Parkinson's and anesthesia w/total shoulder replacement

I would like to know as well.

@sillyblone, thanks for reanimating this topic. I noted in another discussion on Mayo Clinic Connect, @hopeful33250 provided useful information about patients with Parkinson's and the potential effects of anesthesia, hospitalizations and surgery. She shared these resources:

- Anesthesia, surgery linked to subtle decline in memory and thinking in older adults, Mayo study finds https://newsnetwork.mayoclinic.org/discussion/anesthesia-surgery-linked-to-subtle-decline-in-memory-and-thinking-in-older-adults-mayo-study-finds/
and
- Cognitive Decline Associated With Anesthesia and Surgery in Older Patients https://jamanetwork.com/journals/jama/fullarticle/2782851

hopeful33250 also added: As with all things, the benefits need to be weighed against the risks.

@sherryallen, did you and your husband decide to proceed with the total shoulder replacement? If so, how did it go for him? How are you both doing now?

My husband has Parkinson's with dementia and the dementia was triggered by a colonoscopy and endoscopy that were done in an unsuccessful attempt to find a GI bleed. He eventually needed to go to a psych unit for two weeks to balance his medications. He came home doing very well but unfortunately fell and broke his hip and had hip surgery, gamma nail, as a result. I explained to the anesthesiologist about his reactions to anesthetics. She was able to give him a lighter dose that he managed well, I've heard recently that some people get spinal anesthesia, instead of a general, which seems to have a better outcome.
My question is whether it is possible to wean my husband off the psychotropic medications or is the dementia permanent?

I’m a 77 year old woman and I had a right total shoulder done 3 months ago. I haven’t noticed any difference in myself from before the surgery to now. Except maybe that I tear up at corny, cute or tragic things more easily. 😉 My family had not let me be totally on my own until about a week ago because of my limited movement and none of them have noticed changes in my cognitive abilities.
So either I’m very lucky or it’s too early to tell. In any case my shoulder is doing great. No more pain like before. For me it was the right thing to do.
Good luck to you both. And I would be interested to know what you decided to do and the outcome.

My husband had back surgery. He was in terrible pain. I went over the pros and cons. He was clear that he cannot live with the pain. He has not been the same since. Not sure that I would have done the surgery..but he was of sound mind. He has no back pain. The drugs they expected him to take made him confused and very ugly. I sat on the floor for several hours before I could get him into bed. I am small and he is very heavy. Not in pounds ..but dead weight. I halfed his meds and after that he was uncomfortable ..but not confused. He now uses a walker. He hates it..but I am not taking him out with the way he falls. He is not the same as last year or the year before. I have seen EMS more than I thought it would be possible. He has four other conditions that make it hard for him. I can say he never wants for anything if I can help. I need a vacation. But not in the cards for that. I have taken him on 3 trips lately over the last couple of year's. I have to take so much stuff and I feel like I should connect my house to the back of our car. Golden year's are not what I expected. I know it is worse for him. I make all the decisions and I try to get his input. Sometimes it works.. Sometimes not. I know that none of us are promised to have things differently..but I need a break from the physicians giving him another diagnosis!!!!

Wish I had seen this earlier. My husband has early PD, and he has had 25 major surgeries (all different) in the last 2.5 to 3 years. This week will be his 26th surgery for spinal surgery. We have never experienced any dementia from anesthesia; however, that is not to say it can't happen. Every PD patient is different. Some things they react to and others they don't. Post surgical dementia is often temporary too for PD patients.

My spouse had alot of confusion after his back surgery. He was not speaking much and looked at me with a stare. I took the meds that the Dr. gave him and cut them in half. That didn't work so I gave him Tylenol. He was not as confused. Unfortunately the other day I heard him tell the Physical Therapist that his back surgery cured his Parkinsons. I tried to explain his history and I was dismissed. I later spoke with the PT.
and explained my spouses timeline was incorrect. Dismissed again. He can get his PT as ordered and I won't be there like he asked me to. She can be in charge if she chooses...but don't dare ask me anything. Rudest young lady I ever met!!! I will drop my spouse off and I will go to get a snack or something for an hour. Arrogance annoys me to no end!