This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (5)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

C. Warren Olanow, MD

JAMA. 1996;275(9):716-722.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Dr Delbanco: Dr H, a 61-year-old dentist, was diagnosed with Parkinson's disease (PD) in August 1990 by one of his patients, a neurologist, who noticed a change in his gait and difficulty in swallowing and speech. There was no tremor. Married and the father of three children living close to his home in the Boston, Mass, suburbs, Dr H has individual health insurance through a private managed care plan.

Dr H's patient encouraged him to seek a formal opinion, and a consulting neurologist confirmed that Dr H had PD; his condition was considered to be in the early stages. In retrospect, his primary care doctor, Dr C, now believes that earlier episodes of drooling and voice changes were due to PD. Of note in his medical history is mild hypertension and a resection of a right frontal meningioma in 1978, which has not recurred and left no neurologic residua. His . . . [Full Text PDF of this Article]

Footnotes
Dr Olanow is Professor and Chairman of the Department of Neurology, Mount Sinai School of Medicine, New York, NY.

This conference took place at the Neurology Grand Rounds of the Beth Israel Hospital, Boston, Mass, on November 1, 1995.

Reprint requests to Division of General Medicine and Primary Care, Beth Israel Hospital, 330 Brookline Ave, LY339, Boston, MA 02215 (Ms Walzer).

Clinical Crossroads at Boston's Beth Israel Hospital is produced and edited by Thomas L. Delbanco, MD, and Jennifer Daley, MD; Janet Walzer, MEd, is managing editor. Clinical Crossroads section editor: Margaret A. Winker, MD, Senior Editor, JAMA.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?