|Merrill R. Landers, PT, DPT, PhD, OCS|
Welcome to Our Parkinson's Place
I copy news articles pertaining to research, news and information for Parkinson's disease, Dementia, the Brain, Depression and Parkinson's with Dystonia. I also post about Fundraising for Parkinson's disease and events. I try to be up-to-date as possible. I have Parkinson's diseases as well and thought it would be nice to have a place where updated news is in one place. That is why I began this blog.
I am not responsible for it's contents, I am just a copier of information searched on the computer. Please understand the copies are just that, copies and at times, I am unable to enlarge the wording or keep it uniformed as I wish. This is for you to read and to always keep an open mind.
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Saturday, November 26, 2016
Ultrafast signal transmission between neurons is vital for normal neurologic and cognitive function. In the brain, cell-to-cell communication occurs at the junction that connects two neurons—a structure known as a synapse. NeuroscienceNews.com image is adapted from the Harvard press release.
Source: Ekaterina Pesheva – Harvard
Image Source: NeuroscienceNews.com image is adapted from the Harvard press release.
•Deletion of RIM and ELKS leads to loss of Munc13, Bassoon/Piccolo, and RIM-BP
•Synaptic vesicle numbers and the PSD remain unaltered after active zone disruption
•This disruption results in loss of vesicle docking and reduced release probability
•Fusion competent vesicles persist upon disruption of the active zone and docking
In a nerve terminal, synaptic vesicle docking and release are restricted to an active zone. The active zone is a protein scaffold that is attached to the presynaptic plasma membrane and opposed to postsynaptic receptors. Here, we generated conditional knockout mice removing the active zone proteins RIM and ELKS, which additionally led to loss of Munc13, Bassoon, Piccolo, and RIM-BP, indicating disassembly of the active zone. We observed a near-complete lack of synaptic vesicle docking and a strong reduction in vesicular release probability and the speed of exocytosis, but total vesicle numbers, SNARE protein levels, and postsynaptic densities remained unaffected. Despite loss of the priming proteins Munc13 and RIM and of docked vesicles, a pool of releasable vesicles remained. Thus, the active zone is necessary for synaptic vesicle docking and to enhance release probability, but releasable vesicles can be localized distant from the presynaptic plasma membrane.
November 25, 2016
|Dominican Oaks resident Raymond Millard gets regular visits from Hospice volunteer Eric Flores. (Dan Coyro -- Santa Cruz Sentinel)|
SANTA CRUZ >> Ray Millard’s room in the retirement home has a great view of the cemetery.
The irony is not lost on the 82-year-old Navy veteran, who was diagnosed three years ago with Parkinson’s disease. In fact, he’s got a pretty good sense of humor about it.
One of Millard’s favorite jokes these days is about a man visiting the doctor’s office. The doctor says he’s stymied by the patient’s symptoms, so he sends him to the hospital. The hospital can’t figure out a treatment plan, so sends the man to a specialist.
“The specialist can’t do anything for you either, so he sends you across the street,” said Millard, pointing to the cemetery. “You’ve heard of one-stop shopping? This is one-stop living.”
Millard, who said he believes one reason he was put on Earth is to make people laugh, is one of about a thousand patients this year receiving care from Hospice of Santa Cruz County, a nonprofit whose vision for the community is for residents to live and die with dignity.
HOSPICE AND UCSC
In October, Hospice of Santa Cruz County was recognized for its Volunteer Visitor Pre-Med program, which recruits hospice volunteers from the Health Sciences internship program at UC Santa Cruz. The students, who now make up 10 percent of Hospice of Santa Cruz County’s volunteer base, provide companionship, run errands and hold bedside vigils for dying patients.
The students are also exposed to the process of dying, a topic rarely discussed in medical school. That’s an experience hospice workers hope will help future doctors consider more end-of-life options for patients, who may prefer to end treatments and die at home rather than a hospital bed.
“In the long run, if we can provide opportunities for future physicians to be at the bedside, conversations with dying patients and hospice referrals will come more naturally to them as physicians,” said Forbes Ellis, director of volunteer services at Hospice of Santa Cruz County.
Millard’s hospice volunteer, UCSC premed student Eric Flores Alvarez, says his studies so far have not included conversations about death, or dying with dignity.
“I guess it’s just too taboo, too sensitive to be talking about, and we don’t pay much attention to it,” said Alvarez ,who plans to study internal medicine and advocate for the uninsured and underinsured. “But hospice is a whole different story. In the training, we’d always talk about death, and how we can normalize the discussion, how we can sit down and engage with it.”
The program was inspired by the bestselling book “Being Mortal,” written by Dr. Atul Gawande, as well as the documentary by the same name. The works explore how patients and doctors struggle with the topic of death and dying, and advocate for the patient’s quality of life.
Last Thursday, Hospice of Santa Cruz County screened “Being Mortal” for the second time this year at the Del Mar Theater. The first screening, in October, was so well-attended that movie-goers were turned away for lack of seats. The film is also available on YouTube.
Alvarez visits Millard for four hours once a week, in addition to taking 14 units and working nine hours on campus. It’s clear their favorite thing to do together is play bingo for a buck a card with other seniors.
“I can’t go anywhere without a chauffeur, so he pushes my wheelchair to bingo,” said Millard.
“He introduces me as his personal body guard,” said Alvarez.
Last week Millard won $29 at the bingo table, bringing his total winnings to more than $7,000 in the last four years. Alvarez, not so lucky, is going to keep his day job studying medicine.
Millard, born in Rochester, N.Y., is an upbeat guy, who has “enjoyed every job I ever had,” mostly working in union shops as a member of the United Auto Workers and the International Brotherhood of Electrical Workers.
He served as an electrician in the Navy on a four-year cruise that began in 1953, keeping equipment running aboard the aircraft carrier USS Bon Homme Richard. He also worked as a lineman’s assistant for the city of Azusa’s power company. Later, he worked at the Chrysler plant in Norwalk, attaching motor numbers to engines and frames as Chryslers rolled by on an assembly line. He was a volunteer firefighter for 23 years in Washington.
One job that didn’t work out so well was at a Huffy bicycle plant, where he tested bicycles for sulfuric acid residue by sucking fumes through a straw, he said. “That’s when I got bounced for trying to get the union in. Only place I worked that wasn’t union,” he said.
His good nature aside, Millard said getting old and living with Parkinson’s disease — a degenerative condition that affects nerve cells in the brain — is frustrating.
“I sit here talking, and my hand can start going like this,” he said, simulating a hand tremor, one of the disease’s signature symptoms. “And when I’m talking to you now, I miss so many words.”
Millard says he doesn’t think about death — “Never.” But then he tells a story about a friend at the retirement home who also had Parkinson’s, who already died at age 75.
“He lives across the street now,” he said, gesturing toward the cemetery.
Millard said when he was young, he never thought much about growing old. And now that he’s old, he is frustrated by basic things, such as not being able to choose where he sits to eat, and not being able to go outside to work crossword puzzles without asking the staff to assist him.
And while he says he doesn’t think about death, he talks about his wife, Joyce, dying in the same facility he’s in now. He keeps pictures of her seven children — his step children — on his refrigerator door. There’s a picture of Joyce there, too.
“She lives across the street now,” he said.
Alvarez says end-of-life processes are difficult for everyone around the patients, even the volunteers. Hospice provides grief support for family members, and is also at the ready to counsel volunteers whose lose a patient.
While in Oaxaca on a medical internship, one of Alvarez’s hospice patients was weighing on his mind, so he emailed Forbes, who advised thinking of the patient while meditating.
Alvarez says it brought him some peace.
Millard seems proud of Alvarez’s choice to pursue medical school.
“I hope he makes it. We need more doctors,” said Millard.
“Thanks, Ray,” Alvarez responded.
“He’s gotta learn to play bingo a little better, though,” Millard joked.
Hospice of Santa Cruz County was awarded the Outstanding Program Achievement Award by the California Hospice and Palliative Care Association in October.
Hospice volunteers commit to four hours a week visiting patients for a minimum of one year. To learn about becoming a volunteer, call 831-430-3045, email firstname.lastname@example.org or visit www.hospicesantacruz.org.
Hospice care is a benefit offered by Medicare, available to patients expected to live six months or fewer. Patients are assigned to a hospice team, including a hospice physician, hospice nurse, hospice aide, social worker, chaplain, grief support and a volunteer, who all work with the patient’s personal physician.
Grief support is provided at no charge to family and friends for a year following a patient’s death.
Hospice also offers pet companions and faith outreach services.
Friday, November 25, 2016
November 24, 2016
Parkinson's protein travels from gut to brain
The link between Parkinson's and the gut
November 25, 2016 By Andrew Gould
A new film will help young children with parents with Parkinson's disease by informing teachers and other professionals of the issues (Could not copy original family photo)
The lives of a significant number of primary school-aged children and younger are thought to be affected by having a parent with Parkinson’s – and as a relatively newly recognised phenomenon there is little or nothing to support them or to inform the professionals who interact with them.
Parkinson’s disease is by no means a condition exclusive to the elderly, but as parents have children later in life so the risk of developing the disease while their children are still quite young increases.
As a consequence, little has been put in place to support young children who are struggling with the ramifications of a poorly parent and the complex issues and problems this disease imposes on a family. Families under stress, because of the condition, have little support from teachers, care workers and other professionals who have not been appropriately briefed to understand their needs.
A group of people with Parkinson’s in the South West who are members of the Peninsula Parkinson’s Excellence Network (PenPEN) have worked with Parkinson’s UK and Parkinson’s experts and researchers at Plymouth University to produce the first information resource for teachers and professionals who interact with young children. As well as providing expertise, Parkinson’s UK has also funded the resource, with additional support provided by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care South West Peninsula (NIHR PenCLAHRC).
The catalyst for the project and project lead is Lyn Fearn, who has Parkinson’s disease and who is mum to Mael, 12 and Amy, seven. Lyn said:
“I went to a PenPEN meeting and the discussions were very much about the disease and older people. I thought ‘what has this got to do with me?’ and actually asked that question. The conversation then moved to my family’s emotional and psychological experience: how Mael was taking responsibility for my welfare and how that was affecting his time at school; how Amy found it hard because I couldn’t do with her the things other parents could do; and how teachers, doctors and other professionals just didn’t understand our situation. I thought it was important that my children, and children like them, should have a voice and support. This is where our project has come from.”
Called “Listen to my Thoughts”, the resource consists of a film and accompanying text with links for useful information. The film follows the experiences of Jess, a primary school pupil whose mum has Parkinson’s. It shows some of what she has to deal with at home and at school, and ultimately indicates the mutual benefits when she, her parents and her teacher communicate and understand the enormous impact Parkinson’s has on life at home. The film includes quotes from Mael and Amy about their experiences, and an interview with Helen Young, a teacher at Lewannick Community Primary School in Cornwall.
Helen speaks of her experience of teaching children who are affected by living with a parent with Parkinson’s and explains how teachers and other professionals can help.
Leading the project from Plymouth University Peninsula Schools of Medicine and Dentistry is Dr Camille Carroll, an academic neurologist who specialises in Parkinson’s and who leads PenPEN. She said:
“It is important to remember that Parkinson’s is not just a condition of the elderly. With the trend for people to have children later in life, a greater number of very young children are living lives touched by a parent with the condition.”
“A diagnosis of Parkinson’s is stressful for anyone, but add to that the responsibility of raising young children with professionals and support services who, through no fault of their own, just don’t understand the issues involved, there is real potential for children and families to feel even more isolated and vulnerable. That’s why we were very pleased to work with Lyn, who has led this project on behalf of PenPEN, to ensure that the problem is addressed and that resources are created and made available to help professionals provide much-needed relevant support.”
Barbara Williams, Director of Support and Local Groups for Parkinson’s UK, said:
“For every one of the 127,000 people who have Parkinson’s in the UK, there are many loved ones who also have to get to grips with the implications of having someone close to them living with a progressive neurological condition. We welcome the focus of this film highlighting the impact that the condition has on children. Access to high quality information and support is critical for people with Parkinson’s themselves, but also families, friends and carers to ensure that questions can be answered and fears quashed. Parkinson’s UK has resources for young children to help explain Parkinson’s and for teachers and others to use to raise awareness and understanding.”
Parkinson's is a degenerative neurological condition, for which there currently is no cure. The main symptoms of the condition are tremor, slowness of movement and rigidity. It is estimated that one person in every 500 has Parkinson’s, about 127,000 people in the UK. Most people who get Parkinson's are aged 50 or over but younger people can get it too. It can be hard on children whose parents have Parkinson’s and Parkinson’s UK has a range of books to help explain the condition. It is always important to explain Parkinson’s and the circumstances with teachers, care workers and other professionals so that they can understand the needs of the child.
“Children need to be heard” – Lyn Fearn’s story
Lyn Fearn, lives in Cornwall with her husband Eifion (Eif) and children Mael, 12, and Amy, seven. Lyn was diagnosed with Parkinson’s four years ago.
"Parkinson’s caught up with me gradually. It started with losing my sense of smell, and then as a teacher I was finding it hard to write on the blackboard. I started to walk with a limp, and was having problems managing simple things like putting my feet into wellies or keys in locks and doing buttons for the children.
Like most people, and some of the health professionals I saw, Parkinson’s was the last thing in my mind as a reason for all this. Surely I was too young to have the condition? It took three years to get a diagnosis, and when it came it was a bombshell - we had even been told before by a neurologist it was not a serious problem, certainly nothing such as Parkinson’s.
We were having building work done to the house at the time. Eif and I had gone to see the consultant fully expecting to be told we had nothing to worry about. I came into the house and among the chaos, wheelbarrows of cement and workmen I simply burst into tears and fell apart.
I remember it was the October half term and we sat in our lounge which has glass doors. I know the workmen could see me in floods of tears, and the children could too. They didn’t understand what was going on and I remember being really scared – simply full of fear. Eif looked like he had been punched in the stomach and I felt confused, guilty and fearful.
We couldn’t think of what to say to the children. All they could see was us falling apart and we didn’t have the words. In fact, at the beginning we tried to hide it from them.
We got in touch with Parkinson’s UK who were brilliant and gave us some really use information and contacts. We were advised to tell the children, which we did.
Everyone makes plans and you think you’ll live forever and your future is bright, but it was like everything we were looking forward to, had gone. I was a relatively young woman with children, which is unusual for Parkinson’s. Life had to go on. The children had to go to school and Eif had to go to work.
The children had a hard time at school, not through anyone’s fault but because the teachers had received no training or briefing on what to do in a situation like ours. We told the school, but with staff changes the message just didn’t get passed on. Mael especially was struggling. He felt that he was responsible for me. He would go to school and worry all day and not learn anything. He got into trouble at school because no one understood what he was going through. There was no official support for him or for Amy.
As a teacher I realised that, at age four and eight, they simply didn’t have the language or the experience to explain how they felt or to process their feelings. Ours was a crisis for the children more than anyone – at that age they had no one in authority to turn to with the skills and expertise they needed.
It was then I really got that children of their age needed to be helped and that we needed to really think about the resources that would be required. There is little out there to explain Parkinson’s to young children, and what there is focuses on older relatives with the condition.
This created its own worries and concerns – why is this just about grannies? Are you getting older faster mum? Are you going to die soon? For children of Mael and Amy’s age with a parent with Parkinson’s the concepts and resources are so muddled.
It was then that I got involved with the Peninsula Parkinson’s Excellence Network (PenPEN). At the first meeting I went to everything was about older patients and medical advice and I really wondered, what am I doing here? How relevant is this going to be for me?
I raised this with the group and we got on to discussing my family’s situation – and it became apparent that we were not alone.
We decided that there was a need to develop resources not just for young children, but also for the professionals who interact with them. We wanted children to be heard, listened to and looked after.
So, we developed the “Listen to my Thoughts” film and leaflet (the name is actually something Mael said), with backing from Parkinson’s UK and invaluable input from PenPEN and Plymouth University and they are finally complete.
We’re really pleased with the results and we are hopeful that they will make a difference. We’re really grateful to Parkinson’s UK and Plymouth University for their support.
From now on there should be no reason for young children and their families to feel isolated or hopeless because a parent has Parkinson’s. When you are suffering from a condition which leaves you depressed, exhausted, emotionally drained and frustrated and physically ill so that you can’t be the parent you were or want to be to your children, having no support from the professionals involved with you and your family because they simply do not understand your situation and have not had it explained to them, is soul-destroying and damaging, isolating – not just for you but for your children and family relationships.
As more young children are faced with this situation, it is not a problem that is going to go away. In some small way I hope that our film is the first step to ensuring that this is a problem of the past, and that there is a brighter future ahead for families touched by Parkinson’s."
The film is available free of charge. The film can be view at https://drive.google.com/open?id=0B_MoJySrabBvWjVUWFNiMHYtZXM