My PD Story

Kristy Brennan headshot
People with PD

Kristy Brennan

I am a 51-year-old grandmother of one, mother of two, and wife to the best man I know. I was diagnosed with Parkinson’s disease (PD) in June 2017.

I had been seeing a neurologist since 2015 because of daily headaches. At one of our appointments in 2017, he noticed a problem with the way I was walking. He pointed out that I was dragging my right side and that I was not swinging my right arm. He immediately ordered a DaTscan.

I went to the scan appointment alone because I truly believed they were going to tell me that the test was negative. That day, the physician’s assistant looked at me and said the words that would change my life forever: "Your test results indicate that you have Parkinson’s disease."

I did not react well to the news. I started to ask questions, but with every word, I cried harder. She gave me no empathy, just a prescription that was supposed to help with the tremors. I tried to make a follow-up appointment on my way out and I couldn't even manage that. Walking as fast as I could to my car, I got in, started the car, and began to sob. My husband didn't know how to react to the news either. We weren't talking to each other; not because we were angry, but simply because we didn't know what to say. I got through the first week, then the second, and so on, but I wasn't feeling any better.

A few weeks after I received my Parkinson’s diagnosis, I finally paused the crying enough to really think about things. I started doing research on the best neurologists who specialize in Parkinson's, and I found out that one of the most renowned neurologists in the country is right here in Las Vegas. His name is Dr. Mari, and he works at the Cleveland Clinic Lou Ruvo Center for Brain Health, a Parkinson’s Foundation Center of Excellence. It took me about three months to get an appointment there, but I already felt better about making progress toward treating the disease. I stopped asking, "Why me?" and started asking, "Can I improve?".

At my appointment, Dr. Mari put me through several physical tests and confirmed the Parkinson’s diagnosis. He changed the medication I was on — since I hadn’t followed up with my previous doctor, I wasn’t taking the correct dosage. He also put in a referral for physical therapy, explaining that this PT was set up specifically for my symptoms. It was not necessarily to help with pain, but to help with movement, so I agreed to go.

I met with the physical therapist, and we went over everything. At my first appointment, she tested how many steps I could take in 6 minutes. I was only able to take 375 steps, when the average amount is 1,800 steps. Other tests showed that I was also experiencing problems with reach and balance. We set up weekly appointments to work on improving my mobility.

Five weeks later, we had a “test day” to see how much my symptoms had improved since starting physical therapy. I began with the walking test, and when the 6 minutes were up, my physical therapist was smiling from ear to ear. I had walked 1,696 steps in 6 minutes! I knew that I had more work to do, but I knew I could do it. My vertigo was gone, I could walk at an almost normal pace, my balance was really improving, and I had my confidence back. I continued to exercise for at least 30 minutes a day, and I got better and better.

Fast forward to Spring 2019, I got a team together for Moving Day Las Vegas. While I was there, I met Darbe Schlosser from Recalibrate Motorvation. Her program received a community grant from the Parkinson’s Foundation, and she asked me if I was interested in becoming a client. Of course I was! I was gifted with 16 boxing sessions, where she taught me how to extend my reach, build my stamina, increase my balance and reaction times, and move my feet and arms at the same time again.

As I continued my battle with Parkinson's disease and I started to feel almost normal again, I began to wonder about my new purpose in life. I could no longer work as a social worker; due to a cognitive problem related to PD, my mind couldn't handle the stress and paperwork involved. I started to realize that I could design art pieces out of everyday products. I had never experienced this kind of creativity before, but I decided to try. I began painting, designing, and drawing one-of-a-kind pieces.

Is it possible that Parkinson's can be a blessing? I believe, in my case, it is a blessing. I have a whole new purpose in life, and while there are times when I don't feel well, I know that when I am feeling good, I can spread positivity through my writing and creation of art.

Anyone who has been given a life-changing diagnosis like Parkinson’s should know that, with a little research, you can find help and resources.

You are not alone. Call our Helpline 1-800-4PD-INFO (1-800-473-4636) for answers to your Parkinson’s disease questions.

Science News

Most Popular Science News Articles of 2022

Parkinson's Foundation Science News blogs

Research brings hope to those living with Parkinson’s disease (PD) and their families. Knowing about the current Parkinson’s research studies can be empowering. Our Science News blog series focuses on the latest Parkinson’s studies and what they can mean for you or your loved one living with this disease.

The Parkinson’s research realm is vast. A breakthrough in treatment can stem from any lab or researcher, which is why we fund numerous research grants every year. Ready to participate in Parkinson’s research? Visit our Join A Study page to learn more.

Catch up on our top 5 Science News articles of 2022:

1. Aerobic Exercise Positively Alters Parkinson’s Brain

Multiple clinical trials have shown that aerobic exercise can enhance cognitive functioning, such as learning, thinking, remembering and problem solving. We know brain heath and cardiovascular fitness are connected. What we don’t know is how and where in the brain aerobic exercise is enhancing cognitive functions and reducing movement symptoms for people with PD.

This study sought to investigate how aerobic exercise may influence PD-related changes in the brain. Researchers also explored the effects of aerobic exercise on the substantia nigra, the area in the brain that plays a key role in dopamine production.

READ THE FULL ARTICLE

2. Freezing of Gait: Comparing Treatments Options

80% of people with PD experience freezing of gait

The sudden feeling that your feet are glued to the floor when trying to take a step is called freezing of gait — or more commonly, “freezing.” Unfortunately, freezing can happen often for people with Parkinson’s.

A new analysis compared the 11 most common techniques used to help a person with PD recover from a freezing episode. Some of these techniques include general exercise, verbal cues (like counting or clapping) and gait training. Find out the top three techniques that help with freezing.

READ THE FULL ARTICLE

3. The Unmet Needs of Women with Parkinson’s

40% of all people living with PD are women

When it comes to PD research, women are woefully underrepresented. Compared to men living with Parkinson’s, women with PD experience different symptoms, risk factors, side effects to treatments and have more difficulty getting a diagnosis and, later on, care.

We know these health inequalities exist, so how is research addressing them? A study authored by women sought to rigorously document the current knowledge, gaps and possible ways to address the unmet needs of women living with PD.

READ THE FULL ARTICLE

4. Dopamine Medication May Help with Sleep, Depression and Pain

Think of non-movement symptoms in Parkinson’s as fingerprints — everyone has them, but they’re different for every person. These symptoms can include depression, anxiety, problems sleeping and more. They often go under-reported and under-treated in people with Parkinson’s.

A type of drug known as a Monoamine oxidase-B (MAO-B) inhibitor helps make more dopamine available to the brain. These drugs can mildly improve some PD movement symptoms, but we do not if or how these medications help with non-movement symptoms. Parkinson’s Foundation National Medical Advisor Michael S. Okun, MD, co-authored a study analyzing a total of 60 MAO-B inhibitor studies and how they impact non-movement symptoms in Parkinson’s. Find out which symptoms improved, and which ones did not.

READ THE FULL ARTICLE

5. PD & Pollution: Something in the Air

Most experts agree that PD is caused by a combination of genetic and environmental factors

Air pollution is linked to heart disease, stroke, respiratory diseases, and diabetes, as well as neurogenerative diseases such as Alzheimer’s disease. Mounting evidence suggests that Parkinson’s might be added to the list soon.

A new study shows that air pollution is an emerging risk factor in the development of Parkinson’s. Exactly how do polluted air particles negatively impact the brain? From the lungs to the gut, study authors explain the pathways air pollution takes to enter the brain — all of which are linked to an increased risk of developing PD.

READ THE FULL ARTICLE

My PD Story

Sumedha and his daughter
Family Members

Sumedha Jayaraman

My grandfather S. Jayaraman used to be one of the healthiest people I knew. He had an excellent daily routine, great food habits, never took any medication, was full of youthful energy, and inspired many. He would play the instrument he loved like no other, the Veena — the national instrument of India beautifully demonstrating the astonishing dexterity of his fingers.

When he was 73 years old, in the summer of 2021, during one of our walks around the community I noticed he slowed down a little and I also observed a tremor in his right hand. A bit perplexed, I returned home and shared this with my parents. The family was not clear as to what was going on.

My dad decided to get to the bottom of this. The doctor arranged for a series of blood work diagnostics, and we were referred to a neurologist in Hamilton, New Jersey. After seeing my grandfather over a couple of visits, the doctor confirmed that my grandpa had developed Parkinson’s disease (PD). He started becoming inflexible so he could no longer play the Veena freely. I was shocked, as he has been my music teacher ever since I can remember.

Our family had no background in Parkinson’s, let alone knowledge of the potential causes and treatment for this disease. The doctor prescribed my grandfather dopamine medication that he needed to take regularly for the rest of his life. Everything was so obscure. But one thing the doctor said during our visit stuck with me: grandpa’s Parkinson’s disease could be controlled by regular tailored physical exercises.

Armed with this insight, my family decided to invest at least one hour every day with my grandpa to help him move. My dad, my mom, my younger sister, and I would take turns exercising with him. We came up with an exercise schedule. I would also create writing assignments for him every day. We could see that the regular exercises were helping him to move more freely.

With my pocket money, I bought him a leg strap so he could do his leg stretches, a stress ball for his hand, a whistle for his vocal muscles, a specialized pen, a timer, and a journal to help schedule and track each activity.

The regular exercise routine and the intergenerational bonding we established through these activities greatly helped my grandpa. By the fall of 2021, we saw a noticeable change. Our musical lessons restarted, and my happiness knew no bounds. Encouraged by the progress my grandpa was showing, I decided to help more people with Parkinson’s. I designed a kit containing exercise resources that I wanted to share with fighters like my grandpa in the New Jersey and Pennsylvania region.

I did not know exactly how I would reach these fighters and bring about awareness of exercise. I created a presentation about mobility and emotional assistance for people with Parkinson’s and shared it with PD support groups, physicians, and rehabilitation centers. I was moved by the number of people who wanted to support my idea. I was encouraged to start a youth-run non-profit organization. During the Christmas break of 2021, I founded Act MoveHope to care for Parkinson’s disease fighters.

Sumedha and daughter playing the Veena

I raised funds by performing Veena music concerts, which I used to distribute mobility kits and personalized handwritten cards to 20+ fighters in partnership with Rock Steady Boxing New Jersey. The greatest gift has been receiving “thank you” phone calls and notes from the people who use the kits.

The Parkinson’s Foundation has provided encouragement throughout this year, and I am thankful for their support in sharing my story to benefit more PD fighters. There is hope for people living with PD through action and movement. I am happy to work with the Parkinson’s Foundation to continue the fight against Parkinson’s.

Want to make a difference in your local PD community? Become a Parkinson’s Foundation volunteer.

Raise Awareness

Parkinson’s Foundation, with support from CVS Health Foundation, Launch New Courses to Educate Healthcare Professionals

Group of health care professionals

Movement disorders specialists — neurologists with specialized training — provide people with Parkinson’s disease (PD) the best chances for a better quality of life. The reality is that not every person with Parkinson’s has access to these specialists. To increase access to quality PD care for the one million Americans living with this disease, the Parkinson’s Foundation, with support from the CVS Health Foundation, created a series of free, accredited online courses to help healthcare professionals learn how to provide tailored PD care.

Launched in November, the Education Series for Community Providers is a six-part series of free, online courses that offer essential Parkinson’s information designed for healthcare professionals who are not experts in Parkinson’s disease. The first course in the series is now live — register now . The Parkinson’s Foundation will release all courses over the next 12 months.

“When working towards a degree in the healthcare field, we have found that most healthcare curriculums minimally cover Parkinson’s disease,” said Eli Pollard, Chief Education and Training Officer at the Parkinson’s Foundation. “Due to our aging population, Parkinson’s numbers are on the rise, and all our healthcare workers — from local general practitioners to hospital staff — are going to treat more people with Parkinson’s in their everyday practice. This online series is designed to help them know how to best care for their patients living with this disease.”

The professional education series will highlight best practices gleaned from evidence-based research and learned through the Foundation’s Global Care Network. In addition to a movement disorders specialist, people with PD benefit most from building an interprofessional care team that helps manage troublesome symptoms that occur as this disease progresses.

This series of courses will also teach healthcare experts how to deliver optimal care to people living with Parkinson’s. The six courses are designed for a wide range of healthcare professionals, including neurologists, primary care physicians, physician assistants, nurses, pharmacists, psychologists, social workers and dentists. Courses include:

  • Comprehensive and Equitable Care for People with Parkinson’s by Community Providers
    This course introduces providers to the common movement and non-movement symptoms of PD, including evaluations and treatments used to diagnose and treat PD. We also explore misperceptions of the impact of PD across gender and race.
  • Optimizing Hospital Care for People with Parkinson’s
    This course provides key recommendations from the Parkinson’s Foundation Hospital Care Report including optimal outcomes for people with Parkinson’s via in-patient, emergency care and out-patient care settings.
  • Utilizing Quality Measures to Improve Parkinson’s Care: What Every Neurologist Needs to Know
    This covers the quality measures for neurologists, who may not primarily be focusing on Parkinson’s to better understand and deliver optimal care in their community setting.
  • The Expert Care Experience: The Role of Nurses in Caring for People with Parkinson’s
    This course is designed for nurses to better understand their role and how to deliver comprehensive care to people with PD, no matter their setting.
  • The Expert Care Experience: The Role of Social Workers in Caring for People with Parkinson’s
    This course is designed to inform and educate social workers who have a pivotal role in accessing the acute and long-term needs of people with Parkinson’s. As part of the interprofessional care team, social workers can direct people to key resources and provide assistance in the areas of mental and emotional health.
  • The Expert Care Experience: The Role of Dentists in Caring for People with Parkinson’s
    This course is designed to educate dentists and dental staff about the complexity of PD, such as swallowing, cognition and movement symptoms, along with recommendations for optimal oral hygiene regimen.

Register for course one now

My PD Story

Paul and dad at a football game
Family Members

Paul Farahvar

My father was diagnosed with Parkinsonism in 2019, which likely resulted from a traumatic head injury. He was a successful and well-respected orthopedic surgeon for almost 40 years in Chicago, IL. He was the first to bring many bone surgeries to Chicago in the 1970s and ‘80s. 

As a pioneering surgeon, he loved helping others as a physician, so much so that he didn't want to retire, even into his 70s. He was known as a no-nonsense surgeon, who always thought of surgery as a last option, not the first — which was something rare in the ‘80s and ‘90s and is even rarer now. 

He didn't need to work anymore, as he had provided for his family for years and deserved retirement. We finally convinced him to retire so that he could work on his golf and tennis games! Sadly, less than five years into his retirement, he had a bad fall and then started to experience symptoms consistent with Parkinson’s disease. It slowly took away his independence and forced him to accept assistance. We are still unsure what form of parkinsonism he has as it has progressed for the past three years, quite quickly, making his ability to walk and talk very limited. 

Paul during a comedy show

I did not know much about Parkinson's before my father's diagnosis, but since then, I have become a student of the disease, and have been raising thousands of dollars for the Parkinson’s Foundation by donating all the proceeds from the T-shirts I sell at my comedy shows. I travel the country as a stand-up comedian, promoting my "Better Call Paul" shirts at my shows — I used to be a lawyer so it's a wink and nod to the show "Better Call Saul!” 

I regularly hear stories from others who have been personally affected by Parkinson’s and continue to learn more about this disease and its wide-ranging impact. Many of these conversations and connections end with tears and hugs with fellow family members who have suffered and lost.  

When it comes helping your loved one with Parkinson’s, talk to as many people who have been affected by Parkinson’s as possible, read as much as you can, be an advocate for your loved one and be positive.

In December 2022, I launched Stand Up for Parkinson’s, a Comedy Night supporting the Parkinson’s Foundation Midwest Chapter. I hope to continue my work with the Parkinson’s Foundation in the coming years!

Looking for ways to help your local PD community? Learn more on our How You Can Help page.

Science News

Dopamine Medication May Help with Sleep, Depression and Pain

Parkinson's Foundation Science News blogs

In Parkinson’s disease (PD), non-movement symptoms can include depression, anxiety, sleep disturbances, pain, fatigue, cognitive dysfunction, apathy (lack of feeling or emotion) and even impulse control. These symptoms are common for people with Parkinson’s — and often go under-reported and under-treated. According to the Parkinson’s Outcomes Project, these symptoms have a greater negative impact on quality of life than movement symptoms. There remains considerable unmet needs when it comes to the management of these non-movement symptoms.

What are MAO-B inhibitors?

Monoamine oxidase-B (MAO-B) is an enzyme that breaks down several chemicals in the brain, including dopamine.

A MAO-B inhibitor makes more dopamine available to the brain. This can modestly improve many PD movement symptoms.

 

Couple sitting at the table reviewing medication paperwork

Monoamine Oxidase Type B (MAO-B) inhibitors are a type of medication that can mildly improve some PD movement symptoms. Though there have been an increasing number of studies reporting the potential benefits of these drugs for non-movement symptoms, results have yet to be reviewed and summarized in any systematic way.

Parkinson's Foundation National Medical Advisor Michael S. Okun, MD, co-authored the study titled “Effects of MAO-B inhibitors on non-motor symptoms and quality of life in Parkinson's disease: A systematic review” (Tsuboi et al., 2022). The primary objective of this study was to provide an up-to-date, systematic review of the quality of life and non-movement symptom findings drawn from available studies of three commercially available MAO-B inhibitors: selegiline, rasagiline and safinamide.

After a meticulous review, this study ultimately analyzed a combined 60 studies out of 1,850 — all 60 met strict high standard research requirements, such as being peer-reviewed. Studies included:

  • Clinical studies on people with Parkinson’s disease
  • Reported effects of selegiline, rasagiline, or safinamide on non-movement symptoms or quality of life using symptom-specific assessments or objective measures
  • Assessment of non-movement symptoms including depression, anxiety, sleep disturbances, fatigue, pain, autonomic dysfunctions, olfactory dysfunctions, cognitive dysfunctions, apathy, impulse control, and rapid eye movement sleep behavior disorders.

Results

Collectively, the overall findings were broken down into non-movement symptoms include:

  • Apathy, olfactory dysfunctions and impulse control disorders – There was not enough evidence to make any determination of the effects of MAO-B inhibitors on apathy and impulse control disorders. In addition, MAO-B inhibitors are unlikely to improve olfactory dysfunctions.
  • Anxiety – No studies demonstrated significant benefits of MAO-B inhibitors on anxiety.
  • Cognitive dysfunctions – MAO-B inhibitors were unlikely to improve global cognition but might have the potential to improve fluctuating cognition (i.e., spontaneous alterations in cognition or attention).
  • Depression – Rasagiline, safinamide and selegiline may potentially improve depression symptoms.
  • Fatigue – The number of studies reporting fatigue outcomes remains scarce, and the impact of MAO-B inhibitors on fatigue appears inconsistent across studies.
  • Pain ­– Rasagiline and safinamide might improve pain, especially in people with PD in more advanced stages. There are not any selegiline studies to report on pain outcomes.
  • Quality of life – A minority of the randomized clinical trials (RCTs) (rasagiline or safinamide vs. placebo) for those with advanced PD reported statistically significant quality of life improvement. There have been no selegiline studies reporting quality of life outcomes.
  • Sleep disturbances – No RCTs (rasagiline or safinamide vs. placebo) revealed significant benefits of MAO-B inhibitors based on the sleep-specific rating scales. However, one RCT using a sleep study, and some open-label studies, reported positive effects of MAO-B inhibitors on sleep disturbances.
  • Urinary symptoms – The effects of MAO-B inhibitors on various autonomic symptoms, such as urinary symptoms, remain unclear due to the scarcity of data.

What does this mean?

“People living with Parkinson’s and their clinicians are hungry to initiate new therapies for the treatment of disabling symptoms,” said Dr. Okun. “We want people in the PD community to know that utilizing MAO-B inhibitors as specific therapies for the treatment of many non-movement symptoms, at this point, has not been shown to be effective.”

This systematic review found that MAO-B inhibitors may potentially improve depressive symptoms, sleep disturbances and pain. However, MAO-B inhibitors have not been associated with improvements in quality of life, cognition and olfactory dysfunctions. Of note, rasagiline and safinamide had more evidence supporting improvement in non-movement symptoms when compared with selegiline, however this may have been biased by when the drugs were introduced to the market.

Also of importance, this study showed a lack of evidence of the effects of MAO-B inhibitors on non-movement symptoms and quality of life in general, and on fatigue, autonomic dysfunctions, apathy, and impulse control disorders in particular.

These vast knowledge gaps concerning the efficacy of MAO-B inhibitors on non-movement symptoms for people living with PD is a genuine call to action for researchers. For example, comparing the efficacy of MAO-B inhibitors with other medication options, such as dopamine agonists, is clearly warranted. This information is vital for clinicians to be able to make good decisions in the care of PD.

Learn More

The Parkinson’s Foundation believes in empowering the Parkinson’s community through education. Learn more about PD and MAO-B inhibitors by visiting the below Parkinson’s Foundation resources, or by calling our free Helpline at 1-800-4PD-INFO (1-800-473-4636) for answers to your Parkinson’s questions.

My PD Story

Candice Rodriguez and her brother
Family Members

Candice Rodriguez

My brother, Ivan, is a proud U.S. Navy veteran. He is a 6’2”, tall, handsome and young-looking man at 49 years of age. Ivan has given 20 years of his life to our country, and he never hesitates to tell you that he would serve again if asked. After serving in the Navy for many years, Ivan was diagnosed with Parkinson’s disease (PD) in 2019.

I have begun to realize how Parkinson’s disease affects people since my brother received his PD diagnosis a few years ago. Through Ivan’s experience, I have witnessed how Parkinson’s is a serious and life-altering disease. I work with him and assist as much as I can while he researches ways to manage his PD symptoms. I would do anything to care for and help my siblings — those who know me know that this is no exaggeration. I would gladly give my life for my brother as he risked his life for our country and, more directly, for me. To honor my brother’s service, I try to bring awareness to Parkinson’s disease as much as possible.

I appreciate how the Parkinson’s Foundation works to help all people with Parkinson’s disease. One reason I support the Parkinson’s Foundation is to advance Parkinson’s research. Through research, the Foundation has discovered ways to reduce complications from Parkinson’s and significantly increase quality of life for people living with PD. Thanks to medications and exercise, some people have been living with Parkinson’s for decades and have successfully slowed the progression of their disease.

The Parkinson’s Foundation uses research to help people apply strategies to improve their overall lifestyle. While the Foundation has already seen success in their research and care initiatives, continuing to invest in research will help find solutions to make all people with Parkinson’s live better lives.

I want to do everything I can to help advance research toward a cure for Parkinson’s disease. Many employers match charitable donations made by their employees. I work for AbbVie, a pharmaceutical company. When AbbVie announced a giving campaign over the summer, I decided to donate to the Parkinson’s Foundation and the company matched my donation!

I donate to the Parkinson’s Foundation in hopes that there will be easier times for my brother, Ivan, in the future. In the meantime, the Parkinson’s Foundation website is a great place to find more information about Parkinson’s disease.

Make a matching gift through your employer to advance Parkinson’s disease research today.

My PD Story

Nitya Subrahmanian headshot
Researchers

Nitya Subrahmanian, PhD

2022 Launch Award  

Finding a Way to Enhance the Survival of Dopamine Brain Cells

Dopamine is found in brain cells. The death of these cells leads to the hallmark movement symptoms of Parkinson’s disease (PD) — including tremor, rigidity and issues with balance. Nitya Subrahmanian, PhD, of the University of Florida, a Parkinson’s Foundation Center of Excellence, received a Parkinson’s Foundation Launch Award to test if boosting mitochondrial function can help dopamine cells in the brain survive.

Parkinson’s movement symptoms are driven by a severe loss of a type of brain cell (called neurons) that makes the chemical dopamine. By the time a person is diagnosed with Parkinson’s, about half of their dopamine cells have already died. This loss continues over time and unfortunately, there are no medications that can preserve the existing dopamine neurons or reverse the disease. To improve quality of life, current treatments enhance dopamine levels and reduce movement symptoms.

Mitochondria are tiny compartments within the cell that are involved in energy production. Up to millions of mitochondria fuel each brain cell. Without enough healthy mitochondria, cells may not make enough energy to support brain function, leading to disease.

Complex I is an enzyme in the mitochondria that contributes to this energy generation. The enzyme does not work correctly in the brains of people with Parkinson’s.

Matthew LaVoie, PhD, at the University of Florida, recently discovered that a new chaperone (a protein that assists in the folding of other proteins) can increase mitochondrial energy levels. Dr. Subrahmanian, under the mentorship of Drs. LaVoie and Benoit Giasson, will study whether this protein can help dopamine brain cells survive in models of Parkinson’s.

Another trait of sick cells in Parkinson’s is the buildup of a toxic protein called alpha-synuclein, which causes the formation of Lewy bodies in the brain. Dr. Subrahmanian will also find out whether this mitochondrial chaperone can protect dopamine neurons from the toxic alpha-synuclein.

To answer these questions, Dr. Subrahmanian will engineer stem cells to create excess amounts of the mitochondrial protein. Stem cells are capable of multiplying and have the potential to form any type of neuron. First, Dr. Subrahmanian will guide them to become the dopamine brain cells typically lost in Parkinson’s. Then she will evaluate the protection that comes from the improved mitochondrial function. She will also use a similar approach in a mouse model.

“Our findings can help drive the development of new Parkinson’s therapies by enhancing mitochondrial function. These research efforts could lead to a profound paradigm shift, with the potential to elevate the treatment from palliative care to cure,” she said.

Of her Parkinson’s Foundation grant award, Dr. Subrahmanian said, “I am sincerely grateful to the Parkinson’s Foundation for specially designing the Launch award for young aspiring researchers like me. This award provides financial support beyond two years of mentored research. It will play a vital role in achieving my long-term career goal of becoming an independent investigator in academia.”

Meet more Parkinson’s researchers! Explore our My PD Stories featuring PD researchers.

My PD Story

Edmund and Jane portrait
People with PD

Edmund and Jane

Our story begins in early 1997, when Jane’s bank rejected a check she had written, claiming the signature did not match the one on file. Her handwriting had become unreadable. She had also noticed that when she walked, her dominant arm did not swing, but instead came up by itself and rested stiffly across her stomach. Jane’s primary care physician ran imaging tests to rule out structural problems in her hand. None found, he referred her to a movement disorder neurologist.

The neurologist observed slowness and stiffness in her movement (bradykinesia) and impaired fine coordination in her hand. She received a tentative diagnosis of Parkinson’s disease. Jane was put on carbidopa/levodopa for a 3-month trial, and her symptoms improved. After her Parkinson’s diagnosis was confirmed, Jane’s neurologist changed her therapy to a dopamine agonist, which was to be her drug of choice for the next seven years. Jane’s neurologist did not give her any literature or education about the disease. Since she did not know anyone who had Parkinson’s, the diagnosis did not upset her. As far as she was concerned, a little handwriting problem and her right-arm action when she walked had little impact.

Jane and I had known each other for many years. She was part of my extended family, dating back to when she was in college. In 1998, I decided to retire from my career as a scientist and engineer. I called Jane up one day and told her that I and my Siamese cat, Nefertiti, were going to board my 38-foot powerboat and travel down the Intracoastal Waterway to the west coast of Florida, where we would spend the winter. I asked her if she would like to come. She said yes. We have been together ever since.

For the next six years, we had a great life. We settled in Florida and built a home in the waterfront community of Punta Gorda Isles. Jane established a relationship with a local neurologist, whom she saw periodically. All was well until 2005, when Jane began to experience additional Parkinson’s symptoms. She gained significant weight. She was unable to get a good night’s sleep. During the day, she would suddenly fall asleep, even when talking with someone, waking 10 or 20 seconds later as if nothing had happened. She could hardly get around, even with a walker. Getting out of a chair required assistance. She was also exhibiting tremors in her hands and feet. The situation was not looking good, but everything was about to change because of our self-motivated effort to learn more about Parkinson’s disease.

In October 2005, we went to a Parkinson’s seminar. Our initial interest was to learn about deep brain stimulation (DBS). However, one of the physicians who spoke discussed the various classes of drugs used to treat the disease, and their side effects. He also spoke of the need for drug therapy to change as the disease progresses. As we drove home, I told Jane, “Make an appointment, we need to talk to your neurologist.” Jane’s neurologist discontinued her use of a dopamine agonist. Six months later, she had her life back! She returned to her normal weight and her sleeping problems subsided. She no longer needed to use a walker. The tremors and stiffness were still there but otherwise, life was good. I later learned that some people on dopamine agonist therapy develop compulsive behavior – Jane’s compulsion had been buying fabric, more than she would ever use in a lifetime. With Jane no longer on a dopamine agonist, the fabric purchases stopped!

We had recovered from the brink of needing to find Jane a nursing home, all because we became proactive, educated ourselves and were insistent that Jane’s medical professionals consider changes in her therapy. The changes in the drug therapy eliminated the side effects that were prevalent in 2005, but they did not stop the progression of the disease. By the end of 2006, Jane started experiencing freezing of gait, increased slowness of movement and tremor. Jane could no longer get onto and off a small boat. We sold our boat, but we could not stay away from being on the water. Our solution was to go on cruise ships, from the large ocean-going liners to the smaller inland river boats.

In March of 2010, Jane received her first deep brain stimulation device. She calls the operation a “no brainer,” as there was no pain associated with the surgery or post-surgery. The result was spectacular. Tremors were essentially gone on the right side of her body. Involuntary movements called dyskinesia, which can be a byproduct of Parkinson’s medications, were greatly reduced. We were so pleased with the result of the surgery that a second DBS device was placed in early 2011, which improved symptoms on both sides of the body.

Despite symptom improvements from DBS, freezing of gait soon began to lower Jane’s quality of life. She did not want to go anywhere. She felt like her feet were glued to the floor. I had read that freezing can sometimes be broken by use of a triggering device, so one morning, I went into my shop and built something I thought might help. Jane called it her “launcher,” and she carried it everywhere she went. We also tried different scooter options for longer walks.

A breakthrough in Jane’s treatment came in 2014. While attending a support group, we learned about Parkinson’s Foundation Centers of Excellence. There was such a place for Parkinson’s disease only a three-hour car drive from our home. Jane met with a movement disorder neurologist, Dr. Michael Okun, who set up a comprehensive treatment plan. This plan is updated every six months and has changed our lives for the better.

During 2017 and 2018, we gained even more experience managing the disease. Jane suffered several falls, one of which put her in the hospital for three days followed by an additional seven days of rehabilitation in a nursing home. Other treatments included voice therapy, physical therapy, occupational therapy and multiple sessions with a psychologist. We later moved to The Villages, Florida to be closer to the Norman Fixel Center for Neurological Diseases, a Parkinson’s Foundation Center of Excellence.

Jane and I have gained 25 years of first-hand experience with Parkinson’s disease. Our support group, recognizing that we had learned a lot about Parkinson’s disease and its treatment, asked us to give a talk about our experiences. The word got out and soon we were speaking to support groups on the west coast of Florida and eastern Tennessee, as well as impromptu small gatherings on cruise ships. Every Parkinson’s journey is different, but our individual journeys all have similarities, so there is much to learn from each other.

Learn more about the Parkinson’s Foundation Global Care Network and find a Center of Excellence near you.

Caregiving Topics

Navigating your Loved One’s Move to a Long-Term Care Center

Nurse standing next to a lady in a wheelchair at nursing home

Despite your best efforts to keep your loved one with Parkinson’s disease (PD) at home as their disease progresses, a move to assisted living or a nursing home may be necessary when their symptoms become advanced.

The following steps can help you navigate the emotional and practical elements of your loved one’s transition to a care center.

1. Understand that it’s normal to need extra support to cope with how you feel about the move. The time surrounding your loved one’s move can be overwhelming, and most families experience a wide range of difficult emotions.

  • It can help to say your feelings out loud or write them down, as “getting them out” can make these feelings lighter over time.
  • Try responding to your feelings with compassion that you are doing the best you can and that you made the best decision available to you.
  • If you are struggling, turn to people you trust, other care partners, or a counselor, and let them know you’re having a hard time.

2. Know that this move will be a learning curve for you, your loved one and care center staff.

You are learning how things work at the care center and who handles what. Your loved one is learning new faces, adjusting to surroundings and routines. The care center staff is trying to understand the care needs of your loved one, while also caring for other residents.

These adjustments will take some time for everyone. Use the Parkinson’s Foundation Aware in Care kit to help advocate for your loved one’s needs. Try to be patient with yourself, your loved one, and the care center staff during this transition.

3. Build and nurture a relationship with the care center staff.

Make time to get to know the entire staff and their role on the care team. Try to be kind and encouraging and give them the benefit of the doubt, praising more than criticizing, as you will need to partner with them to support your loved one.

If changes are needed, prioritize the most important ones, and acknowledge progress. Strive to maintain a positive relationship with the staff, but don’t be afraid to address problems and involve others when advocating for your loved one.

4. Help the staff get to know your loved one on a deeper level to improve care and connection.

It is important for your loved one to feel known by the people in their new home.

  • Share pictures, stories, and memorabilia.
  • Personalize their room.
  • Put together an “about me” album or document that describes your loved one’s preferred name, hometown, names of loved ones, work history, hobbies, interests, preferences, favorite music and TV shows, and accomplishments.

All of this helps to ease conversation, build connections, and individualize care.

5. Use discretion with what you bring to the care center.

If possible, avoid keeping items in the care center that you cannot replace. Label your loved one’s items. Consider creating replicas for them to enjoy, like copies of favorite photos, a bedspread that looks like a family quilt, decorations that look like favorite items. Substitute valuable or sentimental jewelry with similar items of lessor value.

6. Be flexible with your visits.

Visits might be stressful at times, so give yourself permission to end a visit sooner than you had planned if you are feeling overwhelmed. Similarly, pay attention to cues that your loved one isn’t up for a visit. Many people feel pressured to spend a certain amount of time with their loved one in a care center but in most cases, the quality of time spent is more important than amount of time.

7. Focus on making a visit meaningful.

Consider new ways of connecting with your loved one. Share stories, recount fond memories, and ask questions to keep help them feel connected to their identity and history.

  • If your loved one is not especially talkative, bring an activity or item to focus the visit around or incorporate sensory elements to your time together.
  • Bring a pet if permissible, a craft, or a plant.
  • Share a photo or story about someone they know.
  • Play their favorite song or bring a favorite food or drink.
  • Take your loved one outside for fresh air if possible.
  • Helping with small care-related tasks, such as nail care, hair care, make-up, shaving, or applying lotion, can also foster connection.

8. Work with the staff if your loved one has a hard time when visits end.

If your loved one struggles with your leaving, work with care center staff on a plan. Some families find their loved one has an easier time with a visit ending when there is a distraction, like the beginning of a meal, a program or activity, or a care-related task.

If your loved one is confused about why they are not leaving with you, give them a reason for your leaving that they would support, like “I have to run some errands before dark,” or “I’ve got to get back to work.”

9. Coach other family members or friends about how to support you and your loved one.

Let your network of family and friends know that your loved one would appreciate phone or video calls, cards, visits or care packages with specific treats. Give them tips for a successful visit. Share photos and stories about how your loved one is doing, as well as how you are doing, to give them an opportunity to offer you both support in some way.

10. Reconnect with cherished relationships and activities.

If caring for your loved one has been your main focus for months or years, you might feel tired and lost after they move. Take the time you need to rest and then slowly re-engage with the people and activities that are meaningful to you. While it might seem forced at first, caring for yourself by reconnecting with your interests and other people is important for adjusting to this phase of your caregiving journey.

For more information, visit the all new For Care Partners section of our website, including our article, Is a Care Facility Needed?

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