Life can be frightening for individuals dealing with medical conditions such as numerous sclerosis, Parkinson’s illness, and dementia.
But treatment– and hope– is offered at the UNLV Medicine-Neurology Clinic.
At the center, located at 1707 W. Charleston Blvd., the department’s staff reward about 350 clients monthly with these and other neurological conditions, including carpal tunnel syndrome, stroke, dementia, epilepsy, and Hungtington’s illness.
The majority of center clients are referred by primary care doctors unable to completely describe the frightening neurological symptoms their patients are suffering, said clinic administrator Mandy Canales. Muscle weakness, difficulties with vision and speech, monster headaches, and the failure to manage body language can be among the signs. Physicians set up treatment plans with the help of diagnostic tests that can evaluate brain activity and the health of muscles and the afferent neuron that control them. The good news, according to Dr. Wonder Wangsuwana, is that typically brand-new, appealing medications are offered. For instance, in 2005 when he first started dealing with several sclerosis (MS)– a condition of the central nerve system marked by weakness, pins and needles, a loss of muscle coordination and issues with vision, speech, and bladder control– there were only 4 medications readily available to treat the illness.
” Now there are 15,’ stated Wangsuwana, an assistant professor who teaches students problem-based learning. “Handling MS is far more appealing. We’re able to offer people a higher quality of life.”
Dr. Eric Farbman stated the alternatives for medicines to treat Parkinson’s illness also have actually increased. Farbman has about 1,500 Parkinson’s patients, which represents about 10 percent of the people in Southern Nevada who have the disease, a disorder of the central nervous system that triggers a specific to lose the ability to absolutely control body movements. The specific cause of the disorder is unidentified, but it has been around a very long time. In 1817, the doctor for whom the illness is called, James Parkinson, called it “shaking palsy.”
” There’s a great deal of research study going on, a great deal of drug trials,” stated Farbman, a UNLV School of Medication associate teacher who supervises a motion conditions center and is a primary private investigator of nationwide Parkinson’s drug trials. “There’s real reason to be positive.”
Two to three times a month Farbman refers Parkinson’s clients to neurosurgeons for a procedure referred to as deep brain stimulation or DBS. Clients have electrodes implanted deep in their noodle so that the electrodes can jam dysfunctional signals in the brain.
” If medication can assist someone, I’m not going to refer them for surgery,” Farbman said. “It is, after all, brain surgical treatment.”
In 2010 the Las Vegas Review-Journal did an article on a Parkinson’s client Farbman referred for DBS. Prior to the 2008 surgical treatment, that 53-year-old male had such a problem with balance that he often had to crawl around his home. He often couldn’t get into bed by himself. The bathroom was a challenge he could not manage alone. Trembling and weak, he couldn’t cut his own meat at the dinner table. He had to utilize a wheelchair.
The day after his surgical treatment, with the electrodes in his brain activated, he walked around the block. Quickly he was playing golf and was off all medication.
Today, that patient still is playing golf, however back on some medication, Farbman stated. “The surgery does not treat the disease. It still advances.”
The chair of the center, Dr. Abraham Nagy, who did his residency at Yale and finished a fellowship at the Institute of Neurology in Queen Square, London, is currently working four hours a week as he transitions out of personal practice. His location of specialty is headache.
“Individuals who do not struggle with migraine or other headache disorders do not understand the impairment,” said Nagy, who will be teaching second-year medical school trainees a course in mind, brain, and behavior in his function as an associate teacher.
“The World Health Company ranks migraine in the leading 10 most debilitating conditions that people experience. They compare a day of migraine as being equivalent to a day of quadriplegia. If you can help individuals who are suffering from everyday migraines or other disabling headache conditions and restore them to performance– where they’re working and connecting with family– that’s extremely meaningful.”
Like Nagy, who now is recruiting another neurologist for the center, Wangsuwana is anticipating the growth of the department.
“I want the Southern Nevada community to look at the department of neurology as a center of quality,” he stated. “We can make that take place.”