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Product details

File Size: 1557 KB

Print Length: 160 pages

Publisher: Demos Health; 1 edition (December 21, 2011)

Publication Date: December 21, 2011

Sold by: Amazon Digital Services LLC

Language: English

ASIN: B006NTTL02

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Amazon Best Sellers Rank:

#648,042 Paid in Kindle Store (See Top 100 Paid in Kindle Store)

This is a well-written book that explains the issues in an understandable fashion. I consider this book required reading for anybody involved with Parkinson's either as a patient or a carer, especially if the Parkinson's is at an advanced stage closer to the time when DBS might be required. For a neophyte Parkinson's patient it is less necessary, as the knowledge and technology of DBS is changing so fast that in less than five years the book will likely be out of date. The only issue that to me is not quite clear in the book is with respect to some of the cognitive requirements for the implementation of DBS. As the medications normally used in Parkinson's can induce hallucinations and paranoid delusions when the dosage is too high, the decision about DBS could be confused. This is not really addressed in the book.

Number of stars: 5 The book, Deep Brain Stimulation, by Kelvin L. Chou, Susan Grube, and Parag Patil, is for patients considering deep brain stimulation therapy for a variety of neurological disorders. Kelvin L. Chou is a neurologist, who graduated from the University of Michigan medical school and is a professor of neurology at the University of Michigan with expertise in movement disorders. He is also a co-director of the Surgical Therapies Improving Movement (STIM) program. He has been named to the “Best Doctors in America” list. He reviews several journals and has first authored several research publications. Dr. Chou has also authored several other books on movement disorders and Parkinson’s disease. Susan Grube is a registered nurse involved with the University of Michigan Department of Neurosurgery for 19 years. Parag Patil is a neurosurgeon and associate professor and co-director of STIM at the University of Michigan as well. He is a well-respected researcher with work being featured in Time and on the cover of Neurosurgery. Together, the three authors provide excellent and credible insight into deep brain stimulation from both, a doctor’s perspective, and patient’s perspective. Deep brain stimulation (DBS) is a surgical intervention that can be used to treat movement disorders for those who have symptoms severely lowering quality of life. It works by implanting a generator around the collarbone area and then placing electrodes into regions of the brain that are decided on a patient to patient basis. Some movement disorders treated by this treatment are Parkinson’s disease, dystonia, and essential tremor. There are risks involved with the surgery and reading this book will shed light on a scarcely known, but potentially life-restoring procedure. I believe this book is a must read for anyone who has or knows someone with a movement disorder that is seriously comprising quality of life. The main point of this book is to provide information to prospective patients and families on the process of deep brain stimulation from how patients are selected to how patients react to the therapy. Anyone who reads this book will learn more than just what deep brain stimulation is and how it works. The book delves into the history of movement disorders and how treatments progressed to where they are today. Readers will also learn about how patients qualify for surgery, what the pros and cons of the surgery are, the timetable of care, how to assemble a good heath care team, the role of friends and family, and what happens the day of surgery. For example, the authors warn the reader that the surgery is risky and that not all physicians will know if someone is a good candidate or not. That is why they write a chapter on how important it is to have a good team, because they are also the ones that will tell someone if the surgery is worth the risks. They go on to give conditions for which someone should consider surgery, such as “having motor fluctuations that interfere with activities and cannot be resolved with medication changes” (Chou, 23). The authors discuss what happens after the surgery, how to maintain the system, what to do if it is not controlling symptoms, maintenance, and the possible risks and long term effects. The book also has an FAQ, as well as glossary for terms, support organizations, and a list of commonly prescribed medications. The authors’ writing style makes the book easy to read as they do a good job explaining every concept and step of the process. The authors accomplish this by going into detail every step of the way making sure the reader has the proper background knowledge to understand all the topics being discussed and they also provide illustrations and diagrams. An example of this is that the authors go over the involved anatomy of the brain and what happens to cause each movement disorder, such as describing how dopamine works and how the basal ganglia and primary motor cortex play a role in movement disorders. They also go into detail about the parts of the DBS system and how they are regulated and then how they are placed in the body and how they work. The simplicity of the book can be seen when the authors use an I Love Lucy scene to illustrate what happens during Parkinson’s disease by saying: “Think of the candy factory as the brain and Lucy and Ethel as the basal ganglia. Lucy and Ethel cannot keep up with the signals (candy) coming from the brain, and as a result, the signals get messed up (gets eaten or stuffed in hats). In a normal brain (or candy shop), two workers should be able to keep up with the flow of signals (chocolate) coming from the brain (conveyor belt)…” (Chou, 13). The book does a great job of describing the process from consultation to rehab and life with the system and explains what the pros and cons are. The authors do a great job of staying objective throughout the book, which I feel is a great way to establish credibility. They do not try to persuade or dissuade a patient from the surgery, but instead, present the facts in a way that the patient or family can confidently make a decision. Overall, I recommend this book to anyone who has or knows someone with a movement disorder or if they want to learn about the treatment and disorders like I did. The book does an excellent job of going into a great amount of detail every step of the way from how patients are selected to what questions to ask, what happens during surgery, how the patient is taken care of and the prognosis. It simplifies everything in a way that anyone can understand it, even without any prior background knowledge.

This book gives a balanced approach to the Deep Brain Stimulation surgery. It gives the pros and cons. It also tells the patient about the knowledge and experience gained in the past 20 years.DBS surgery is better than the new form of an old method, ultrasound destroys the few neurons that cause the tremors. DBS does not purposely destroy any neurons. As both my neurologist and my neurosurgeon have said, it is reversible. The ultrasound method is not.

Thank you for writing a book that is full of hope, is easy to read, and makes sense of things that don't make any sense. I am so glad I found this book! If you have a family member with Parkinson's or Dystonia, you really should buy this book. It is very, very helpful.

My wife is being considered for deep brain stimulation for Parkinsons. This book was very informative and thourough andalso was an easy read. We downloaded two copies to our Kindles so that we could both read it at the same time.I would recommend it to anyone who is considering deep brains stimulation or has someone close to them that is.

This book is great for anyone considering DBS or who has a loved one that is thinking about undergoing the procedure. It's written in a very comprehensible way which would make sense to ordinary folks and even for other clinicians and scientists. Good work.

I have had DBS surgery and like to read as much as possible about it..

recommend all potential patients read the book or have a family member read it. It gets to the main points fast and is an easy reading.

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