truly do not understand the many comments here about how long it took to get a diagnosis. It seems it is primarily Americans saying it took several years and a DAT scan. I went to my GP about my hand tremor, he sent me to a neurologist who I saw 6 weeks later. In 15 minutes, after watching me walk and checking my hand movements / strength he concluded I had PD and put me on levodopa Levodopa / carbidopa. It was all very straightforward.
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1 Reaction@bmfoster My 82 year old mother has had many if not all of those same symptoms and was diagnosed by her geriatric doctor with Lewy Body Dementia. If you don’t mind me asking, do you know how different is that from your diagnosis?
@sdcz
Thank you for providing us "Americans" another perspective.
For my estimated 8 year journey to diagnosis, at least 2-3 years were for just waiting to see the various specialist as a new patient. Even though I am in a metro area with large provider systems, a new patient wait of 4-6 months is typical.
For example, my bloodwork showed some abnormalities. The PCP guessed the cause might be a very rare blood disorder, and sent me to a hematologist. Waited for months to get in. Then over some 2 years I went back repeatedly for more bloodwork, which never showed evidence, in the expert's opinion, of the initially suspected disease. After two years, the story was something like "you don't have xyz blood disorder, but you say you are fatigued and sleepy, why don't you go to a sleep doctor?" I had to wonder why I was not sent to a sleep specialist two years prior, I could have had a sleep evaluation done and the bloodwork too, side by side. So much wasted time 🙁
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1 Reaction@dedhambeth
Lewy Body Dementia, Multiple System Atrophy and PD are all classified as alpha synuclein neurodegenerative diseases and can present with similar symptoms initially. The professional literature repeatedly makes the point that similar initial presentations can make diagnosis a challenge until enough disease specific symptoms finally declare themselves. To make it even more challenging - MSA can have Parkinsonian features or Cerebellar features. Getting with a Movement Disorder trained neurologist is essential for appropriate diagnosis and management.
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2 Reactions@dedhambeth
Because many early symptoms are non-specific - the literature states that symptoms can be present for "decades" before the diagnosis becomes clear. In the haste to formally diagnose patients - some people have been treated inappropriately with meds for diseases that were later deemed to be something else. For instance, some people have been treated with meds for PD when they really had Multiple system atrophy - PD meds don't work with MSA - hence, the diagnosis was then clarified. The important factor is getting in to see a Movement Disorder Neurologist who can monitor and treat appropriately.
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2 ReactionsMy symptoms started about 12-15 years ago, but I was blaming Ischemic Heart Disease and / or Hypothyroidism. About 9 months ago my wife said I was walking differently, small shuffling steps. She looked on Dr Google and said it was a symptom of Parkinson's Disease. So I asked Dr Google all of the symptoms of PD. About 25 or so symptoms were listed, and I had most of them. About 6 months ago I finally had an appointment with a Neurologist. He diagnosed me with PD on my first appointment. He put me on carbidopa / levodopa. My symptoms were still increasing. Then 3 months later he added Donepezil. Things have kinda leveled off on increasing symptoms since then.
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3 Reactions@dedhambeth
Some of the differences between these two alpha synuclein diseases include:
1) LBD has earlier decline in cognitive function and hallucinations than PD (early vs late stage)
2) Alertness fluctuates dramatically in LBD patients - sharp one hour and confused the next
3) Often limited or poor response to Dopamine medications
Hope that helps. B
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1 ReactionI was diagnosed 8 years ago. Nobody in my family has it. I knew the symptoms I had…no left arm swing, little or no sense of smell, handwriting became very small. I was a medical transcriber. I noticed my pinky finger on my left hand would occasionally twitch. My PCP did a screening neurologic. He said he believed I had an essential tremor. I made an appt with a movement specialist who is also a neurologist at NYU Langone in NY. Dr. Chan made the PD diagnosis after I performed a rigorous number of movements which clearly indicated deficits. This was Marc.h 2018. I am 73 yrs old. I try to walk at least a mile a day. I go to Rock Steady Boxing once a week, I bowl once a week. This is my idea of regular exercise. I try to do stretches every other day, but I find it hard to motivate myself. The symptoms of PD are so varied with each person I I meet with PD it is hard to compare strategies. I have low blood pressure. When I am coming close to my next dose of meds, it is like hitting a wall and I am moving in slow motion.
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1 ReactionHi @rabbittk1952 - welcome to Mayo Clinic Connect. It sounds as though you've gotten good care and are doing some good exercise.
You mention when you're coming close to your next dose of meds it's like hitting a wall and moving in slow motion. Do you think you need the dose earlier? Have you described this to your doctor? If so, what did he or she say about this effect?
@rabbittk1952
You have described my symptoms to a tee. I'm familiar with "the wall" - overwhelming fatigue and weakness when I miss a dose of Midodrine which supports my low BP. It helps to know others "know" what you're talking about. Thanks
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