Yr of birth: 1950

History:

• Fractures following accident 1994 – subsequent stress/fatigue/tremor
• PD diagnosed: 1999
• Retired from teaching 2001
• 2002 – 2007 Obsessive Compulsive Disorder (OCD) following agonist treatment which was eventually discontinued.
  Gait unsteady even using walking stick, unable to ride cycle or play musical instruments
• 2008 (October) started on Parkinson’s Improvement Programme
• 2008 (November) after three weeks ran for 20 minutes and could ride mountain bike again
• 2008 (December) improved ‘wellbeing’ and walking, less pain, increased facial expression.
• 2009 (January) Stronger and more alert, sleeping better
• 2009 (February) More alert and confident, resumed serious mountain biking on steep, rough ground, reduced ‘off’ time.
• 2009 (April) Resumed tuning and playing stringed instruments (after a gap of many years) improved fine motor control evident
• 2009 (June) Mountain biking up to two hours, reduced dose of Sinemet by 8%
• 2010 (September) resumed playing tennis regularly
• 2010 (November) getting good sleep, tennis 3x per week, biking every day, playing guitar and accordion
• 2011 (February) Entertaining 30 people at club, cycling, exercising daily, reduced Sinemet dose further
• 2011 (April) Tennis three sets three times a week, offering music tuition on stringed instruments, daily cycling and running.
• 2011 (October) Continues in good health as above
• 2013 (April) Continues in good health and still active. No longer needs PIP but will return to it if any decline noticed.
• 2014 (November) Resumed PIPmix but still playing tennis regularly

Summarised by Andrew Carmichael from case notes