A W A R E N E S S E D U C A T I O N A D V O C A C Y C A R E P A R K I N S O N ’ S A P U B L I C A T I O N I N S Post O F I D E Conference promotes wellness | 2 Sing, sing out loud! | 3 Addressing levodopa phobia | 4-5 The Parkinson’s balancing act | 5 Tribute gifts | 6 The helping page | 7 T H E N O R T H W E S T B O U T U S The Parkinson’s Post is published by the Northwest Parkinson’s Foundation, a 501(c)(3) charitable organization. Our mission is to establish optimal quality of life for the Northwest Parkinson's community through awareness, education, advocacy and care. We welcome your comments on this newsletter and all our activities. M A R C H / F O U N D A T I O N A P R I L 2 0 1 0 Parkinson’s doesn’t put brakes on active life BY VIVIAN BRANSCHOFSKY I A P A R K I N S O N ’ S found out I had Parkinson’s eight years ago at age 47. I’d been experiencing symptoms for three years and believed my problems were work-related. The plant nursery I owned and operated required enormous physical strength and stamina, but it was a job I loved. When my husband mentioned I was walking strangely and not swinging my arm, it didn’t alarm me. I attributed it to working hard and being tired. When he pointed out I was picking things up with my left hand and handing them to my right hand, it occurred to me that my fine motor skills seemed to be impaired on my dominant side. After seeing a hand doctor for an unrelated problem in my left hand, I said to him, “By the way, I seem to be losing some fine motor skills in my right hand.” After a quick examination he set me up the following day for a neurological exam. The diagnosis sent me into a bit of a tail spin for about six months. I was Fritz and Vivian Branschofsky imagining wheelchairs and selling our house for a more accessible home. And then there was weeping at very odd moments. It was not always easy, but I made an attempt to spread my “breakdowns” among different friends so that no one would want to avoid me. My very physical, upbeat and energetic self was flipping out with the thought of losing all I had taken for granted for so many years—namely my health and all the activities I enjoyed that depended on it. But I soon began to realize that not much had changed about the way I was living and spending time. And then I had a conversation with a friend who had recently been diagnosed with multiple sclerosis. She was bereft. Inconsolable. She cried and raged for a long time and I listened. Finally I told her, “You have a right to grieve, but you need to make some decisions. First off, you are not dying with this disease. You are living with it, and probably for a long time. How will > CONTINUED ON NEXT PAGE Wellness conference serves up guidance on nutrition, exercise By Keri Kellerman The Northwest Parkinson’s Foundation presented its first Wellness and Parkinson’s Conference in March. Focusing on nutrition, exercise and stress management, this conference was designed to educate people with Parkinson’s and their families about practical tools they can use in addition to proper medication management and specialized care to achieve optimal quality of life. The program featured three sessions led by Monique Giroux, M.D., medical director of the Northwest Parkinson’s Foundation and the Booth Gardner Parkinson’s Care Center; Sierra Farris, PA-C, of Evergreen Healthcare and the Booth Gardner Parkinson’s Care Center; and Martha Glisky, Ph.D., of Evergreen Healthcare and the Booth Gardner Parkinson’s Care Center. These sessions were followed by breakout sessions guided by specialists in the field: Tim Seiwareth, a yoga instructor at Northwest and Swedish hospitals; Jan Fite, Ph.D., clinical psychologist at the University of Washington; and Donna Oiland of the Department of Spiritual Care at Evergreen Healthcare. More than 350 people from Western Washington and beyond attended the event, which was offered free of charge. Conference costs were generously underwritten by sponsors and exhibitors, including educational grants from Teva Neuroscience, Novartis, Boehringer Ingelheim and Amgen. Additional support was provided by Medtronic, Aegis Living and With a Little Help Inc. If you were unable to attend, you can find copies of the conference materials at our online wellness center (nwpf.org/wellness), or call us toll-free at 877.980.7500 to receive copies. 2 > FROM PAGE 1 you get on with your life?” Later, my friend told me that no one had spoken to her like I had since her diagnosis. She said my words turned her around and helped her begin to accept what was happening to her. This change of attitude had been evolving with me, too. Not once had I felt like “Why me?” because we all have our own reality, our own problems to bear. And although I didn’t like this new dimension of my life, I couldn’t think of anyone with whom I would change places. My life was pretty terrific in all the other ways that counted, and there was a lot I still wanted to accomplish. For two and a half years I didn’t require medication. The doctor heading a study in which I was participating finally suggested I try some meds. After describing a meltdown in a dressing room while trying on clothes, he suggested elastic (instead of buttons and zippers) or meds. I took about a month to make the decision to help myself. We people with Parkinson’s are so lucky to have treatment choices. Most other neurological diseases are much less treatable. I decided I would close my business since the work had become more difficult and stressful, and this was a good decision. My husband was fearful I would stop being active, but I wasn’t. The “elastic” comment from my doctor was a real motivator. I wanted to prioritize exercise as a way to prepare for the fight ahead. All my life, I had been the tomboy and the jock, and very competitive. Even with Parkinson’s, it was fun to try everything, and I found I still had the desire to place—heck, I wanted to win! My husband and friends were always encouraging me and there was every external reason to remain interested in “play” and lots of personal reasons. About this time I began riding horses again, something I hadn’t done in years. Who knew I’d be able to ride M A R C H / A P R I L 2 0 1 0 PARKINSON’S POST better than walk at times? It was so exciting, and jumping lessons were the natural progression—right? Right! I had taught downhill skiing for many years and had started having difficulties I could not understand at the time. Frustration made me give it up for a year, but the winters are long in Vermont without some outdoor activities and I started again, only I was skiing the long cruising runs instead of the moguls. I realize now that my difficulties were early manifestations of Parkinson’s—long before diagnosis. While my medications have been increased over the years, so have the many things in which I participate. Gardening is still a big part of my life, but I’m reducing the number of gardens I maintain. Hiking, bicycling, volleyball, skiing, anything that gives me the chance to challenge my body, is fully embraced. A series of morning exercises enables me to maintain the strength, flexibility and stamina with which to meet all daily challenges. I’m lucky because “active play” has always been part of my life. My husband, friends and doctors encourage my active lifestyle and share my certainty that it has slowed my progression. I know exercise and sports are not a part of all our lives, but I’m here to tell you that movement in any form, whether done in a chair, by walking to get your mail, or by dancing, is all good! It is also interesting that the more you do, the more you are inclined to do, and doing makes you feel good about yourself. Many studies show that exercise improves mood, and depression is treated as well by exercise as by medicine in lots of cases. As long as we’re on this earth, we may as well get as much joy as we can from each day. Life is for living. Attitude matters. In fact, I’m going to forget my problems for a while... and go skiing! Vivian Branschofsky and her husband Fritz live in Gransville, Vermont. C O N N E C T I N G T H R O U G H S O N G Members of the Spokane Tremble Clefs do warm-up stretches at a recent gathering. Singing group strengthens voices, connections By Walter Jakubowski Sing, sing out loud! That’s what members of the Spokane Tremble Clefs do when they assemble each week for an hour of fun, voice exercise and camaraderie. The Tremble Clefs is a nationwide program of vocal exercises and singing designed to help people with Parkinson’s (and their caregivers) lessen the impact of Parkinson’s disease on the voice. People with Parkinson’s often lose vocal strength and expression. These speech problems are caused by incoordination or reduced movement of the muscles we use in breathing, voice, pronunciation and prosody (a ten-dollar word for rhythm, intonation and speaking rate). Exercising the voice helps to counter vocal diminishment. In addition to the vocal exercise, the Tremble Clefs fosters social interaction, which encompasses sharing, encouragement and support for one another. Speech-language pathologists have developed therapy programs specifically designed to address speech and vocal problems for those with Parkinson’s. The Tremble Clefs adds the benefits associated with group interaction. And the beneficial effects of music therapy on cognition, memory, movement and mood continue to be documented. Speech-language pathologist Karen Hesley started the original Tremble Clefs group in Scottsdale, Ariz., in 1994. The Spokane group started out in 2005, meeting twice each month with just four members. These days there are closer to 25 folks with Parkinson’s on the roster. Adding in partners and caregivers results in a potential pool of 40 to 45 participants, although most sessions have a group size of about 20. Each one-hour session begins with a 10-minute series of breathing and oral and vocal warm-ups designed to improve the volume, projection and quality of participants’ voices. The warm-ups are followed by singing old favorite songs to the accompaniment of music played on a grand piano. The lyrics are projected for all to see using an overhead projector and screen. Projecting the lyrics, rather than having them in printed booklets, makes it easier to maintain appropriate posture while singing. A number of the members were asked why they joined the group. Just about everyone said they joined to address the soft-voice symptoms of Parkinson’s. When asked about the reasons for coming back, the responses include terms like camaraderie, friendship, inspiration and fun. So, would you like to improve your voice? Would you like to make new friends and elevate your mood? Would you like to have fun? If you said “yes” to any of these questions, then join or start a Tremble Clefs group and make a joyful noise by singing out loud! If you are interested in forming your own group, an excellent source of information, including a guide detailing the key elements that should be addressed, can be found at trembleclefs.com. Walter Jakubowski lives in Spokane, Washington, and is a founding member of the Spokane Tremble Clefs. PARKINSON’S POST M A R C H / A P R I L 2 0 1 0 3 3 Y O U & Y O U R M E D I C A T I O N S Misperceptions, fears underpin levodopa phobia By Susie Ro, M.D. Levodopa, also known as L-dopa, is the key ingredient in many medications—including Sinemet, Sinemet CR, Atamet, Madopar, Stalevo and Parcopa—used to treat the motor symptoms of Parkinson’s disease. It has been around for more than 40 years and remains the “gold standard” among Parkinson’s medications. It is the most potent drug that helps all the cardinal motor symptoms of Parkinson’s— tremor, rigidity and bradykinesia—and provides the most “bang for the buck,” with the best ratio of benefits to side effects. It is well known that levodopa dramatically improves the longevity, function and quality of life of Parkinson’s patients. Prior to the routine use of levodopa, only 46 percent of people survived longer than 10 years with Parkinson’s. After 1974 that figure increased to 78 percent (compared to 83 percent in the general population). One study showed that the average Parkinson’s patient diagnosed at age 64 will live to 85 if he or she responds to levodopa. The drug has revolutionized the treatment of Parkinson’s in a way few other medications have changed the history of a neurologic disease. So why is it so many people are afraid to start levodopa or purposefully take less than the recommended dose? 4 Following is a partial list of common reasons patients give me for avoiding levodopa. Many of them concern side effects that can be managed. Many of them are based on misleading information from the Internet, or more personal, philosophical beliefs. My hope is to clear up some of the misconceptions so that more people can enjoy a better quality of life sooner, and for longer. Reason 1: Side effects “I’ve tried levodopa before and had terrible side effects.” “Levodopa made my husband worse.” All medications have potential side effects, and levodopa is no exception. They didn’t name it “sinemet” (sinemesis, or “without vomiting”) by accident. The reason they put carbidopa (or benzaseride) with the levodopa in a combination pill is that levodopa can cause nausea and carbidopa lessens it. Levodopa can also cause dizziness and low blood pressure, sleepiness, hallucinations and dyskinesia (involuntary wiggling or twisting movements). Sometimes the side effects seem worse that the symptoms the drugs were designed to treat. However, if you tell your prescriber what side effects you’re having, most of the time the problem can be fixed. There are several effective treatments to lessen each of these side effects. Examples include taking pills to counter low blood pressure and dizziness, taking pills with food or taking anti-nausea medications temporarily, switching to a different formula or slower titration of levodopa, treating an underlying sleep disorder or adding a stimulant, or decreasing the dose of other weaker medications that actually have more side effects. I explain to patients that, although dyskinesias are at least in part due to levodopa, this does not mean levodopa M A R C H / A P R I L 2 0 1 0 PARKINSON’S POST is toxic to the brain or causing “acceleration” of the Parkinson’s. It is a side effect of the levodopa dose being slightly too high. Dose adjustments or adding other medications can help smooth things out. Reason 2: Misinformation and misinterpretation “I’ve read that levodopa stops working after five years.” “I don’t want to run out of options.” “I want to save the big guns for when I really need them.” I’m not exactly sure where this line of thinking comes from, but undoubtedly the Internet plays a role. Actually, the average Parkinson’s patient continues to get benefit from levodopa for 15 to 20 years. And I have seen patients continue to get benefit for 30 years! Possibly it is related to the observation that 40 percent of patients on levodopa will develop dyskinesias after five years. Possibly it is related to the observation that the longer people take levodopa, the more likely they are to have motor fluctuations, or on-off periods, dyskinesias and unpredictable responses to medications. But is that purely from the levodopa, or from Parkinson’s itself ? There is no convincing evidence that levodopa is toxic to the brain—only good evidence that levodopa improves longevity, function and quality of life. That said, there is a definite connection between use of levodopa and motor fluctuations, but the connection is complex. Many people believe there is something about getting brief, intermittent pulses of dopamine (levodopa)—as opposed to having steady, constant levels of dopamine— that leads to fluctuating responses. But this is a separate matter from how long a person will respond to levodopa. How many years a person will respond to levodopa has more to do with how many dopamine-producing cells remain > CONTINUED ON NEXT PAGE in the brainstem to convert the levodopa to dopamine, and how intact the brain pathways are. Some people wrongly infer that every Sinemet tablet they take now is currency they won’t have available to spend later. There is no convincing evidence that saving levodopa until the last possible minute does anything but delay and thereby lessen the time when a person could be having their best level of function. For example, if a person chooses to delay starting levodopa and sacrifice their level of activity for five years then finally start it in year six, they may get dyskinesias within a year or two anyway because their Parkinson’s has reached a certain level. If that same person were to take levodopa a few years earlier, With Parkinson’s, balance is vital Again, the goal is to find the lowest effective dose—not sacrificing level of function or quality of life, but keeping side effects to a minimum. Reason 3: Personal philosophy “I only want to take natural supplements, not artificial chemicals.” “I don’t want any treatment that just covers up the symptoms.” “Taking pills is a sign of weakness/failure,” a reminder that the disease is progressing. There is no evidence that taking “natural” supplements is superior to taking the chemical levodopa. If anything, non-FDA-approved supplements are not subjected to the rigorous testing and standards of quality control that prescription drugs are. You take them at your own risk as these supplements may have variable quality or unpredictable Levodopa has revolutionized the interactions with other treatment of Parkinson’s in a way drugs, not to mention no few other drugs have changed the clinically proven benefit. The Parkinson’s brain history of a neurologic disease. is what it is—it continues to march along whether that person would enjoy six years of you treat the symptoms or not. The better symptom control before devellack of a perfect solution or cure oping dyskinesias. Also, most should not mean you don’t try to make dyskinesias are mild and can improve the most of the current situation. If a with medication adjustments. Type I diabetic does not take insulin That does not mean one should use because it’s only a symptomatic treatas much levodopa as possible as soon ment and not a cure, their health will as possible. People who develop suffer consequences. If they choose to Parkinson’s at a younger age may be take the insulin, they will probably be in more susceptible to motor fluctuations better shape when the cure arrives. and may lessen or delay them by using You did nothing to deserve being dopamine agonists (Mirapex or Requip) dealt the hand that is Parkinson’s. in the beginning, since these drugs are Accepting the diagnosis does not mean longer-lasting and associated with a giving in. Taking pills to control symplower risk of fluctuations. toms is not a sign of weakness. On the However, if there comes a time contrary, it means you have the courage when that person is having too many to acknowledge and address a challenge side effects from dopamine agonists, head on. levodopa would offer more symptom Dr. Ro is a movement disorders specialist control (though a shorter half life, and medical director of the Movement requiring more frequent dosing) and Disorders Program at Swedish Medical Center fewer side effects. in Seattle. PARKINSON’S By Stephen Setter, PharmD and Lindy Wood, PharmD As pharmacists we are keenly aware of the medication “balancing act” for Parkinson’s patients who need to take drugs to treat other health conditions. Parkinson’s is usually the No. 1 priority, but sometimes it has to take a back seat when it comes to the medications you need for other conditions. This is because everything works together, and what you do to treat one condition may affect the other. But Parkinson’s is all about performing balancing acts, as most patients are well aware. Another balancing act is managing to maintain a positive mental attitude, eat right and exercise—that four-letter word we all need to be using more as we age. Many people with Parkinson’s find that journaling helps them keep a healthy perspective, and that documenting the little joys that occur on a daily basis helps them balance the more trying moments. Some people with Parkinson’s keep a detailed “diary” of how they respond to their various medications or other events in their lives. In fact, we have worked with patients who monitor their responses throughout the day on a daily basis. This kind of record can be useful in the days or weeks leading up to a medical appointment, as it allows your physician or therapist to see how you’ve been doing over time. Like you, we hope the cure for Parkinson’s is on the horizon. In the meantime it’s important to live each day—though we recognize that some days are more challenging than others. In our work we regularly encounter people so desperate for a cure, they latch on to every new fad, supplement and drug they can obtain. This is often POST > CONTINUED ON PAGE 8 M A R C H / A P R I L 2 0 1 0 5 T R I B U T E G I F T S Gifts to the Northwest Parkinson’s Foundation support our educational publications and self-care tools, including the Parkinson’s Post newsletter, weekly emails news updates, a content-rich website, patient-education programs and the annual HOPE Conference on Parkinson’s. In addition to sustaining our existing programs, your thoughtful donations also support our efforts to develop and implement innovative new programs that respond to the changing needs of the Parkinson’s community. We are privileged that so many in the Northwest Parkinson’s Foundation family support our mission by giving generously throughout the year. In each issue we list contributions made in honor or memory of loved ones touched by Parkinson’s. Those wishing to establish a permanent memorial may create a family fund with a minimum donation of $2,500, either from a single gift or many. These funds and their donors are listed permanently on the donations page of our website. Contact Keri Kellerman at 877.980.7500 or keri@nwpf.org to learn more. Listed here are those who made tribute or family fund gifts from January 7 to February 17, 2010. Barbara Denson Lee Denson Lee Ray Miller Rose Muller Alvord Medical Director Fund in Honor of Roger Evans Sidney Flamzbaum Mr. & Mrs. William J. Feldman John Shaw Marcia A. Porter Mary A. Mitchell Memorial Fund Jack Gilroy Mr. & Mrs. Josef C. Afanador The Carey Family Mr. & Mrs. Robert Czumbil Mr. & Mrs. Daniel G. Evanko Sr. M. William Evanko Margaret M. Haggerty Mr. & Mrs. Hal Newsom Robert Shinn Mr. & Mrs. Ronald Baldus FAMILY FUNDS* Margaret (Martie) Philbrick Family Fund Tina Bell Torrance Family Fund * Visit the Northwest Parkinson’s Foundation website for a list of alltime donors to these funds. I N M E M O R Y Arthur Allen Anne Wilson Allen David Anderson Mr. & Mrs. Paul W. Brandstetter Mr. & Mrs. Owen E. Clark Murray Gaevert Mr. & Mrs. Jesse M. Grigsby Joan E. King Marian M. Nelson Mr. & Mrs. Ivor A. Satero Mr. & Mrs. Todd D. Smith SRA International Corporation Mr. & Mrs. Robert Story Mr. & Mrs. James J. Von Lossow Nancy B. Wooldridge Salvatore Giusti Joan M. Giusti, DDS Stanley Heinrich Mr. & Mrs. Darrel W. Amundsen Gordon Anthony Mr. & Mrs. Frank H. Cratsenberg Barbara Heinrich Mr. & Mrs. Ray O. Jacot Mr. & Mrs. Joseph V. Scott Janice Vander Stoep Ben Hemmelfarb Alice M. Schleifer Gary Johanson Mr. & Mrs. Marshall L. Lind Charles Longstreth Diane Longstreth Charles Block Joan K. LaPedis Gladys Maxim Mr. & Mrs. Thomas J. Driscoll Lorraine Molzahn Mr. & Mrs. John T. Shold Mr. & Mrs. Robert E. Sproul Hubert Christianson Donna L. Christianson Manford McNeil Meribah Smith Margaret Clift James P. Clift 6 M A R C H / A P R I L 2 0 1 0 PARKINSON’S POST Carol Ann Wurts Mr. & Mrs. Ray Baalman Jr. Daniel Brewer Corp. of the Catholic Archbishop of Seattle Mark Dawson Mr. & Mrs. Michael R. Galvin Mr. & Mrs. Michael D. Garvey John V. Granahan Mr. & Mrs. Joshua Green III Mr. & Mrs. Rob Hamel Mr. & Mrs. Robert J. Hilton Mr. & Mrs. Peter D. Hocson Mr. & Mrs. Richard P. Hollyer Linda M. Kelly Patricia M. Legos Madison Square Investor LLC McMorgan & Company Mr. & Mrs. Lee A. Miller Ellan J. Nelson Eriann Pearson Quest Investment Management Inc. Rainier Investment Management Jim Ridgeway Smart Portfolios LLC Mr. & Mrs. Paul Stephanus Ronald R. Sternal Welfare and Pension Admin Services Inc. Wells Fargo Consultant Relations Ms. Joan C. Westover Mr. & Mrs. F. Tomlinson White Jr. Lavonne W. Wurts Wurts & Associates Inc. I N H O N O R William Binger Daniel L. & Sandra Burkhead Michelle Conroy Nancy Jane Darboven Barbara Eastman Mr. & Mrs. David B. George Mr. & Mrs. Thomas H. Henderson Jr. Mr. & Mrs. Clifford O’Donner Elizabeth C. O’Reilly Mr. & Mrs. Douglas S. Tharp Ruth C. Tobacco John J. Vierthaler Mr. & Mrs. William J. Waterhouse Jr. Mr. & Mrs. Grant R. Wilcox The Cox/Ryan Family The William R. Gruver Foundation Joseph Lewis Delores M. Lewis Melvin Light Elizabeth Light Isabelle Losvar Al Losvar Theodora Lyons Shana E. Wendorf Marcie Sewell M. Laverne Sewell Team Parkinson’s Joanie Diemert T Gifts sought for ‘My Wellness’ By Bill Bell Spring brings with it the promise of hope and renewal, and we are reminded that, if there’s ever a good time to have Parkinson’s, this is it. These days, we know so much more. We know that Parkinson’s specialists are worth their weight in gold, that their expertise really can make a difference to a person’s quality of life. That’s why the Northwest Parkinson’s Foundation sparked the launch of the Booth Gardner Parkinson’s Care Center, and it’s why we encourage patients to seek specialty care wherever they live. We know that medicines are improving each year and that many others will be available over time. We know exercise plays a large part in quality of life, enabling people with Parkinson’s to remain active for longer—and so we regularly feature inspiring stories in our publications about the power of exercise. We also know it’s the support of a larger Parkinson’s community that buoys the spirits of so many people with Parkinson’s and their caregivers. Increasingly this community includes not only the people who connect with each other at support groups, patient education programs or conferences, but also the tens of thousands of people who connect with each other online. Our website now receives more than 30,000 unique visitors each month from 152 countries, including remote locales where access to specialized care for people with Parkinson’s is limited or unavailable. That is why we are so excited about our new online Wellness Center. The center, which lives on our website, is a virtual community focused on hope, healing and wellness for all who H E H E L P I N G P A G are touched by Parkinson’s. Launched last fall under the direction of Monique Giroux, M.D., medical director of the Northwest Parkinson’s Foundation and the Booth Gardner Parkinson’s Care Center, the center will be updated monthly with fresh content. While medication management and specialized care are key parts of treatment for Parkinson’s, our goal with the Wellness Center is to broaden the discussion and include information and resources that also support the mind, body and spirit. To support this goal, the center features modules on Physical Health, Cognition and Emotion, Personal Healing, Home and Away, Care Partners, Motivation and Inspiration, and My Wellness, a section in which people with Parkinson’s will soon be able to set and track their personal wellness goals. To make the My Wellness section truly interactive, we need to add some behind-the-scenes features to our website. These features cost $50,000 to develop and implement, and we have already received $25,000 toward our goal thanks to educational grants from several community partners. You can help us bridge the gap by making a gift to the Northwest Parkinson’s Foundation today to help complete the My Wellness section. Your contribution will have a direct and meaningful impact on the 30,000 people from the Northwest and beyond who visit our website each month. That’s more than 1,000 people with Parkinson’s and their family members each day that your gift will help support. Thank you for considering a gift to help build an even stronger and more vibrant community for all who are living with Parkinson’s. Together we can reach this challenging goal. Bill Bell is executive director of the Northwest Parkinson’s Foundation. PARKINSON’S E Join the team, make a difference Do you read about Team Parkinson’s each year? Have you ever considered joining? By joining the team, you’ll inspire hope, promote wellness and support the best possible quality of life for people with Parkinson’s. And you know exercise is good for you, right? Now in its ninth year, the team has raised nearly $1 million and inspired more than 1,500 people to walk, bike, hike and run to support the cause. This year’s goal is 100 riders and $120,000. Being a Team Parkinson’s member is easier than you might think. Here are a few steps to get you started. Choose your goal. You can take part in an organized athletic event or do your own thing. The Group Health Seattle to Portland Bicycle Classic (STP) is the most popular choice among our team members. But plenty of people get creative. You might pledge to complete 200 miles over 60 days on a stationary bike or a set number of laps in the pool each day for 30 days. The choice is yours. Start recruiting supporters. Each team member commits to raising at least $300. We provide you with a personal donation webpage and the tips and tricks to help you reach your goal. Get training. That part’s on you! Members receive special benefits, including a team jersey, access to an online community of team members, and the satisfaction that comes from supporting the Parkinson’s community. Those who participate in the STP will also receive “extras” along the route— including free bike repairs, a catered lunch, chair massages and more. Visit nwpf.org today or call 877.980.7500 to learn more about how you can become a member of Team Parkinson’s 2010. POST M A R C H / A P R I L 2 0 1 0 7 NONPROFIT ORG. U.S. POSTAGE PAID SEATTLE, WA PERMIT NO. 02443 NORTHWEST PARKINSON’S FOUNDATION Suite 504 400 Mercer Street Seattle, WA 98109-4641 877.980.7500 nwpf.org RETURN SERVICE REQUESTED A B O U T U S The Northwest Parkinson’s Foundation is a cofounder and partner of the Booth Gardner Parkinson’s Care Center. This comprehensive care facility is home to physicians, neuropsychologists, physical and occupational therapists, and speech pathologists, all specialists in Parkinson’s. To make an appointment, call 425.899.3123. Directors Elizabeth Bacher William Benfield, Ph.D. Steve Boone Malinda Cox Gov. Booth Gardner Karen A. Hadley Richard Hadley Craig Howard Bill Johanson David Likosky, M.D. Matt Ramerman Paula Rose Tom Ryan Robert E. Story Directors Emeritus Gov. Daniel J. Evans Nancy Evans Arthur Harrigan Jr. Lyman Hull Hal Newsom Priscilla Tanase 8 Executive Director Bill Bell Medical Director Monique L. Giroux, M.D. Administrator Elizabeth Pelham Development Director Keri Kellerman Program Director Alecha Newbern Newsletter content copyright Northwest Parkinson’s Foundation 2010. Permission for use of most materials presented in the Parkinson’s Post is available by contacting the Northwest Parkinson’s Foundation. M A R C H / A P R I L 2 0 1 0 PARKINSON’S POST > FROM PAGE 5 to their detriment, health-wise and financially. Our best advice is to stick with the tried and true while keeping an open mind. Keep an eye out for new breakthroughs, but don’t succumb to unproven or suspicious therapies or supplements. “Above all, do no harm” is the bottom line in medicine—and by this, we mean potential harm to yourself by using unproven therapies, not to mention the harm to your pocketbook. As of today, we know that responsible use of proven medications and supplements, regular exercise and a sound diet are all critically important in managing Parkinson’s. All three can also contribute to a sound mind. Balance these healthful practices with positive social interactions from day to day and you’ll be doing the very best you can for your body and soul. Dr. Setter is an associate professor of pharmacotherapy at Washington State University. Dr. Wood is a resident in geriatrics with the Department of Pharmacotherapy and Elder Services at WSU.