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?

"Gladiator Therapeutics" offer products(shoulder brace) with implanted technology that may help manage pain. There is a video on website of someone with shoulder issues with pain relief using the brace. We pray he finds relief. We have used these products & have found pain relief using the abdominal belt for back pain & knee pain. Amazing technology. Also used for Parkinson's disease.

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!!!!