How can current Parkinson’s Services be improved?

After three years of living with the diagnosis of Parkinson’s Disease, I have begun to formulate some thoughts and suggestions for improving current Parkinson’s services. These suggestions are based on my personal experience as both a doctor and patient, and fit into five main categories: presenting symptoms, specialist referral, secondary care consultation, medical research, and … Continue reading How can current Parkinson’s Services be improved?

The fragmented jigsaw puzzle of today’s NHS General Practice

Patients very rightly protest when a General Practitioner is not paid for carrying out a postnatal examination on a woman at six weeks, presenting with their new baby. This is simply not in the GPs contract! But why has NHS general practice come to this? I recently read a brief letter to the Guardian, from … Continue reading The fragmented jigsaw puzzle of today’s NHS General Practice

How do we more fully see the whole person behind the clinical diagnosis of Parkinson’s disease?

As a patient I have witnessed the need to bring together a fragmented team to create personalised medicine. My experience of hospital and GP contacts: Long waits! Seeing a consultant neurologist privately – after waiting over 16 weeks for an NHS appointment. August 2017: Brief neurological assessment; blunt ‘you have Parkinson’s Disease’. Medication only offered … Continue reading How do we more fully see the whole person behind the clinical diagnosis of Parkinson’s disease?

Reflections on living with Parkinson’s Disease in the last year

A New Year and ‘I’m still standing’ in the words of the Delta blues singer Mississippi Fred McDowell. The song accompanies me when I do my exercises in the morning. Happy New Year. Looking back I have probably had symptoms of Parkinson’s Disease now for 10 years – marked stiffness around my neck and shoulders … Continue reading Reflections on living with Parkinson’s Disease in the last year