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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 46722
Experience:  Board Certified Physician
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My husband has Parkinsonism (MSA) - it was diagnosed 3 years

Customer Question

My husband has Parkinsonism (MSA) - it was diagnosed 3 years ago. He is 78 years old. He is on Sinemet Plus,
8 tablets a day and half sinemet at night. He is sleeping very heavily during the day now.
We saw a neurologist 2 weeks ago but he now seems worse. My question is -
Is he about to die?
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 years ago.

Dr. David :

This is Dr. David

Dr. David :

I am sorry about your husband's parkinsonism.

Dr. David :

most likely he is not about to die.

Dr. David :

he could be more fatigued than usual.

Dr. David :

he could be having low iron or low hemoglobin levels or low red blood cell levels or low thyroid levels

Dr. David :

making him more fatigued.

Dr. David :

he should get these levels checked if he hasn't

Dr. David :

has he had any recent medication changes?

Customer:

He saw a neurologist 2 weeks ago and it was decided not to change the medication. Should I make an appointment to see his

Customer:

doctor and ask about low iron. He takes a thyroid tablet - cannot remember the name.

Dr. David :

I see.

Dr. David :

probably synthroid or levothyroxine.

Dr. David :

he should get another TSH level checked if he hasn't had his thyroid levels checked.

Customer:

Yes, its levothyroxine. Do you know about MSA (atrophy)? The prognosis is poor and I am worried.

Dr. David :

multiple system astrophy

Customer:

Do I get a reply?

Dr. David :

his heart rate and bladder function would also most likely start to decline as well.

Dr. David :

it doesn't sound like he is having drops of BP

Dr. David :

or loss of urine function.

Dr. David :

he is just sleeping a lot

Dr. David :

could just be from incorrect thyroid hormone level dosing

Dr. David :

he might need more iron or more red cells possibly

Dr. David :

hello?

Customer:

Thanks. Would it be his heart as well? He had a triple bypass 8 years ago - successful.

Dr. David :

could be possibly from his heart slowing down

Dr. David :

that would take more heart testing to know for sure.

Customer:

Thank you for your help. Will take him to the surgery and ask about iron levels, thyroid and heart.

Dr. David :

I hope he gets better

Dr. David :

let me know if you have other questions.

Dr. David :

good luck

Dr. David :

if done, please leave positive feedback below the chat box

Dr. David :

http://www.justanswer.com/medical/expert-dr-david/

Dr. David :

is my webpage if you need to reach me again.

Dr. David :

you might have to scroll down to see the ratings area

Dr. David :

thanks for using JustAnswer.com

Customer:

Thank you.

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