FIL'S movement disorder/Parkinsons Physician, Dr Perlmutter (some what important individual I'm told) has fooled around with FILS diagnosis for 5 years now. The Alzheimer's has been treated for almost 15 years. The Parkinson's diagnosis is with in the last 5 years. FIL only gets one appointment a year with Dr. Perlmutter. During that appointment he performs the usual movement, psychological, intellectual and reasoning testing. Each year he flips between FIL having Parkinson's and having a plethora of other disorders that contribute to Parkinsonism. This past April, FIL's Parkinson's diagnosis was once again in question. Dr Perlmutter decided he should step down and cease FILS carbidopa-levodopa prescription. After 3 weeks of weaning off the med FIL'S disease of Parkinson's was very prevelent. FIL lives in AL and has been slow but mobil with his walker, dressed himself, ate himself went to exercise, trivia, socials, etc. After the 3 weeks without meds he could barely walk, was drooling, could not dress, barely could speak, had no interest in social activities, acute confusion and was choking on his foods. He was again put back on the carbidopa-levodopa. He slowly was gaining strength back but the confusion continued. After 3 weeks and starting next step up of meds his lower extremities swelled and he developed a rash. He ended up in the emergency room. He has been tested for everything that the hospital could think to test him for. No answers. He then became completely delusional and was unable to stand. He is now in Skilled Nursing rehab. The hope is to get him strong enough to go back to AL. I just do not see it happening. The weakness and the inability to converse, pick out clothing, dress, stand-up, answer a question, walk etc. after almost 3 weeks is discouraging. I am not sure if this is normal and he can get back close to where he was before April or if it is what it is. Do any of you think pulling him off the carbidopa-levodopa opened the window enough to rapidly push him to where his dementia and Parkinsons would eventually end up later in time (not that it will make a difference if it did)?
Note: He was treated for a UTI after being in the hospital and it has cleared up but the acute dementia remains.