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October 9, 1996

A 61-Year-Old Man With Parkinson's Disease, 1 Year Later

JAMA. 1996;276(14):1171. doi:10.1001/jama.1996.03540140059027

At the Neurology Grand Rounds held approximately 1 year ago, C. Warren Olanow, MD, discussed the evaluation and management of a 61-year-old man with Parkinson's disease (PD).1 Dr Olanow stressed the proper diagnosis of PD, provided information on its etiology and pathogenesis, and explained current treatment options, including neuroprotective and restorative therapies. The audience and Dr Olanow also discussed the care of PD-associated depression and how the primary care physician should handle PD in a managed care setting. We asked the patient and his primary care doctor to comment on the year that has passed.

Dr H, THE PATIENT:  In February, I suffered a coronary and required cardiac catheterization and angioplasty. Fortunately, I'm recovering nicely from my myocardial infarction, but do feel there are some noticeable changes in me physically, mentally, and emotionally. My wife shares these same feelings and concerns.Within these past 8 months, my mental alertness