parkinsons.chartThe shaded area (figure, above) indicates a range of how you might progress with PD. By making the right decisions, you can modify your progression and increase the probability that you remain in the “impaired” region rather than progressing more quickly to either being handicapped or disabled.

Answers and Advice
from a Specialist
Diagnosis with a chronic progressive disease such as Parkinson’s disease (PD) can be very scary and may come as a shock. Those newly diagnosed wonder what the future holds for them. Questions like: Will I end up in a wheel chair? Answer: Very rarely. Should I make funeral arrangements or get my affairs in order? Answer: People with Parkinson’s usually live a normal life span.

Parkinson’s disease is a slowly progressive disease that requires medical treatment, physical therapies and some modification in lifestyle. If you have been diagnosed with PD, there are ways you can increase the likelihood of maintaining your highest level of functional capacity—your ability to perform daily activities physically, socially and psychologically.

An important thing to remember is that evidence shows that people with PD who exercise regularly, maintain a healthy lifestyle and do not take unnecessary risks increase the likelihood of living a full and active life. Your brain controls your body in order to carry out your daily activities. The brain does the math and the messages it sends to your muscles must take into account how tall you are, how much you weigh and how strong you are. It is much easier, mathematically, for the brain to control a body that is in good shape and strong, than one that is debilitated.

First Steps After Diagnosis

  • First and foremost, educate yourself about PD.
  • Be a compliant but savvy patient and choose the right physician.
  • Choose a healthy lifestyle and don’t take inappropriate risks.
  • Learn about new drugs and treatments.

Education
Seeking information about your disease is better than simply wishing you didn’t have PD. Scientific literature demonstrates that people with PD have a higher quality of life when they are informed about their disease (Shimbo et al 2004). You should understand:

  • How your medications work and why you are on them.
  • The role of exercise and how it can help you maintain a high level of function.
  • Where to get information that is specific to your situation. Your neurologist is probably the best source because he or she understands the stage of your disease and the most effective treatment strategies.

Information Sources
Various foundations are a good source of information, including the Parkinson Foundation of the National Capital Area, The Michael J. Fox Foundation, the National Parkinson Foundation and the American Parkinson Disease Association.

Howard County Support Groups:

  • Early Onset/Newly Diagnosed Support Group: Meets first Saturday, monthly, 10:30 a.m.-1 p.m. Bain Center, 5470 Ruth Keeton Way, Columbia. Contact: Deb Bergstrom, 301-712-5381 or dfbergstrom@comcast.net.
  • Howard County/Columbia Group: Meets third Monday, monthly, 7-8:30 p.m. Parkinson’s and Movement Disorders Center of Maryland, 8180 Lark Brown Rd, #101, Elkridge. Contact Kathleen Dougherty, pdgroup2@yahoo.com.
  • Howard County Carepartner Group: Meets second Tuesday, monthly, 10 a.m. Vantage House, 5400 Vantage Point Rd, Columbia. Contact Lynada Johnson, 410-992-1120.

Local Education Opportunities
Symposia are held throughout the Baltimore-Washington Area by local academic centers (Johns Hopkins, University of Maryland, Georgetown University) and by the Parkinson Foundation of the National Capital Area.

Stephen Grill, MD, PhD., is a physician with the Parkinson’s & Movement Disorders Center of Maryland.

 

 

 

 

 


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Incorporating physical activity into our daily lives is one of the biggest challenges in today’s world. We all know the importance, but still seem to find getting into a routine difficult. Instead of listening to the media and government recommendations, figure out what works in your schedule! Here are some tips to help you build a lifetime of healthy living:

Editor’s Note: If you want to live healthfully and you want to be active, there is no better way than to start! Get moving! However, always consult your physician before starting a new exercise or diet regimen. We at Well & Wise, want you to get well, stay well, and be wise about how you do it. 

Lisa Martin founded the Girls on the Run program in Howard County in 2009. Lisa is AFAA & NSCA certified, has more than 15 years of personal training experience, and practices a multidimensional wellness approach at her studio, Salvere Health & Fitness. Lisa says that one of the best things about being in the health and fitness industry is watching people accomplish things they never thought possible.

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calendar_2015_blog

Monday, April 13, 10:00 a.m. – 12:00 p.m. Blood Pressure Screening at Savage Branch. Free, walk-in blood pressure screening and monitoring offered by Howard County General Hospital: a Member of Johns Hopkins Medicine. Well & Wise event. 2nd Mondays; 10 am – 12 pm. No registration required.

Monday/Wednesday, April 13-June 3, 9:30-10:30 a.m. $64. Fitness Fun for Seniors for those 60 and older. Exercise to music at your own pace for fitness, flexibility and fun. Class includes stretching and low-impact exercise. Held in the Howard County General Hospital Wellness Center.

Monday, April 13, 7:00 p.m. Calming Crafts at Miller Branch. Improve your mood through arts and crafts. Research shows that creative activities can boost serotonin levels. Join us as we use artistic expression to improve our moods. All levels of artistic ability welcome. Well & Wise event. Register online or by calling 410.313.1950.

Tuesday, April 14, 2:00 p.m. & 3:45 p.m. EatPlayGrow™ at Central BranchExplore health and safety concepts inspired by children’s literature. Ages 3-5 with adult; 45 min. Multi-week series. Well & Wise event. Limited space; tickets available at Children’s Desk 15 minutes before class.

Thursday, April 16, 7-9 p.m. Free. Maybe Baby: Financial Issues for Expectant, New and Prospective Parents with a Certified Financial Planner™ who will discuss financial issues involved in starting a family. Leave with a plan to help you feel confident about your finances. Held in the Howard County General Hospital Wellness Center.

Friday, April 17, 6-7 p.m. Free. Advance Directives: Understand what they are, who needs them, how to get them and leave with an advance directives document. Held in the Howard County General Hospital Wellness Center.

Monday, April 20, 3:30 p.m. – 5:30 p.m. Blood Pressure Screening at Glenwood Branch. Free, walk-in blood pressure screening and monitoring offered by Howard County General Hospital: a Member of Johns Hopkins Medicine. 1st & 3rd Mondays; 3:30 – 5:30 pm. Well & Wise event. No registration required.

Tuesday, April 21, 2:00 p.m. & 3:45 p.m. EatPlayGrow™ at Central Branch. Explore health and safety concepts inspired by children’s literature. Ages 3-5 with adult; 45 min. Multi-week series. Well & Wise event. Limited space; tickets available at Children’s Desk 15 minutes before class.

Tuesday, April 21, 7:00 p.m. Meet the Authors: Gina A. Oliva and Linda Risser Lytle at Miller BranchTurning the Tide: Making Life Better for Deaf and Hard of Hearing Schoolchildren presents a qualitative study of deaf and hard of hearing (dhh) individuals who spent a sizeable proportion of their K-12 years as the only deaf children in their schools. Authors Oliva and Lytle discuss the challenges their subjects reported about friendship, identity, and support services. These stories demonstrate how dhh students need social as well as academic support to attain an equitable education. Books available for purchase and signing. In partnership with Howard Community College, Howard County Association for the Deaf, Maryland School for the Deaf, and Howard County Poetry & Literature Society. Become a Friend of HCLS at jointhefriends.orgRegister online or by calling 410.313.1950.

Wednesday, April 22, 7:00 p.m. Meet the Author: Kay Redfield Jamison, Ph.D. at Miller Branch. Kay Redfield Jamison is an internationally renowned author and expert on manic-depressive illness and depression, and a professor of psychiatry at the Johns Hopkins University School of Medicine and Co-Director of its Mood Disorders Center. She authored The New York Times bestseller, An Unquiet Mind: a Memoir of Moods and Madness. The memoir chronicles her experience with depression and mania, and according to Oliver Sacks, “stands alone in the literature of manic depression for its bravery, brilliance, and beauty.” Her other works include Night Falls Fast: Understanding Suicide; Exuberance: The Passion for Life; and Nothing Was the Same: a Memoir. In 2013, Jamison’s book, Touched with Fire: Manic-Depressive Illness and the Artistic Temperament, was awarded the Lewis Thomas Prize which recognizes scientific works that reach a wider audience outside of the laboratory. Jamison coauthored Manic-Depressive Illness: Bipolar Disorders and Recurrent Depression, first published in 1990 and the definitive book on the topic. Dr. Jamison is the recipient of numerous national and international literary and scientific prizes, including the Lewis Thomas Prize and a MacArthur Award. Books available for purchase and signing. In partnership with NAMI, Howard County. Become a Friend of HCLS at jointhefriends.orgRegister online or by calling 410.313.1950.

Saturday, April 25, 9 a.m.-Noon. Free. CPR Across Howard County American Heart Association Family & Friends CPR for the adult and child victim. For the community and not a certification course. Held in the Howard County General Hospital Wellness Center.


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meatlessMartha Stewart and all her kitchen minions have come together in this wonderfully simple, easy-to-follow-and-replicate cookbook. Meatless contains over 200 recipes for vegetarians, vegans, and those of us looking to get more “veg” in our diets. In fact, the book is dedicated “To everyone who realizes that a balanced diet relying more heavily on vegetable than on animal can result in a longer and healthier life.” Stewart’s foreword shares a story of her daughter’s pet lamb being slaughtered for dinner and the reading of certain books and viewing of films which together with the encouragement of friends and family brought this book to fruition. Vegetable-based meals are not only the trend, but a legitimate way to eat and live well. This cookbook is, truly, for everyone. The introduction by Editor in Chief of Whole Living, Alanna Slang, provides a legend for the recipes which are Vegan, Gluten-free, & Special Diet. She also goes further to provide an outline of “protein powerhouses” like tempeh, seitan, eggs, and bulgur.

My favorite recipes in this book are unlike any I’ve ever seen or have made for myself before:

1. Portobello & Zucchini Tacos p. 240
Roasted veggies are the best and they are filling. Tacos are easy and the sky is the limit when it comes to “the fixin’s.” This recipe asks that you cut your portobello and zucchini into strips and roast them in the oven with a light drizzle of olive oil and seasonings. These hearty veggies will act as your protein for these tacos. Simple. Simple. SIMPLE! Choose your favorite taco staples like cilantro, tomatoes, cheese, etc. to pull it all together. My favorite thing to add that wasn’t mentioned in this book- grilled avocado! Squirt some fresh lemon and lime and a bit of kosher salt – and you’ve got something really special.

2. Grilled Asparagus & Ricotta Pizzas p. 260
This one is so easy and you get to use your grill! Grill your asparagus until you get those nice browned spots. You can get some fresh pizza dough from the grocery store and prepare it on the grill (or in oven and then, transfer to grill) or use some other flat bread like naan and grill it. Be sure to use olive oil and appropriate temps to get those nice grill marks and cook/heat the dough through. Once your pizza base is done, all you have to do is add some fresh ricotta and your grilled asparagus and cover your grill to let all those flavors come/stick together (2 minutes). Remove from grill and eat your heart out!

3. Roasted Cauliflower with Lemon & Cilantro p. 336
It took a while for me to believe the in the heartiness that cauliflower has, but it really can fill you up! With the right combination of spices and time in the oven, cauliflower can be a tender, substantial meal in itself. This recipe allows for a lot of variation. I would suggest fresh cilantro and lemon juice for finishing this dish. It’s not a lot of work, lightly toss chunks/slices of cauliflower in olive oil and seasoning, roast until tender and finish with my previous suggestions. Delish!

Eating your vegetables can be really pleasurable when you have the right recipes in hand. And with Meatless you’ll find something great on each page.

JP is the HCLS Editor & Blog Coordinator for Well & Wise. She is also a Children’s Instructor & Research Specialist at the Savage Branch & STEM Education Center. She is a storyteller, wannabe triathlete, KPOP-addict, baker of cupcakes, cancer survivor, and liver transplant recipient.

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exercise and sleep“There is a reciprocal relationship between sleep and exercise,” said Charlene Gamaldo, M.D., medical director of the Johns Hopkins Center for Sleep at Howard County General Hospital. “Most of us recognize the fact that when we sleep well we feel better and have more energy during the day, which includes feeling more motivated and having more energy to exercise. Those who sleep well tend to lead a more active lifestyle.”

On the flip side, studies show that the average person who exercises regularly has a tendency to fall asleep more quickly and go into deeper sleep stages. “These individuals also appear to prime their body and brain to be better and more efficient sleepers, which results in waking up feeling more rested and restored,” noted Dr. Gamaldo.

Exercise and insomnia
People suffering from insomnia are unable to fall asleep or struggle with staying asleep. For those who don’t respond to treatment, recent data suggests that exercise may help.

In one study, participants suffering with long-standing insomnia exercised moderately (with an increase in heart rate) for 50 minutes, three times a week, for six months,” said Dr. Gamaldo. “The results showed a significant improvement in their insomnia. This was not just a subjective measurement on how they felt, but also based on their sleep quality as measured in a sleep lab. This is exciting news, and there is no downside of exercise, no bad side effects. Patients also reap the health benefits that come with increased physical activity along with better sleep.”

Exercise when you can!
Although this study showed that the time of day that people exercised didn’t negatively impact the participant’s sleep, Dr. Gamaldo warns that everyone is different.  “I encourage my patients to exercise and, if they can fit it in more practically in the evening without hampering their sleep, then they should do so. For a long time we felt you shouldn’t exercise in the evening before sleep, and for some people that may still be the case. Listen to your body and try to incorporate physical activity at some point in your day that works for you.”

Charlene Gamaldo, M.D., is the medical director of the Johns Hopkins Center for Sleep at Howard County General Hospital and associate professor of neurology at Johns Hopkins Medicine. For an appointments, call 800-937-5337.

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fitness mythsIn a very health-conscious society where the media is overrun by fitness and nutrition studies and reports, people still struggle with losing weight and living an overall consistently healthy lifestyle. The media gives so much information on the “right” foods to eat, the “right” way to exercise, and the “right” way to live that many people are confused and frustrated. Is there a “right” when it comes to eating and exercising?

As the fitness industry continues to research and discover more information, the public is constantly exposed to new and updated recommendations. After facts have been passed from source to source, challenged and changed, health and fitness news can become distorted and misinterpreted not to mention overwhelming. Let’s take a look at some of these confusing misconceptions regarding fitness.

How about we start with spot reduction? For example, in order to lose “weight” around your belly, focus on sit-ups or some other abdominal exercise regularly. This will give you a smaller waist, right? Well, this theory of “spot reduction” is impossible. You can specify where you build muscle, unfortunately, a person has no control over where his or her body chooses to burn fat. Muscle helps improve metabolism, resulting in an increase in the amount of calories the body burns but your body has a mind of its own and will lose from wherever.

Speaking of building muscle, another misinterpreted fact concerns weight-lifting. Women commonly believe that weights will make them big and bulky like a man and they should lift only light dumbbells. In fact, only a very small percentage of women have the necessary hormones to naturally do so. Men tend to build bulk and carry more muscle, whereas women tend to create tone and definition. Often, the feeling of bulk comes from adding muscle and not burning the overlying body fat. Womens bodies naturally carry more fat than men, in a healthy way. Increasing muscle improves metabolism, decreases risk of injury, makes daily activities easier and builds strong bones.

how to think about exercsieSo we know exercising is important, but how long? “Research says” 60-90 minutes of physical activity most days. Raise your hand if you have that much time in a day to dedicate to exercise. Very few of us do. Do what you can make time for – but do something! If you only have 20 minutes, move and challenge yourself to work hard during that time. Break it down into shorter segments and use the weekends for a little longer workouts.

Looking at when to schedule your workout, exercising in the morning is best, right? As a trainer, I first ask clients who think this if they will actually wake up at 5 am to exercise (or anything else for that matter!). Most of the time, the answer is “no!” So this brings us to science vs. real life. If you know it’s not something you will do, then the science does not matter. Set yourself up for success and consistency, plan to do it at a time when you feel your best. The benefits may be slightly greater but not greater then doing nothing.

Many fitness recommendations out there promise to be the best. Be sure to find out the best way for you to maximize your results based on your goals, body, time frame and resources. Simplify fitness and eating; if it came from the earth, eat it in moderate portions; work out regularly on a consistent basis. No matter what the media claims, choosing your own health path is essential to getting the best results for you.

Lisa Martin founded the Girls on the Run program in Howard County in 2009. Lisa is AFAA & NSCA certified, has more than 15 years of personal training experience, and practices a multidimensional wellness approach at her studio, Salvere Health & Fitness. Lisa says that one of the best things about being in the health and fitness industry is watching people accomplish things they never thought possible.


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calendar_2015_blogMonday, April 6, 3:30 p.m. – 5:30 p.m. Blood Pressure Screening at Glenwood Branch. Free, walk-in blood pressure screening and monitoring offered by Howard County General Hospital: a Member of Johns Hopkins Medicine. Well & Wise event. 1st & 3rd Mondays; 3:30 – 5:30 pm. No registration required.

Tuesday, April 7, 2:00 p.m. & 3:45 p.m. EatPlayGrow™ at Central BranchExplore health and safety concepts inspired by children’s literature. Ages 3-5 with adult; 45 min. Multi-week series. Well & Wise event. Limited space; tickets available at Children’s Desk 15 minutes before class.

Wednesday, April 8, 6-8:30 p.m. Free. Caring for the Young Athlete Successful prevention, evaluation and rehabilitation of sports-related injuries and concussions is crucial for any young athlete. During this seminar in the Howard County General Hospital Wellness Center, Johns Hopkins pediatric specialists in orthopaedics, sports medicine, neurosurgery, surgery and physical therapy will discuss injury prevention and the signs/symptoms of more serious conditions and when to seek help. Dinner is included as part of this free event.

Saturday, April 11, 9-11 a.m. $35Self-Defense for Young Women Teens ages 12 to 15 will learn physical and psychological strategies of self-defense. Held in the Howard County General Hospital Wellness Center.

Monday, April 13, 10:00 a.m. – 12:00 p.m. Blood Pressure Screening at Savage Branch. Free, walk-in blood pressure screening and monitoring offered by Howard County General Hospital: a Member of Johns Hopkins Medicine. Well & Wise event. 2nd Mondays; 10 am – 12 pm. No registration required.

Monday, April 13, 7:00 p.m. Calming Crafts at Miller Branch. Improve your mood through arts and crafts. Research shows that creative activities can boost serotonin levels. Join us as we use artistic expression to improve our moods. All levels of artistic ability welcome. Well & Wise event. Register online or by calling 410.313.1950.

Tuesday, April 14, 2:00 p.m. & 3:45 p.m. EatPlayGrow™ at Central BranchExplore health and safety concepts inspired by children’s literature. Ages 3-5 with adult; 45 min. Multi-week series. Well & Wise event. Limited space; tickets available at Children’s Desk 15 minutes before class.


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