10 Principles Neurologists Follow in Approaching Newly-Diagnosed Parkinson’s

Because new-onset Parkinson’s disease presents so differently from patient to patient, the neurologist cannot follow a single uniform approach. The management strategy of a single person’s disease must be tailored very carefully to their specific presentation. Here are 10 principles that generally guide that strategy:

1.Because the diagnosis is purely based on the clinical impression and no definitive lab tests, biomarkers or scan results, other possible causes must be ruled out aggressively (eg. certain drugs for treating psychiatric symptoms and even one for treating esophageal acid reflux can cause a syndrome that mimics Parkinson’s).

2. There is always the possibility that the first clinical impression could be contradicted by the later development of other symptoms more suggestive of another neurological disease.

3. Sometimes one has to wait to make an accurate diagnosis to a point where more of the so-called “cardinal” symptoms develop.

4. A good response to drugs that increase dopamine (levodopa) or mimic dopamine (dopamine agonists like pramipexole or ropinirole) is supportive of the correct diagnosis.

5. At least early on, often the NMS (non-motor symptoms) can be more disabling and disturbing than tremor and other early motor symptoms. For instance EDS(excessive daytime sleepiness) can impair job performance and become a real danger (eg. driving) for patients.

6. Patients should be urged to engage in a program of regular daily exercise immediately. Exercise is probably the single best measure at keeping symptom worsening at bay.

7. Patients and family need to be educated that the traditional image of a severely disabled person who can barely walk is not usually around the corner.

8. Treatment needs to be tailored to what is most disturbing to the patient not the doctor. Some patients for instance are very conscious of tremor while others are most upset by daytime sleepiness. The drug therapy for either can be very different. Getting rid of tremor for instance may worsen daytime sleepiness and stimulant drugs for sleepiness can often make tremor worse.

9. Drug treatment offers many options however levodopa, the strongest drug, is usually reserved for patients that respond poorly to other weaker drugs with fewer side effects.

10. In prescribing the so-called “milder” drugs, particularly the dopamine agonists pramipexole and ropinirole, patients must be carefully warned about and watched for impulse control disorder/dopamine dysregulation syndrome characterized by compulsive gambling, sex, spending, eating, drug abuse etc. often to great detriment and financial loss to sufferers.

Symptoms Of Attention Deficit Disorder In Adults

It is commonly believed that ADD is outgrown with age. But, to some people, it comes as a surprise that they are ADD even in their adult years. Normally, they come to realize it when they go to a specialist for treatment of their ADD child. While trying to understand the symptoms of their child they realize that they are also having those same symptoms.

Earlier they did not realize that they were suffering from ADD because in their young years society, in general, was not much aware of this syndrome. It is only recently that people have started taking more interest in ADD in their children and try to get them cured of it. Adults with ADD have developed, over the years, several coping behaviors to deal with the problem.

How can an adult realize that he is suffering from ADD? There are some signs and symptoms through which ADD in an adult can be diagnosed. Following is a list of some such symptoms and behavior patterns –

Easily Distracted – The attention span of ADD adults is very short. They are very easily distracted unless they are very much interested in the subject at hand. People are generally irritated with these people as they do not listen attentively during conversations and their minds wander off the topic being discussed. To the other person, ADD adults appear disinterested and bored. They have difficulty in understanding directions. They also tend to misplace things frequently.

Restlessness – People with ADD suffer from a feeling of restlessness. They find it difficult to sit at one place for long and they keep on fidgeting and moving their legs and arms, if they are required to do so.

Not Organized – ADD adults are poorly organized. They are not able to stick to schedules, they are mostly late and they frequently misplace things. They often start some work or project that they leave unfinished and do not follow through to completion. They are easily distracted and bored. But, they can also be intensely focused on some activity or task in which they are really interested. In such cases they can devote long hours of concentrated activity.

Impulsive – These people often speak without thinking. They get angry quickly and always appear to be on short fuse.

Low Self Esteem – ADD adults often have negative self-images, which might be the result of broken promises, unfinished tasks or adverse comments of others. They mostly suffer from a feeling of anxiety and uncertainty. Even though some of these people are high achievers in their fields, still they suffer from a feeling that they are not good at anything.

Seek Stimulation – Such people are often on the lookout for high stimulus activities like gambling, paragliding or risky projects at their workplace. Such people easily get embroiled in hot arguments with others and waste lots of precious time in fruitless activities.

But, to put things in the right perspective, it is important to realize that many great people, who have excelled in their fields and many times, in more than one field, were ADD. Leonardo Da Vinci, Einstein and Churchill were all ADD adults.

Many of the ADD people become high achievers in their fields of interest because of their ability to get intensely focused on something that holds their interest. Many high achievers in medicine, law, art, science, etc., suffer from ADD.

The ADD adults are mostly very compassionate, though they are often misjudged as aloof and cold due to the fact they are not very sociable and talkative. They are generally very sensitive and brilliantly intelligent.

The ADD adults who are facing negativity in their lives and feel that they are not able to perform to the level they are capable of, should seek expert help to fully realize their potential.

Fear: A Friend Or A Foe For An Addict?

I remember that there were moral value classes in my school and it was decided that we would be taught Bhagwad Geeta to instill certain ethics in us, which would be beneficial in the long run. I would like to share the same here before we come to the main point. So there was a time when Lord Krishna told Arjun, who was supposed to fight for his territory, that he would be killed by his fears before he would even start fighting the war! So he was asked to gather all his strength and fight with full might- first with his fear and then with the opponent army.

The reason I have brought this point here is that fear indeed is the biggest enemy of human beings and most of the times we lose our life’s battles because of that. Now you must be thinking, how is it related to addiction?

Let us start connecting it with a few examples related to an addict’s life.

1. Sam is a weed addict, who has planned a trip to Goa. He plans to be there for 3 days and collects his substance according a week before he leaves. He scores 3 grams more than what he generally scores. Why?

2. Mike is a heroin addict. He is left with money just enough to reach college. He knows that he would not be given his pocket money before the new month starts. There are still 2 days left for that. He chases all his left stuff in one go, due to anxiety. Why?

3. There is an order from the court- No more cigarettes to be sold. Matt collects 100 boxes from different shops. Why?

Answer to all the questions remains the same and that is FEAR. Sam is scared, what if his weed gets over before his trip ends. Mike is scared, how would he sustain those two days and what if he does not get the money to buy more? Matt is scared, what if he won’t get his next stick of cigarette?

There are various fears that an addict holds. It is not just related to his substance, but various situations that he encounters in his life. And these fears might even display paradoxes like existence of fear of change and fear of constancy or no change! Fear of others and before that fear of oneself! Fear of non conformity in peer group and fear of relapse at the same time! So we can say that fear indeed is a powerful motivator. It can make any human do anything, rather it brings people in a Do Or Die situation.

Power to Make Your Fears Come True Can Be Used As The Power To Make Positive Assertions Come True Too

I have often heard this from people “Whatever you fear, it would definitely come true. But if you think of something positive, it might not come to pass.” It is a myth. It is all in your mind. If you have the energy to get your fears manifested into reality, then you can utilize the same amount of energy in getting positive things created.

Connecting it with addicts, they always have this fear that their trepidations are going to strike them hard in reality. They want to escape them.

We all work as per our convenience. So when an addict wants to take his substance, he would think of various alibis. He would speak about his bad experiences in life. But what about the ‘Bad Trips’ of drugs that he had? Would he ever say that I don’t want to do drugs anymore because I vomited and lost my senses after I took it? But yes, he would definitely say that I don’t want to feel happy without drugs, because if I do, I will lose my reason of happiness!

School of thought of Humanistic Existentialism says that we all have a purpose to live. There is nothing that humans do without a reason. Addicts consider all the negative reasons to live. They choose to keep themselves scared of happiness and joy without drugs.

What Needs To Be Actually Done Instead Of Fearing Situations

Recognition of Thoughts- reckon what exactly your thoughts and feelings are.

Gain Control Over Them- after you know accept your thoughts and feelings, you control them. It is your mind, so do not let it control you, but you control it.

Reason Them Out- since there would be various thoughts at a time, so you need to reason out with your understanding what their implication on your life could be or has been.

Look at the Practicality of Solutions Your Mind Gives- once you have seen what repercussions you have faced because of your actions, you must introspect with consequential thinking and give your thoughts a reality check to see the possibility of putting them down into practice.

In case of a Positive Response from the Mind, Get it into Reality- finally, if you think that there is something positive that you can practice, you must just do it.

We know that it is not that easy to change that fearful streak. But you have perfected your fear through constant practice, you can perfect confidence and taking the right decisions through practice too. You or your loved ones need rehabilitation if you think that there are too many fears bothering your or their mind and you or they are unable to quit using any psychoactive substance.

Try it at least. And see how well it works. You know, there is always light at the tunnel end.

Roulette System: How to Master Chaos – Theory to Beat Online Casino Legally

This article is going to discuss how Chaos Theory applies to Roulette.

“Looking at roulette chaos is like looking at a raging white-water river filled with wildly tossing waves and unpredictably swirling eddies. But suddenly, in one part of the river, you spot a familiar swirl of current, and for the next five or ten seconds you know the direction the water will move in that section of the river.”

Chaos is everywhere. If you think about it, you arrived at this site because a certain sequence of events took place at just the right time that led you here. Everything is deterministic. What you do next will depend on what you did before. The roulette wheel is not random. It is chaotic! Future spins are determined by past spins. Patterns therefore occur. Find them. Exploit them. Orderly disorder exists. Walk away from the Casino a consistent winner.

The FAST Roulette System is based on the simple fact that there exists predictable patterns within chaotic numbers that seem completely random. R. Lucassen has shown how long-enough sequences of chaotic numbers generate fractals, complex and self-describing patterns which are found everywhere in nature. But let me keep things simple and communicate through examples.

Even though the odds of an individual number coming out on European Roulette is 1 in 37, if you watch 37 spins of the wheel, several numbers will have repeated themselves and several numbers won’t have appeared at all. In fact, before all numbers have appeared at least once, at least one number will have appeared 8 times! Most amazing of all, it does not matter at what point you start tracking the numbers, or if it’s American or European roulette. This is a very bold statement and I insist that you to try it out at any Casino, online or real, before you continue reading as this is the premise of the FAST Roulette System.

Imagine all the events that take place at any given moment in time. They didn’t just happen. Several things had to happen before that led to that event occurring. And several things had to happen, before those several things, that caused them to occur, and so on. Every small event causes a series of chain reactions that produce several other events that, in turn, produce several other events. The wheel is spun at a certain velocity. A roulette ball is dropped at a specific point. The ball stops on a specific number. That, in turn, is the starting point for the next spin. And the pattern repeats itself. This series of events always favors one number in the short run. We have to find that favored number and exploit it. If the roulette wheel was truly random, then it would not be beatable with any device that didn’t affect its outcome. Yet it was.

If you know that a number will come out 8 times before all numbers have come out at least once, then, by keeping track of all previous numbers that will cause that event to occur, you can more accurately choose which numbers to bet on, thereby reducing the probability to below 1/35 of hitting that number. Since Roulette pays you 35 times the amount bet plus the original bet, this will give you an expected return that is positive in the short and long-term, thus allowing you to generate consistent profits.

But why does a number come out 8 times before all numbers have come out once? For the same reason that when it starts to drizzle it takes a while to wet the entire pavement. The drops are supposedly falling randomly, yet they tend to hit in the same spot rather than on dry ground. If you’ve ever observed it, it takes longer to wet the whole ground than you would expect. This is Chaos Theory in action. When applied to Roulette, you get similar results. Most of the times, a number will repeat itself 8 times (rain hitting the same spot) before all numbers have come out once (whole ground getting wet). There is a whole series of events within every spin that will determine, in part, each and every spin that is to follow.

If you observe about 125 spins of the Roulette wheel, you will realize that the distribution of the numbers is not what you would expect considering that the probability of a number coming up is 1/37. Since there is an equal chance of all numbers coming up, you would expect that after about 125 spins all the numbers would have come up about equally or, at the very least, that all numbers would have come up at least once. This is clearly not the case, however. This is not to say that the roulette wheels are necessarily skewed towards any one number. If you take a look at the histograms, you will notice that I won each day on a different number at the same table. Also, if you track the numbers long enough, after thousands of spins, computer-generated or real, all numbers will have come out about equally. Just not in the short run, and this is what the FAST Roulette System takes advantage of. But why not in the short-run? Simply because the more recent an event, the greater its impact on near-future events.

To learn more about my system, please visit my site.

I highly recommend that you try it.

Please feel free to e-mail me if you have any questions.

Until then, my friend. I wish you all my best.

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