Expert Column
Dr. Harvey Gilbert, MD

Dr. Harvey Gilbert, MD email

Medical and Policies Director
Harvey Gilbert, MD, is a radiation oncologist with over thirty-five years of professional experience...read more

Articles In This Column

Senior Health

Parkinson's Disease Symptoms & Disease Progression

Parkinson's Disease Symptoms & Disease ProgressionParkinson's disease is a degenerative, age-related disease of the brain that affects speech, movement, thinking, memory and other functions. Except for a few patients who have genetic mutations, it is thought that Parkinson's disease is most likely caused by: direct trauma to the head; some drugs; the neurotoxin MTPT; and/or other medical disorders. In most cases, the exact cause is unknown. The incidence of Parkinson’s is slightly lower in blacks as compared to other ethnicities. It is estimated that...Read entire article »

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Parkinson's Disease Diagnosis

Parkinson's Disease DiagnosisParkinson's disease diagnosis has many variables—and as such the course of treatment chosen by patient and doctor depends upon many factors, but always starts with diagnosis of the type of Parkinson's disease. The multiple forms of Parkinson's disease are each associated with different symptoms. The most common forms are slowly progressive, but there are a few forms of Parkinson’s disease which are more rapidly progressive. These include: Progressive supranuclear palsy (PSP). Patients with dementia who show abnormal protein deposits...Read entire article »

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Treating Parkinson's: Deep Brain Stimulation, Neuro-rehabilitation & Parkinson's Disease Medications

Treating Parkinson's: Deep Brain Stimulation, Neuro-rehabilitation & Parkinson's Disease MedicationsThere are a few ways of treating Parkinson's disease; however, currently deep brain stimulation, a form of surgery, and neuron-rehabilitation are less common than Parkinson's disease medications. As with any long-term chronic illness, many patients find that regular exercise and a balanced diet can help their overall health and stress levels over the long term. Parkinson's Disease Medications Most Parkinson's disease medications do not actually slow or halt disease progression (the so-called "neuro-protection" effect), but rather work to alleviate...Read entire article »

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Chronic Obstructive Pulmonary Disease (COPD): Treatment Options

Chronic Obstructive Pulmonary Disease (COPD): Treatment OptionsCurrently, there is no cure for chronic obstructive pulmonary disease (COPD). Therefore, treatment for COPD takes a multifaceted disease management approach. The major current directions of COPD management include: assessing and monitoring the disease, reducing risk factors, managing stable COPD, preventing and treating acute worsening of the disease, and managing associated illnesses. Bronchodilators Bronchodilators are medicines that relax smooth muscle around the airways, increasing the caliber of the airways and improving airflow, a major symptom of both chronic bronchitis...Read entire article »

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Chronic Obstructive Pulmonary Disease (COPD): Causes, Symptoms & Prevention

Chronic Obstructive Pulmonary Disease (COPD): Causes, Symptoms & PreventionChronic obstructive pulmonary disease (COPD) is a progressive, chronic lung disease. Several conditions fall under this umbrella diagnosis, the two most common being chronic bronchitis and emphysema, which often coexist in patients with COPD. Twelve million people in the U.S. have been diagnosed with COPD and it is the second most common cause of disability and the fourth leading cause of death in the country. What Causes COPD? The most significant cause of lung damage is tobacco smoke. It...Read entire article »

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