First, don't panic. Go ahead and get mad, throw a fit, cry for a while, then get over it and get on with your life. It's just Parkinson's disease, it won't kill you. It could be a lot worse, you could have cancer.
Second, find out all you can about Parkinson's, go to the Parkinson's Association websites (I have links on here), talk to other Parkies, join a local support group. The more you know, the better you can do what's right for you. Don't count on your Doctor to tell you how to handle this, their job is to treat the part of your brain that is messed up. It's your job to figure out the rest. If there is a Movement Disorder Specialist (a neurologist who is a Parkinson's expert) within driving distance, try to see him or her. If not, see a neurologist, your primary care doctor isn't going to know enough to treat you properly (even though they may think they can).
Third, laugh. Laugh a lot. Parkinson's will make you walk funny, talk funny, write funny, think funny and make funny faces, so you might as well have fun with it and laugh. Laughter will stimulate your brain to produce more dopamine, so it really is the best medicine!
Fourth, plan for your future, now. If you are younger, you will probably need to quit working before you thought you would, so start planning to be able to go without a job until you can get approved for disability (which in the USA can take several years). If you are considering moving into a different residence, think about stairs and tight hallways and tiny bathrooms that might give you problems down the road (the key word in this sentence is might).
Fifth, start being pro-active right now. Eat more fiber; it's not hard, buy a cereal with whole grains (Cheerios, Frosted Mini-Wheats or Raisin Bran). If it's not what you are used to, mix it in with your regular cereal. Buy whole wheat bread (they make some that tastes just like white bread). Add some carrot sticks to your evening snack, or a Caesar salad at dinner.
Exercise or at least get up off the couch and move. Take a walk, stretch up and touch the top of the door frame every time you walk through a doorway, take extra long steps on the way to the fridge to get a bowl of ice cream. Parkinson's will make you curl up and get small, so fight it by doing things bigger.
Sixth, pay attention to what your body is doing. Make a chart of your symptoms, especially when you have a new prescription medicine or changed the dose. There is no testing for Parkinson's, YOU have to tell your Doctor exactly what is going on, so pay attention. Did that weird sensation start before or after you took that new Rx? Did the new Rx make you feel better or worse? Did it improve the tremor but cause another symptom? You NEED to know this.
Seventh, learn the Parkinson's medical jargon. After all those years in Medical School, your Doctor has forgotten how to talk like a normal person. He will only speak "Neuro-lese", so you best Learn the Lingo.
Eighth, talk to your family. The natural impulse is for them to "take over" and do anything that you have trouble doing. Tell them, nicely, that it is best for you to continue to do as much for yourself as you can. So what if it takes you fifteen minutes to button your shirt, you just need to start earlier. Ask them to please ask you IF you want help. If you do need help, ask for it, but be sure to say thank you afterwards, and mean it! Your whole family is affected by this Parkinson's thing, and they are just as scared, or more so, than you are.
Ninth, be aware that you are going to change both physically and emotionally. You may find yourself sleeping less, you may not enjoy the things you used to. Your face may become blank. All of these things can be harder on your family than it is on you, so try to be extra nice to them and explain ahead of time what might happen, so they can be prepared.
Tenth, don't take Parkinson's too seriously. A positive attitude is actually beneficial for us. Laughing can stimulate your brain to produce more dopamine, so go ahead and cry, get mad, but then become a Happy Parkie. Keep a positive attitude, it REALLY does help.
And last, beware of people touting miracle cures. Yes, they may make you feel better for a little while, but if it was a real cure, one of the big Parkinson's Foundations would be shouting it from the rooftops.
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