[Dysphagia] Rép. : Dysphagia Digest, Vol 29, Issue 12 (Je serai absente... / I will be away from the office)

[Isabelle.Germain at vac-acc.gc.ca (Isabelle Germain)]

Bonjour,

Je serai absente du 13 avril mars au 18 avril 2006. 

Pour toute urgence, vous pouvez communiquer avec Mme Louise Laveault au poste 2155.

Je traiterai mon courrier dans les plus brefs d?lais d?s mon retour.

Merci, 

*************************
Hi!

I will away from the office from April 13th to April 18th, 2006.

For an immediate response, please contact Mrs Louise Laveault at extension 2155.

I will answer my emails as soon as possible when I get back.

Thank you,

Isabelle Germain DtP, MSc
Di?t?tiste en recherche / Research Dietitian
H?pital Ste-Anne Hospital
T?l / Phone: (514) 457-3440 poste 2501
T?l?c. / Fax: (514) 457-8793
courriel / email: imgermai@vac-acc.gc.ca

>>> dysphagia 04/13/06 14:00 >>>

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Today's Topics:

   1. Sinemet (sorriso@adelphia.net)
   2. Re: Sinemet (Annemarie Sargeant)
   3. Re: Sinemet (Drirenect@aol.com)
   4. RE: Adapted cup (Langdon, Claire)


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

Message: 1
Date: Wed, 12 Apr 2006 14:07:50 -0700
From: sorriso@adelphia.net
Subject: [Dysphagia] Sinemet
To: dysphagia listserv <dysphagia@b9.com>
Message-ID: <29619769.1144876070909.JavaMail.root@web13>
Content-Type: text/plain; charset=utf-8

What is the latest information on a relationship regarding timing of medication (Sinemet) before a meal in a patient with Parkinsons (my new patient is rapidly declining since admit two weeks ago)?  Is it of any benefit?

A quick Google search revealed that a journal article in Dysphagia around 2003 concluded there was no benefit.  I believe this has been discussed on the list in the recent past but the archives only go back to May 2004 and I didn't find anything there.  

Thank you,
Linda A. Zanchi, MA CCC-SLP


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

Message: 2
Date: Wed, 12 Apr 2006 15:15:57 -0700 (PDT)
From: Annemarie Sargeant <sargeantannemarie@yahoo.com>
Subject: Re: [Dysphagia] Sinemet
To: sorriso@adelphia.net, dysphagia listserv <dysphagia@b9.com>
Message-ID: <20060412221557.7500.qmail@web50014.mail.yahoo.com>
Content-Type: text/plain; charset=iso-8859-1

I asked almost the same question of one of the
neurologists where I work.  She told me Sinemet will
have no benefit on swallowing function in patient's
with PD.

Annemarie


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

Message: 3
Date: Wed, 12 Apr 2006 18:36:21 EDT
From: Drirenect@aol.com
Subject: Re: [Dysphagia] Sinemet
To: sargeantannemarie@yahoo.com, sorriso@adelphia.net,
	dysphagia@b9.com
Message-ID: <380.45c6e9.316edae5@aol.com>
Content-Type: text/plain; charset="US-ASCII"

It's not quite true that Sinemet will have no effect. The problem arises  
from the fact that gastroparesis is endemic to PD and the Sinemet eventually  
takes too long to pass into the duodenum.  If it doesn't reach the  duodenum, it 
can't cross the blood brain barrier and it is often wrongly assumed  that 
either the medication is having no effect or the patient has reached end  stage.  
One of the ways of checking is to do a blood assay to see how much  is getting 
into the blood stream and, if not enough, increasing the dose. There  is a 
great deal of literature on this and I am surpised that a neurologist is  not 
aware of it. There are various mixtures that PD patients have themselves  
concocted to overcome this problem the most notable a liquid form of Sinemet  that 
reaches the duodenum faster. If anyone is interested, I can send the  "recipe".


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

Message: 4
Date: Thu, 13 Apr 2006 09:08:18 +0800
From: "Langdon, Claire" <Claire.Langdon@health.wa.gov.au>
Subject: RE: [Dysphagia] Adapted cup
To: <malindam@samhealth.org>, <asha-div13@lists.asha.org>,
	<dysphagia@b9.com>
Message-ID:
	<C876A9C058E49D48BAFDE959E6B202380632B6E2@2kqe005mes.qe2.health.wa.gov.au>
	
Content-Type: text/plain;	charset=iso-8859-1

The SipTip cup is somewhat similar.  They are available in North America (and will ship worldwide) and have a website which I think is still current www.siptip.com  If that doesn't work, try a Google.

They used to (and still may) offer a free sample for clinicians to try.

Claire Langdon
Senior Speech Pathologist
Sir Charles Gairdner Hospital
Hospital Avenue Nedlands 
West Australia

Phone: 61-8-9346-2044 
email: Claire.Langdon@health.wa.gov.au


-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]
Sent: Wednesday, 12 April 2006 07:44
To: asha-div13@lists.asha.org; dysphagia@b9.com
Subject: RE: [Dysphagia] Adapted cup


The Pat Saunders straws look great.  Does anyone know if they are available in North America?

Malinda Moore, CCC-SLP
Speech-Language Pathologist
Albany General Hospital
541-812-4162


-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On
Behalf Of Paula leslie
Sent: Tuesday, April 11, 2006 2:30 PM
To: Clarke-Goertz, Kim (PAPHR); ASHA Div 13 list; dysphagia listserv
Subject: RE: [Dysphagia] Adapted cup


Hello Kim

I've used Pat Saunders' straws with inpatients and outpatients:

http://www.activemobility.co.uk/shop/product_info.php?products_id=813

http://www.livingaidsonline.co.uk/acatalog/Drinking.html

They're no good for thick liquids but then I don't use thickened liquids 
unless absolutely the only option.  And for many of the people with PD that 
I've worked with, thickened liquids have not helped, or made things worse.

Hope that helps.

Paula


>===== Original Message From "Clarke-Goertz, Kim (PAPHR)" 
<kgoertz@paphr.sk.ca> =====
>Hi All,
>Wondering if anyone knows of a cup with a straw attachment that keeps the
>liquid at the top of the straw, reducing oral effort with each suck.
>I found a 'one-way drinking straw' on Alimed's website which is the
>principle I'm looking for.
>I'm wondering if anyone has any similar products to endorse or what the
>comments are on the straw described above.
>This is for a gentleman with advanced PD who is experiencing exacerbation of
>dysphagia.
>Thanks,
>Kim
>
>
>
>_______________________________________________
>Dysphagia mailing list
>Dysphagia@b9.com
>http://lists.b9.com/mailman/listinfo/dysphagia

Paula Leslie
Degree Programme Director
RCSLT Specialist Advisor in Dysphagia

Surgical and Reproductive Sciences
Faculty of Medical Sciences
University of Newcastle
Newcastle upon Tyne
NE2 4HH
UK
+44 (0) 191 222 6279(T)/8988(F)
http://www.ncl.ac.uk/sars/postgrad/MSc.htm

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End of Dysphagia Digest, Vol 29, Issue 12
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