space
space
Peshtigo Times
space
space
space
Perspectives
* From Our Readers
space
space
Sports Shorts
* WI Spring Turkey Harvest Unchanged From 2018
* Five Lucky Resident Hunters Chosen for Wisconsin's 2nd Managed Elk Hunt
* Kralovetz Outlasts Lindsley in Norway Late Model Duel
* Marinette and Menominee Legion eams Begin Summer Season With Double Header Action
* Van Vooren Earns 3 D2 Medals, Bulldogs 1600 Relay Takes 2nd

space
Peshtigo Fire
space
e-Edition
Now Available
For more information
click here
dot
THE CITY REBORN FROM THE ASHES OF AMERICA'S MOST DISASTROUS FOREST FIRE
space
dot
space

Insight Into Parkinson's Conference in Menominee

Issue Date: September 13, 2018

The 3rd annual Insight Into Parkinson's Conference will be held Monday, Sept. 24 at Riverside Golf Club, 3459 14th Ave., Menominee. Doors open at 9 a.m. for registration. There will be displays, information, light refreshments, pharmaceutical representatives, and education from 10 a.m. to 2 p.m.

Speakers will be Dr. Paul Nausieda, MD, Medical Director, Red Horse Parkinson's Alliance, Dacy Reimer, APNP-C, Clinical Advisor to Red Horse Parkinson's Alliance, and Sheila Zelenski, retired Senior Executive.

Pre-register by Sept. 17 by calling Pat Ihler 906-863-9445, or Christine Pecard 715-938-1076. The event is free, however donations are accepted and appreciated. It is sponsored by Red Horse Parkinson Alliance and Marinette Menominee Area Parkinson Support Group.

Dr. Paul Nausieda was trained at the University of Chicago and received his BS in 1968 and MD in 1972. He served his internship at Michael Reese Medical Center in Chicago and his residence in Neurology at the University of Chicago and Rush University of Chicago.

He and his associate Harold Klawans established one of the first Parkinson Disease Clinics in the country and started a training program in Movement Disorders which is still active at Rush Medical Center in Chicago.

Dr. Nausieda moved to the Medical College of Wisconsin in 1981 as an Associate Professor of Neurology, Toxicology and Pharmacology, and in 1983 established the Wisconsin Parkinson Association as a non profit organization for patient education and support.

He has been the Medical Director of the Parkinson Research Center which has been located at a number of Milwaukee hospitals but was at Sinai Aurora from 1999 until the practice closed in 2015.

He was a Clinical Professor of Neurology at the University of Wisconsin, Madison for many years and has conducted multiple research trials of new anti Parkinson medications over the last 40 years in addition to his laboratory research studies looking at the effects of chronic levodopa treatment. His research in Parkinson Disease involved sleep alterations in the disease and he has published in this area as well as serving as the Chairman of Sleep Disorders Medicine for the American Academy of Neurology.

He and his associates have published over 120 scientific papers and numerous textbook chapters. He has an interest in Parkinsonism induced by manganese containing welding fumes and has testified on this work multiple times in Federal Court as an expert witness. Since his retirement in 2015, he volunteers as the Medical Director of the St. Ann's Bucyrus Center in Milwaukee and continues to see multiple patients with Parkinson Disease at this facility.

Dr. Nausieda has been married to Dr. Evonne Winson, a Dermatologist for over 40 years and has two sons, Tony and Ivan, neither of whom is a physician. He has two grandchildren who keep him busy visiting them in Grosse Pointe, Mich.

Dacy Reimer is a board-certified nurse practitioner, licensed to prescribe and treat in primary care. She specialized in neurology and movement disorders and has had more than 20 years experience in caring for individuals with Parkinson disease.

She practices at Lakeside Neurocare in Fond du Lac, with sub-clinics in Oshkosh and Ripon. She is inpatient medical consultant to acute neurological conditions such as stroke and seizure at St. Agnes Hospital, Aurora Oshkosh and Mercy Medical Center Oshkosh.

Dacy's clinical practice specializes in the diagnosis and . of individuals with Parkinson Disease. Prior to joining Lakeside, she was a nurse practitioner at the Regional Parkinson Center in Milwaukee. During her 17 years with the Parkinson Center, she was a founding member of the Parkinson Research Institute, developing its Life Span Database and Brain Bank Procurement Program. Dacy held the position of Education and Outreach Coordinator for the Wisconsin Parkinson Association.

She is author of multiple manuscripts on PD. She is certified as a research coordinator by the Association of Clinical Research Professionals and has managed more than 30 pharmaceutical studies using experimental therapeutic agents; many approved for use, and will be discussed at the conference.

New in Parkinson Disease continues to evolve in Parkinson Disease and involves multiple new approaches. The mainstay of treatment remains levodopa which was first used in the late 1960's and approved for use in 1972. The problem of chronic levodopa treatment has been the focus of most new drug in an attempt to improve short duration of response and the induction of involuntary movements by this agent.

In the last few years the initial enthusiasm for surgical treatment with Deep Brain Stimulation {DBS) has waned due to unpredictable results and the lack of long term efficacy of this approach.

Long acting levodopa delivery systems are now available in oral form (Rytary) and liquid gel preparations (Duopa) which are administered by pump into a tube inserted into the duodenum. These agents are far more predictable than the earlier levodopa products and last much longer. Adjustment is tricky with Rytary and requires a number of visits over a short time following initiation, but results are good once the appropriate doses are identified.

Duopa requires placing a tube through the abdomen into the duodenum and programming of the pump takes some trial and error adjustment but ultimate results are good in many cases. Both are more expensive than conventional generic levodopa which is a potential limitation for some patients. Using these agents many patients can come off synthetic agonists like mirapex, rotigotine or ropinirole which often cause undesirable side effects such as compulsive behaviors or psychiatric reactions.

Gocoviri (time release amantadine) is a relatively new agent that can greatly diminish the involuntary movements induced by levodopa. It is often useful in patients who have involuntary movements at doses of levodopa that are required to block wearing off of the effects at the end of doses. Two capsules {137 mg each) at bedtime is the usual dose and the agent works within days of initiating treatment. Dr. Nausieda has been impressed by the reduction in the severity of involuntary movements and the improved "on" periods that result from treatment.

Used with long acting levodopa products you can often achieve good response round the clock in advanced patients who were plagued by erratic control in the past.

For patients with bothersome hallucinations from levodopa a new drug, Nuplazid (pimavancerin) is now available.

This drug is easy to use and is less sedating than Seroquel (quitiapine) and less toxic than clozaril, which requires blood monitoring. This drug is easy to use and is less sedating than Seroquel (quitiapine) and less toxic than clozaril, which required blood monitoring.

Involved in the studies of this drug it offers an alternative to the prior agents which can avoid some of the limitations in treatment that we faced in the past.

From a research standpoint there have been ongoing studies looking at immunologic strategies for removing alpha synuclein from the brain.

This protein is the one which accumulates in the cells of the brain and constitutes the pathologic finding that identifies Parkinson Disease at autopsy.

Its specific role is not known so attempts to treat Parkinson Disease by reducing the deposition of this protein are based on the theory that the protein is harmful and not just a reaction to some other process causing cell damage. There is potential risk in immunizing a person to a constituent of the brain, and the potential for a fatal encephalitis is a real one. Initial trials are ongoing and although severe reactions seem rare, no definite benefit has been seen either. The problem is when to treat, and early treatment would appear to be most logical.

In Parkinson Disease the diagnosis is usually only made when 70% of the dopamine cells have been damaged, so early detection techniques are being actively studied to allow earlier treatment.

Given the potential risk, there is an ethical issue in asking a patient without symptoms to submit to treatment especially since the rate of development of symptoms seems to vary a great deal between patients. Treating someone with "early" Parkinson changes in the brain who may not ever develop symptoms during life is a tough obstacle. This is especially true given the lack of clear data to show that dropping the alpha synuclein levels translates into reduced symptoms.

The search for an agent that slows or halts progression of Parkinson Disease has failed and we have been involved in a number of unsuccessful trials of agents developed with this goal in mind. Antioxidants and various herbal agents have been marketed as a way to slow the disease but no data supports their use. Beware of internet ads claiming miraculous cures or "novel treatments" that ask for cash payment to receive a new agent.

This is true for a number of clinics advertising "stem cell" infusions using blood or skin cells as a source.

These programs operate on the fringe of the legal system and are not "research" studies other than research into how to pilfer money from naive patients and families.


Recent stories, opinions and photos

Issue Date Department Headline
06-13-2019Front Page
Peshtigo City Water May Be Option For Town PFAS Issues

06-13-2019Front Page
M&M Area Community Foundation Awards Grants

06-13-2019Front Page
BPM Plans Site Study For Wastewater Plant

06-13-2019Front Page
Measles Are Back, County Seeks Tick Kit Mini Grant

06-13-2019Front Page
Peshtigo Police To Look At Investigator Position

06-13-2019Community - Wausaukee
Wausaukee Junior/Senior High 4th Quarter Honor Roll Announced

06-13-2019Community - Wausaukee
Message Church Holds Rummage Sale June 14-15

06-13-2019Community - Wausaukee
Wausaukee Blood Drive June 20th

06-13-2019Community - Wausaukee
Legion Post Unit 66 Marks Memorial Day

06-13-2019Community - Crivitz
Crivitz Police Chief to Retire July 10

06-13-2019Community - Crivitz
Crivitz Junior High Lists Honor Rolls

06-13-2019Community - Crivitz
Universe in the Park June 15th

06-13-2019Community - Crivitz
Crivitz Elementary Students of Month

06-13-2019Community - Coleman
Coleman Classes ൳-'65 Reunion Set for July 14

06-13-2019Community - Coleman
Coleman High School 4th Qtr., 2nd Semester Honor Rolls Listed

06-13-2019Community - Coleman
Coleman Middle School List 4th Qtr, Semester Honor Rolls

06-13-2019Community - Coleman
Coleman School Board Meets Monday, June 17

06-13-2019Sports
WI Spring Turkey Harvest Unchanged From 2018

06-13-2019Sports
Five Lucky Resident Hunters Chosen for Wisconsin's 2nd Managed Elk Hunt

06-13-2019Sports
Kralovetz Outlasts Lindsley in Norway Late Model Duel

06-13-2019Sports
Marinette and Menominee Legion eams Begin Summer Season With Double Header Action

06-13-2019Perspectives
From Our Readers

06-13-2019Perspectives
Country Cousin

06-13-2019Perspectives
From My Window

06-13-2019Obituaries
Betty L. Bauer

06-13-2019Obituaries
Joyce L. Brown

06-13-2019Obituaries
Donna M. Casper

06-13-2019Obituaries
Cynthia Drust

06-13-2019Obituaries
Marlene Devener

06-13-2019Obituaries
Mary A. Erdman

06-13-2019Obituaries
Edith Foley

06-13-2019Obituaries
Doreen L. Hubbard

06-13-2019Obituaries
Mike Kaszinski

06-13-2019Obituaries
Anna M. Kiraly

06-13-2019Obituaries
Evelyn M. Nowak

06-13-2019Obituaries
Odeen F. Prudhom

06-13-2019Obituaries
Jean E. Richardson

06-13-2019Obituaries
Sharon J. Saylor

06-13-2019Obituaries
David W. Schoen

06-13-2019Obituaries
Dale V. Servais

06-13-2019Obituaries
Jeffrey Sieminski

06-13-2019Obituaries
Ernest Stephan

06-13-2019Obituaries
Sharon Wallace

06-06-2019Front Page


06-06-2019Front Page
Patricia Schutte Resigns Pound Village Clerk/Treasurer Position

06-06-2019Front Page
Honor Betty Stodola, 90, On Retirement From McDonald's

06-06-2019Front Page
Town Of Peshtigo To Create Water Advisory Committee

06-06-2019Front Page
Coleman Board Tables RR Road Name Change

06-06-2019Front Page
Peshtigo Gets Good Audit Report, Eligible For $50,000 USDA Grant

06-06-2019Community - Wausaukee
Schemonia Awarded Masonic Scholarship

06-06-2019Community - Wausaukee
Camp Daniel Celebrates 10th Annual Dance

06-06-2019Community - Wausaukee
Kountry Kids 4-H Help Chain Reaction

06-06-2019Community - Wausaukee
Harvey at Wausaukee Library

06-06-2019Obituaries
Walter R. Ahrens

06-06-2019Obituaries
Dennis Brzezinski

06-06-2019Obituaries
Ione T. Cedergren

06-06-2019Obituaries
Elizabeth Edlbeck

06-06-2019Obituaries
Joyce C. Golla

06-06-2019Obituaries
Eleanor I. Gould

06-06-2019Obituaries
Russell Grun

06-06-2019Obituaries
Darrell J. Hipke

06-06-2019Obituaries
Doreen D. Holmes

06-06-2019Obituaries
Richard Ihde

06-06-2019Obituaries
Charles R. Jackson

06-06-2019Obituaries
Barbara A. Knope

06-06-2019Obituaries
Kurt D. Konell, Jr.

06-06-2019Obituaries
Edward M. Kowalczyk Sr.

06-06-2019Obituaries
Gene S. Krause

06-06-2019Obituaries
Virginia L. Langrick

06-06-2019Obituaries
Kevin M. Lewandowski

06-06-2019Obituaries
Frances I. Namik

06-06-2019Obituaries
Dolores Pfeiff

06-06-2019Obituaries
Rosalie A. Pintarelli

06-06-2019Obituaries
Gerald N. Socha

06-06-2019Obituaries
Alan D. Witte

06-06-2019Community - Crivitz
Crivitz Plans July 4th Parade, Music, Fireworks in Crivitz

06-06-2019Community - Crivitz
Ten Members at Legion Unit Meeting

06-06-2019Community - Crivitz
Berndt Music Program Aug. 3

06-06-2019Community - Coleman
Coleman Recognition Night Held for Seniors

06-06-2019Community - Coleman
Coleman Lists Summer Office Hours, Entrances

06-06-2019
Berndt Music Program Aug. 3

06-06-2019Community - Crivitz
Crivitz Legion Gun, Knife Show June 15

06-06-2019
Coleman Recognition Night Held for Seniors

06-06-2019
Coleman Lists Summer Office Hours, Entrances

06-06-2019Community - Coleman
Memorial Day Services at Coleman May 27th

06-06-2019
Niagara is Regional Champ; Drops Sectional Semi

06-06-2019
Regional Champion Bulldogs Fall To Zephyrs in Sectional

06-06-2019Sports
Van Vooren Earns 3 D2 Medals, Bulldogs 1600 Relay Takes 2nd

06-06-2019Sports
Kasey Casper Caps Off Career with 5th place Medal, Cougars take 7th

06-06-2019
Letters to the Editor

06-06-2019Perspectives
Country Cousin

06-06-2019Perspectives
From My Window

05-29-2019Sports
Area Athletes Head to LaCrosse for State Meet

05-29-2019Sports
Regional Champ Rangers Fall in Sectional Semi

05-29-2019Sports
Peshtigo/ Niagara are Lone Regional Survivors

05-29-2019Obituaries
Elroy Bublitz

05-29-2019Obituaries
Wilbar "Bud" Nelson Cox

05-29-2019Obituaries
Gerald S. Bebo, Sr.

05-29-2019Obituaries
Nancy E. Brofka

05-29-2019Obituaries
Vivian Marie Carlson

05-29-2019Obituaries
Bernard "Ben" Cole

05-29-2019Obituaries
Rosann M. Cook

05-29-2019Obituaries
Guy K. Enockson

05-29-2019Obituaries
Roger W. Harris

05-29-2019Obituaries
Ruth Mabel Hecht

05-29-2019Obituaries
Mary T. Hofer

05-29-2019Obituaries
Joan Lemery

05-29-2019Obituaries
Clayton F. Longsine

05-29-2019Obituaries
Michael C. Lopez

05-29-2019Obituaries
Kenneth H. Kurtz

05-29-2019Obituaries
Bernice Mae MacGlashin

05-29-2019Obituaries
Byron J. McDougal

05-29-2019Obituaries
Charlie Mitrowke

05-29-2019
Elizabeth "Betty" Jane (Seaman) Moser

05-29-2019Obituaries
Robert Bruce Phelps, Jr,

05-29-2019Obituaries
Bryan G. Pinchard

05-29-2019Obituaries
Olive May Schlag

05-29-2019Obituaries
Matthew Taraska

05-29-2019Obituaries
 Laura J. Zick

05-29-2019Perspectives
Country Cousin

05-29-2019Perspectives
From our readers

05-29-2019Perspectives
From My Window

05-29-2019Community - Wausaukee
Trail Riders Open House

05-29-2019Community - Wausaukee
Speedway Fans Allow Extra Time for Travel

05-29-2019Community - Wausaukee
Recipients of Blood Drive Scholarships

05-29-2019Community - Crivitz
Gloria Kainz Named Crivitz Village Trustee

05-29-2019Community - Crivitz
Crivitz Students To Visit Mexico

05-29-2019Community - Crivitz
Crivitz Students Annual Picnic

05-29-2019Community - Crivitz
Kids Fun Run in Crivitz June 29

05-29-2019Community - Coleman
Coleman Board To Meet June 3

05-29-2019Community - Coleman
Kids Fishing Day at White Potato Lake

05-29-2019Community - Coleman
Bond Foundation Gives Nurse's Nook $40,000 Grant

05-29-2019Community - Coleman
AgVenture Day at Coleman May 8

05-29-2019Front Page
Always Remember

05-29-2019Front Page
County Board Gets Preview of Menekaunee Bear Statue

05-29-2019Front Page
Adult Activities Coordinator May Be Hired For Peshtigo

05-29-2019Front Page
Committee Agrees To Limit ETZ Regulations

05-29-2019Front Page
Mullard Honored As Legionnaire Of Year

05-22-2019Obituaries
Steven J. Andersen

05-22-2019Obituaries
Bernard M. Anker

05-22-2019Obituaries
Aila V. Austin

05-22-2019Obituaries
Mary Lou Bancroft

05-22-2019Obituaries
Steven J. Baumler

05-22-2019Obituaries
Lester J. Borkovec

05-22-2019Obituaries
Lorraine A. Blazek

05-22-2019Obituaries
Wilbar (Bud) Cox

05-22-2019Obituaries
Rudolf E. Doblinger

05-22-2019Obituaries
Carolyn E. Fiedorowicz

05-22-2019Obituaries
Daniel J. Foley

05-22-2019Obituaries
Joseph K. Frehr Jr.


space
Peshtigo Times
WEB Poll!
Do you plan on attending any Memorial Day services this weekend?
space Yes
No
Undecided
space
TO VOTE CLICK
YES, NO or UNDECIDED

Suggest a Question
space .
space
FRONT
space
.
space
CLASSIFIEDS
space
.
space
COMMUNITY
space
.
space
GUEST BOOK
space
.
space
NEWS
space
.
space
OBITS
space
.
space
PERSPECTIVES
space
.
space
SPORTS
space
.
space
SUBSCRIBE
space
.
space
.
space
PESHTIGO FIRE
space
.
space
CUSTOM PRINTING
space
.
space
TIMES' SAVER
space
.
space
Click for Peshtigo, Wisconsin Forecast
FORECAST
space
Quick...
News or Ad Search
Enter News key words.
Enter Ad key words.



Peshtigo Times
841 Maple St
PO Box 187
Peshtigo, WI 54157
Phone: 715-582-4541
Email:
News@
PeshtigoTimes.com

space
Fax: 715-582-4662
© 2000-2019
All right reserved
space
Powered by
WEB Media
Interactive
COMMUNITY
WEB sites