From acorns

19 December, 2015 | Posted in:

by Dr Richard Genever One constant feature of the Parkinson’s MasterClass has been to complete a piece of work between the first and second modules. The nature of the project has varied greatly but the idea of building on experiences and doing that in a way that helps to improve services has always been there. […]

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Assessing fracture risk in the PD clinic

19 December, 2015 | Posted in:

by Dr Greg Waddell StR 7 in Geriatric and Internal Medicine, NHS Lanarkshire Within the local data collected for the UK Parkinson’s Audit 2015, our team reported that “evidence of  fracture risk / osteoporosis considered in the last year” was missing from nearly all our sampled case notes. Despite recognising that those attending our Parkinson’s […]

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Neil Archibald reflects

19 December, 2015 | Posted in:

By Dr Neil Archibald I attended the Parkinson’s Academy MasterClass in 2012, as a final year neurology trainee. At that time, I had already decided on a career in Movement Disorders, and had a fair amount of experience under my belt already. What I was looking for, amongst other things, was to ensure that my knowledge […]

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Falls and bone health in Parkinson’s disease

19 December, 2015 | Posted in:

by Dr Sowjanya Potturu Falls are common in Parkinson’s disease and are a common cause of hip fracture. Prospective studies have shown that 46% of PD patients fall within three months of follow up¹. Multiple factors increase falls risk in PD, including motor dysfunction (freezing, postural reflex loss), impaired cognition, sarcopenia and postural hypotension. PD […]

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A passion for Parkinson’s

19 December, 2015 | Posted in:

by Dr Robin Fackrell I attended the inaugural SpR Masterclass at the Knowledge Spa in Cornwall and this was really my first foray in to the world of Parkinson’s. Having had my interest significantly piqued by the MasterClass I began my journey of developing an expertise in Movement Disorders.

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Reviewing PD management in elderly surgical patients

19 December, 2015 | Posted in:

by Dr William Ogburn With our ageing population and the elderly being in better health in even extreme old age there are greater numbers of acute admissions fit for invasive surgical intervention. Even the healthy aged may have a multitude of medical issues picked up throughout their lives and acute illness can disrupt a fine […]

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Life after the MasterClass

19 December, 2015 | Posted in:

by Dr Rob Skelly I was appointed as consultant geriatrician in Derby in 2000. My predecessor, Dr Mishra, had established a multidisciplinary PD clinic and had left things in good order.  Although I had done some movement disorder clinics as a registrar, I often struggled to know how best to advise patients. Hoping to fill a […]

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Integrated care pathways for Parkinson’s

19 December, 2015 | Posted in:

by Sue Thomas An essential part of the MasterClass programme has always been the inter-module audit. Many clincians have developed their own Parkinson’s services as a result of attendance on the programme and the audit has enabled them to critically look at how their services should be delivered.  When running a service it is vital […]

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Impulsive and compulsive behaviours

19 December, 2015 | Posted in:

How well is advice regarding these side effects recorded in the notes, both at initiation of treatments and on follow up? by Dr Carolyn Tipton Background In recent years Impulse Control Disorder (ICD) has been more widely recognised as a possible side effect of some drugs used for the management of Parkinson’s disease, particularly use […]

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My MasterClass story

19 December, 2015 | Posted in:

by Dr Richard Genever My life as a movement disorder specialist began in 2006, when still working as an SpR, I received a bleep at work. It was an outside line, the most intriguing of bleeps, which could potentially be something very good but also something very bad. On this occasion it was one of […]

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