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Hi all;

Ann here from MN. Mother,(Mable)needs to see a doctor. I just

don't know what TYPE of doctor to set her up with. The problem is, we

have no faith in the local clinic and hosptial. It's a very long sad

story. So Mother sees a Opthamologist in Fairview, MN. about 180 miles

away. She also goes to the Parkinsons Center in Mpls,MN again almost

200 miles. She has seen a Orthopedic doc in Fargo and chooses Fargo as

her primary care which is about 55 miles. The doctor contracted with

the Nursing Home is a Internist (sp). He has recommended an EKG, chest

X-ray and lab work. He wants to rule out pnemonia. It seems like

everyone at the Home has a cold, coughing or a running nose. Later to

follow Ba Upper GI...? To try to get the bottom of the phlegm and

spitting-up problem. Mother has been having more food getting stuck in

her throat. Another Internist or a Neurologist or what?????

Mother is now getting speach thearpy!!!

Ps..thank you for the 'Ames ' link, what a savings on

compression hoses. wow!!!!!

I wish this site had a SPELLING CHECK. sorry

Ann->Freezing in Minnesota.

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Mar;y Ann, ;my brother died SDS in 1998 . Believe he had it many more years

before diagnosed in 96 now that I read your ;messages here. I finally got

him to go to Mayos in ville, Fla and they diagnosed him after several

different types of doctors checked him and they all compared notes etc. You

are in MN so could go there to Mayos.

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Ann,

The internist is doing the right things. In checking her carefully for

pneumonia and starting speech therapy, he is working on the symptoms which are

worst at this time. If they show nothing ask about other types of infection as

MSA patients are prone to weird infections of blood and even yeast infections.

But it sounds to me as if he is already looking for something with the upper GI

series. Remember this type of doctor deals with old people's diseases every

day.

Speech therapy will help with swallowing problems, if she does the therapy

daily. When you go to see her run though the exercises with her, especially on

days that she does not see the therapist. Watch for things like does she

swallow before taking in a breath, then breath ii and speak several syllables,

then start over. Our therapist works on that with Charlotte, and Charlotte has

less problem with the phlegm. She should do the hard swallow first, before

taking in a deep breath. It is like learning to speak all over, because you

have to concentrate hard on each phase. Be prepared that it will take longer to

make sense of what she says, but it is worth the effort. As kids we learn to do

this without thinking, because everything works by reflex

Remember, MSA patients can only do one thing at a time. We learn bad habits all

our life and get away with eating and talking at the same time, but when things

don't work automatically we have to think through every move.

P.S. If you download Netscape 4.7 something and use it for email - it has a

spell checker in it and it's free. If you don't have download capability, you

can get it on CD-ROM for very little. Eudora software also works well, but is a

little more expensive, but internist was spelled correctly :o)

Take care, Bill and Charlotte

---------------------------------------------------------

Ann Pedersen wrote:

> Hi all;

>

> Ann here from MN. Mother,(Mable)needs to see a doctor. I just

> don't know what TYPE of doctor to set her up with. The problem is, we

> have no faith in the local clinic and hosptial. It's a very long sad

> story. So Mother sees a Opthamologist in Fairview, MN. about 180 miles

> away. She also goes to the Parkinsons Center in Mpls,MN again almost

> 200 miles. She has seen a Orthopedic doc in Fargo and chooses Fargo as

> her primary care which is about 55 miles. The doctor contracted with

> the Nursing Home is a Internist (sp). He has recommended an EKG, chest

> X-ray and lab work. He wants to rule out pnemonia. It seems like

> everyone at the Home has a cold, coughing or a running nose. Later to

> follow Ba Upper GI...? To try to get the bottom of the phlegm and

> spitting-up problem. Mother has been having more food getting stuck in

> her throat. Another Internist or a Neurologist or what?????

> Mother is now getting speach thearpy!!!

> Ps..thank you for the 'Ames ' link, what a savings on

> compression hoses. wow!!!!!

> I wish this site had a SPELLING CHECK. sorry

>

> Ann->Freezing in Minnesota.

>

>

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