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Showing posts with label Dr. Zonis. Show all posts
Showing posts with label Dr. Zonis. Show all posts

Sunday, August 20, 2017

The 10-Year Anniversary of My Parkinson's Diagnosis

To be honest, TEN years ago, I wasn't feeling very optimistic. I still had my sense of humor, but I was becoming very discouraged. I had been sending out "The Letter" to neurologists for weeks and weeks and had not received even one reply. Since I had been previously told, by multiple neurologists, that my problem was NOT Parkinson's disease, I was completely clueless as to WHAT was wrong with me. There were only three names left on my alphabetical list of neurologists within 500 miles of home. Two W's and a Z. I almost gave up, but I decided to go ahead and mail those last three letters.

My symptoms were getting worse every day. I needed more and more help with normal daily activities. Whatever I had was progressing at an alarming rate. I knew that within a matter of weeks, I would no longer be able to walk. 

My Essential Tremors were being managed fairly well by the propranolol, unless I was upset, then my whole body shook uncontrollably. It was the stiffness, lack of dexterity and coordination and the feeling of being completely tensed up that was getting worse. 

I could barely bend my leg to put pants on. Walking was becoming more and more difficult. My right leg felt like someone had put a 50-pound concrete cast on it from hip to toe. I didn't have enough dexterity to fasten the hooks on a bra. Buttons and zippers? Forget it, no way! I had to stand with my arms above my head, like a two-year old, and have Wonderful Husband take my shirts on and off. (He actually seemed to enjoy the taking off part!) It was almost impossible for me to get my right arm behind me to get my arm in a sleeve. I could no longer get up from a chair without help. My neck was frozen in a forward position, I couldn't turn it left or right. There was no pain, it just wouldn't move.

Anything that required any skills of my right hand were gone. I now did everything one-handed using my left. Wonderful Husband cut up my meals into bite size pieces. I could no longer even manage to put my hair into a pony tail. My right hand was balled into a fist and my right arm curled up against my abdomen. If I forced them straight, they curled back up as soon as I stopped concentrating.
  
I was so tense, every time the phone rang or a passing train blew its horn, I jumped. Sometimes, even my Wonderful Husband saying "Hey, Honey" startled me. If he came up behind me and touched me on the shoulder, I'd startle so badly, I'd almost fall over. The only thing that gave me any type of relief was sleep. It seemed like I felt best first thing in the morning or just after waking from a nap. 

Days went by and I had heard nothing from the last three letters. I didn't know where else to turn. Everything orthopedic had been ruled out, as had a brain tumor. 

Then on Tuesday, August 28th, 2007, the phone rang, and I jumped. Wonderful Hubby answered it and handed the phone to me. It was a woman's voice, saying they received my letter, and that the Doctor thought he could help me. Could I come in on Friday at 3 pm? I said yes, and handed the phone back to Wonderful Hubby so he could write down the doctors name and address. The doctor was in Yuma, only about 35 miles away. 

The next day, the phone rang again, and again I jumped. It was the same woman, saying they had a cancellation and could I come in tomorrow, Thursday, August 30th, 2007 at 11 am instead? I said yes. The Doctors name? Dr. Zonis, the last name on my list. I would later find out the woman who called was Dr. Z's wife. 

I wasn't holding out much hope, I had doctors tell me before that they knew what was wrong...and then they didn't know after all.

We went and Dr. Zonis gave me a quick neurological exam (finger touches, foot taps, touch finger to nose) and proclaimed Parkinson's. He wrote a prescription for generic Sinemet, told me to get it filled at Walmart and to come back the next week. I asked if he was sure. He said he was positive but that I would know within a week. He said he KNEW it was Parkinson's from just reading my letter. 


YumaBev and Dr. Z 

He asked about my work history and I told him I'd been unable to work for several years. He told me to go to Social Security TODAY and file for disability. His office person told me where it was located. 

We left his office, dropped the script off at Walmart and went straight to the Social Security office and filed for disability. We had some lunch, went back to Walmart, picked up the medicine ($35) and went back home. I took 2 pills that day (Thursday), and 3 the next. While watching TV on Friday evening, I noticed my neck wasn't stiff. I still remember saying, "My neck feels like jello, I can move it."

It's hard to believe that was 10 years ago! A lot has happened during those years. Dr. Z retired, changed his mind, re-opened his office and then retired again. The medicine helped me greatly, then it started not helping as well, so I had DBS surgery

I started this blog, wrote a book, took over running the local Parkinson's support group and I made it to the World Parkinson Congress last year in Portland, Oregon.

If you had asked me 10 years ago today, where will you be in 10 years? I'd have answered, "Dead or completely bedridden." But here it is, 10 years later and I am neither. 

As for the Essential Tremor, turns out I didn't have it after all. Apparently the neurologist who diagnosed me got that wrong, too. 

And it is all thanks to one Doctor, whose wife took the time to read a letter, show it to him and then decide to help me. I often wonder what happened to the other dozens of letters I sent out. Did anyone actually take time to read it? 

PS Dr. Z knew I didn't have insurance, so he wrote the prescription for double strength and had me cut the pills in half to save me money. Later on, he gave me samples and would get extra from the various pharmaceutical reps for me. He only charged me $30 a visit. Now that I am on Medicare, my co-pay to see a specialist is $40. I'm afraid there aren't many people out there in the medical field like him, which is sad. I hope he's enjoying his retirement, he deserves it. 

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Friday, August 2, 2013

Saying Goodbye

My beloved Dr. Zonis is retiring and closing his practice. I am very happy for him and his beautiful wife Perla. They will have lots of free time; to travel and spend time with their family. He has been my "superhero" for almost six years and has been helping other patients for over 38 years, so he really deserves his retirement, but at the same time I am sad.

I will really miss both of them. He has been more than a Neurologist to me; I think of him more as a friend (even though I only saw him as a patient.) I gave him a big hug at my last appointment, as always, but I didn't know that might be the last time I would see him. And that makes me sad, too.

Bev and her beloved Dr Z

As a patient with Parkinson's disease, my choices for a new Neurologist aren't too difficult because there are Movement Disorder Specialists in Phoenix, Tucson or San Diego (3+ hour drive each way.) At least for now, I can drive to see one of them, however many others here in Yuma can't make that kind of a drive, so I have been calling other Doctors in Yuma (familiar with Parkinson's), trying to put together a list for those support group members.

I'm not sure how to say Goodbye to a couple like Dr Zonis, his wife Perla and his wonderful staff. I guess I really don't want to.

PS Dr. Zonis got bored being retired and re-opened his practice in January 2014.


Friday, April 20, 2012

Dr. Z and Me

I went to see Dr. Z, my Neurologist, on Wednesday, April 18, 2012.  Going to see Dr. Z is like visiting a friend, I have been seeing him every 2 - 3 months since August of 2007, when he first diagnosed me with Parkinson's Disease.  


My visits always start the same, Bonnie or Malinda sign me in, then Perla shows us (my Wonderful Hubby always comes along) to an exam room and in few minutes, Dr. Z comes in, smiles a big smile, and says: Hello, Mrs. Ribaudo, Mr. Ribaudo, how are you today? He shakes both our hands and sits down.


Part one of my visit was as his patient.  He asked me how I was doing with the dosing changes we made last visit (3 months ago).  I told him I was having bad left foot cramps (my lesser affected side) everyday around noon (during peak on time) and that I had tried cutting back my Stalevo 100's to 4 times a day (after Charting my symptoms) instead of 5, to see if it made a difference.  The foot cramps had disappeared and the slight increase in off time was acceptable to me, so he wrote down the new dosing times and said okay.


We then discussed the possibility of replacing a couple of the Stalevo's with plain Sinemet (I am concerned about the potential negative side effects of the higher doses of entacapone, the extra ingredient in Stalevo). Dr Z said I could try it, but do it slowly and carefully chart my symptoms.  He said I might need to take a half pill in between doses and wrote me a prescription.  I asked about reducing the Requip (also due to potential side effects), but he suggested just one change at a time.  I am to report back in 2 months, sooner if problems occur.


Part two of my visit was as a Parkinson's Advocate.  I showed him the Aware in Care Hospital Kit and told him to expect patients to be bringing them in.  He asked if he could order some to hand out and I said yes and gave him the info.  I told him the Neupro Patch had received FDA approval, again. I showed him the Proclamation from the Mayor and my two stories featured on the Michael J Fox Foundation blog. I then asked him if I could take a picture of him for this story.  He seemed embarrassed, but said yes. 


He then gave me my usual hug (yes, we end every visit with a big hug), shook hands with my Wonderful Husband and went off to take care of another patient. Now you all know why I love my Dr Z.  
Bev and Dr Zonis


Dr. Julio Zonis, his beautiful wife Perla (who is his office manager) and Malinda and Bonnie (the girls who do the rest) always take excellent care of me!


PS  Every Parkie is different and finding the right combination of medicines, doses and timing takes patience.  Charting has really helped me and my Doctor, however, what works for me will probably not work for anyone else and what works for me this week may not work next month. Discuss any medicine changes with your Doctor.


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Thank you for reading this story, I hope you enjoyed it. This is just one of a hundred stories in my book, Parkinson's Humor - Funny Stories about My Life with Parkinson's Disease. Please consider purchasing a copy from Amazon or your favorite online book seller. Thank you and have a Happy Parkie Day!