Non-motor symptoms

Non-motor symptoms of Parkinson’s can be just as challenging—sometimes even more so—than the movement symptoms. Caregivers often see the impact of these issues every day, even when they aren’t the focus during medical appointments. It’s important to remember that problems like mood changes, anxiety, sleep issues, or cognitive shifts are very real parts of the disease and deserve attention.

If your loved one’s movement-disorder neurologist hasn’t brought up these concerns, don’t hesitate to raise them yourself. You can also ask the specialist to help connect you with a psychiatrist or mental-health professional who has experience working with people who have Parkinson’s. This kind of support can make a meaningful difference for both the person living with PD and those caring for them.



Kirsten Gillibrand’s and the Older Americans Act

Parkinson news from Kirsten Gillibrand’s New York Minute

Fighting for the Older Americans Act

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The Older Americans Act (OAA) is critical to support Americans living with aging-related diseases, like Alzheimer’s and Parkinson’s.

At this week’s Aging Committee hearing, Kirsten heard from witnesses about the importance of OAA-funded programs like nutrition assistance, home care, transportation assistance, and community engagement in helping millions of Americans live with dignity and independence.

She called for the reauthorization of the OAA to continue these vital support programs.

Individual casework is Kirsten’s top priority. If you need help with any federal agency, contact her at gillibrand.senate.gov



Survey - Social Connections and Attitudes About Aging

 You are invited to participate in a research study about social connections and attitudes about aging in people with Parkinson’s disease (PD).  

Your participation is voluntary. If you choose to participate, you will be taken to a website to complete an online survey about social connections and attitudes about aging. The survey is expected to take between 30 and 45 minutes.  Take survey here.




When the Phone Stops Ringing

At first, I didn’t want to tell anyone. When I was diagnosed with Parkinson’s disease, it felt like a private earthquake—my world shifted, but from the outside, everything looked the same. I thought if I just carried on as usual, maybe people wouldn’t notice.

But Parkinson’s has a way of showing itself. The the frozen face, the slow movements, the voice that gets softer without me realizing it—it all adds up. Eventually, people began to ask if I was okay. That’s when I started telling the truth, at least privately to closer friends and family.

I’d try to sound calm, even casual. “Yeah, I’ve got Parkinson’s,” I’d say, “but I’m doing all right.” I didn’t want sympathy or a sad look. I just wanted people to understand.

Most of them reacted kindly. They said things like, “You’re strong.” “You’ll beat this.” “Let me know if you need anything.” And they meant it—at least in that moment. But as time went on, the calls slowed down. The texts got shorter. Invitations stopped coming.

It’s not that I blame them. I know Parkinson’s makes people uncomfortable. It’s unpredictable. It doesn’t have a finish line. There’s no “get well soon” to say, because I won’t. Maybe that’s hard for people to face. Maybe they just don’t know what to do with someone who can’t bounce back.

Still, the silence hurts. I used to have a full social life—friends dropping by, long conversations, spur-of-the-moment dinners, music festivals and blues bars. Now, the phone doesn’t ring much. I scroll through old messages, remembering how easy it all used to be.

Living with Parkinson’s is a strange mix of physical and emotional loss. The slowness and change in gait are visible, but the isolation is quieter. You feel yourself slipping out of the social world little by little, not because you chose to, but because the world doesn’t quite know how to include you anymore.

I tell myself it’s not personal, but it’s hard not to feel forgotten. Parkinson’s already takes so much—steady movement, clear speech, restful sleep. Losing connection with people feels like one loss too many.

If there’s one thing I wish people knew, it’s that I’m still me. I still want to laugh, tell stories, make plans, argue about music or where is the pizza. I just move a little slower getting there.

So if you know someone with Parkinson’s, call them. Even if you don’t know what to say. Especially if you don’t know what to say. You don’t need to fix anything. You just need to show up. Silence may feel polite, but it’s the loneliest sound in the world.

co-author: chatgpt



Medical bill decoded by ChatGPT

Forget 8 minute doc appointments-for around $20 out of pocket, you can get a more detailed appointment. My movement disorder specialist checkup usually involves multiple doctors that are thinking, exchanging ideas, and keeping me in the loop. My input is heard. The appointment can last over an hour, could be 90 minutes sometimes. Maybe I just never noticed it before but code G2211 changes my appointment from a quick hello you look great, see you in six months to an actual doctor exam. Have you seen a billing code of G2211 on any of your bills?

A simple explanation of the medical billing code from ChatGPT:

The code G2211 is used by doctors when they believe your visit involved extra time, effort, or complexity beyond a standard appointment — usually because of your overall health situation or ongoing treatment needs.

Here’s a breakdown in plain language:

"E/Ms" stands for Evaluation and Management services — basically, your regular checkups or doctor visits.

"G2211" is an extra billing code a doctor adds when your care requires more coordination, more thought, or long-term planning, like if you have chronic conditions (like diabetes, heart disease, or Parkinson’s), mental health concerns, or need ongoing monitoring.

It tells insurance (or Medicare) that the doctor did more than just a quick visit — they considered your broader medical picture, possibly reviewed your records, coordinated care, or thought through a complex issue.

Example:

Let’s say you go in for a regular visit, but you also have Parkinson’s disease. The doctor doesn't just look at one symptom — they think about how everything fits together, including other meds you're on, side effects, long-term plans, and so on. That extra thinking and planning is what this code is for.

How much does it usually cost?

It can add about $15–$30 to the total bill, depending on your insurance. Medicare and many private insurers now accept it.