IPMDC welcomes 2 new doctors to our team!

Dr. Mick Reedy,
Movement disorders specialist

Dr. Reedy joins our team as our sixth physician.

He is board certified in neurology and a fellowship-trained movement disorders specialist.

Dr. Reedy is seeing patients in person at our offices in Alexandria and Dumfries.

Dr. Jenn Pauldurai,
Cognitive and behavioral neurologist

“As a cognitive and behavioral neurologist I see patients who have changes in thinking, memory and behavior. These symptoms include forgetfulness, changes in language delusions, insomnia, hallucinations, or stress. Sometimes these brain changes occur in the setting of a brain disease like dementia or movement disorder, but other times they can relate to our lifestyle, habits and mental health.
I look forward to helping you think better.”

To schedule an appointment with any of our doctors,
please call (703) 845-1500.

Dehydrated? Just Add Water!

We’ve been hearing from our community
that there have been quite a few visits to
the emergency room lately.
The reason? Dehydration.

While we all need to stay hydrated in the summer heat, it’s especially important for people with Parkinson’s. The signs of dehydration are subtle though, and can often be confused as being caused by something else.

Drink Water! Stay hydrated

Warning Signs That You May be Dehydrated
• Fatigue or weakness
• Dizziness
• Headaches
• Confusion
• Muscle cramps
• Dry mouth, nose or skin
• Upper abdominal pain or lower back pain
• Feeling thirsty.

Being dehydrated can lead to a urinary tract infection (UTI) which can also lead to a visit to the emergency room. Again, the signs can be subtle and confusing.

Symptoms that come on quickly are generally not caused by Parkinson’s, or medications not working.
If in doubt, check in with your primary care physician or depending on the severity, call 911.

And remember, drinking enough fluids can help to keep the digestive system moving which in turn helps oral medications to work better. You’ll experience less symptoms, and possibly less side effects from medications.

Tips for Staying Hydrated
Drinking lots of water is the most helpful way to stay hydrated, healthy, and out of the hospital.
Not keen on water?
• Focus on foods that have a high water content like watermelon, oranges, cucumber, tomatoes, and zucchini.
• Add some sliced fresh fruit or cucumber to your water, or even some fruit juice.
• Try caffeine-free herbal tea. Some are fruit flavored.
• Smoothies are another option.
• Get creative! We’d love to hear your suggestions so we can share them! Just email sonia.gow@inova.org
Drink a full glass of water whenever you take your medications.
Keep a jug of water ready in the fridge with the amount you need to drink throughout the day.

How do you know when you’re drinking enough?
Feeling thirsty isn’t really the best way, but the color of your urine will tell you.
• When it’s pale, odorless and plentiful that’s often an indication that you are well hydrated.
• Darker urine is an indication that you are becoming dehydrated, and very dark urine is a warning sign to seek medical aid.

If in doubt, head to the kitchen and pour yourself a glass of nice, cool, refreshing water and see how much better you’ll feel. Cheers!


Suggestions from our readers

From Sabina:
Excellent and timely. All elderly people and especially PD patients need to be vigilant about this. Just doing two hour errands in a hot car has caused me heat exhaustion. I recommend also doing errands in early morning if possible, taking water with you in car or bus, using a handheld fan like in the old days, and take siesta afternoons.


From Bella:
I fill half a glass with kombucha and the rest with water. Sometimes I add a little sweetener. The kombucha is good for digestion and its easy to drink … a bit carbonated.
I also set up my glasses in the morning. One has juice from one lemon, the other with kombucha, the third with just water. Each glass holds 16 oz so I count it as 2 glasses. Plus a full glass by the bedside.


IPMDC’s New Loudoun Location Now Open!

Good news!

We are delighted to announce that Dr. Abigail Lawler is now seeing patients, in-person, at our new Loudoun location.

Location:
44055 Riverside Parkway, Suite 242,
Leesburg, VA 20176

Dr. Abigail Lawler, Movement Disorders Specialist

If you would like to schedule an appointment with Dr. Lawler please call 703-845-1500.

Dr. Lawler will still see patients by telehealth, and in-person at our Innovation Park Drive location.

Delusions, hallucinations and other misinformation from Chat GPT

Author: John M Dean MA CCC-SLP

Known for their ability to generate complete, full-text responses on a range of topics, Chat GPT, Bard and other “large language model” artificial intelligence (AI) tools have been dominating the news cycle for the past 6 months. Large language models (LLMs) are a new type of “generative AI”, capable of producing very convincing and comprehensive responses to a range of questions.

Although it’s tempting to use those resources to ask specific questions about issues related to your Parkinson’s, it’s becoming clear that the data coming from these tools cannot be relied upon. Because LLMs are trained on vast quantities of written text from all over the Internet, they frequently rely upon nonmedical and non-expert information sources such as Facebook and Reddit posts, among others.

In fact, a recent publication from the journal, Mayo Clinic Proceedings, identified that among the responses to 20 medical questions that were submitted to Chat GPT, reviewers uncovered 12 errors (including 5 major errors and 7 minor errors). More concerning, however, was the tendency of the responses to include fabricated citations to peer-reviewed journals. This false output is referred to as “delusions” or “hallucinations” by AI researchers. Of 59 citations reviewed, 41 were fabricated, typically by pairing factual names of authors to nonexistent articles in nonexistent journals.

While researchers and developers are working to solve what is now a known issue with false information from LLMs, it’s best to stick with reliable reference resources. That includes educational materials produced by recognized medical entities such as the Inova Parkinson and Movement Disorders Center as well as resources from national and international nonprofits. And please save specific questions about your health care needs for your doctor, nurse practitioner, or other relevant professional.

If you are not scheduled for an upcoming visit when something crops up, make sure to take advantage of My Chart to send your question directly to the team at IPMDC so your doctor or another individual on the healthcare team can provide you with a specific answer, based on your specific medical situation, privately and securely.

If you want to see the published article from Mayo Clinic proceedings yourself, you can visit their website directly. https://www.mcpdigitalhealth.org/article/S2949-7612(23)00036-6/fulltext