I have an appointment with my new Primary Care doc later this morning. I had to change docs because my previous one moved her office back into town. I like knowing that if something comes up, I don't have to drive very far to get to a primary care physician. I hate driving. NJ is the worst. Anxiety, agitation, distraction, lack of concentration. All secondary symptoms. Sometimes I can't talk and drive at the same time - If I'm deep into conversation, I go into "auto-pilot" and miss turns. Yesterday I was driving solo, going to see an old friend. My mind was on other things and before I knew it, I had missed the turn, and drove 5 miles past it. ugh.
My bladder issues with PD are a real drag ! Some people do not know that your brain "controls" your bladder. Cells in the portion of the brain associated with urine control produce a chemical called Dopamine . Its release helps to keep the bladder in the off condition (bladder is relaxed while filling with urine), and prevents the bladder from contracting - when the bladder becomes full, the brain is alerted and then signals the bladder to contract (turn on ) to release urine. In PD, these cells are lost or reduced in number resulting in bladder on and off problems. My biggest issues so far have been overactive bladder and not being able to urinate at all. Overactive bladder for me means sudden urgency but not sure how full my bladder is until I get to the john (feels very full but may not be.) Not being able to urinate at all is serious - I have plenty of disposable intermittent catheters and lube whenever that suddenly happens...Loads of fun ...
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