Documented as early as the 12th Century B.C. in Ancient Egypt, ParkinsonBԪַs disease (PD) was first extensively medically described in 1817 by English surgeon James Parkinson.
More than two centuries later, this progressive neurological disorder of the brain now affects more than 17,500 people in British Columbia and about 100,000 people across Canada.
As April marks ParkinsonBԪַs Awareness Month internationally, this time of the year presents a chance to educate the public about this incurable disease, which is projected to double globally by 2040.
ParkinsonBԪַs disease and its symptoms
ParkinsonBԪַs occurs when dopamine-producing cells in the brain deteriorate. Dopamine, an important neurotransmitter for nervous system functions, is responsible for regulating movements and emotions. The exact cause for the death of these cells remains unclear.
Individuals diagnosed with PD might exhibit common motor symptoms including tremors (shaking), slowness of movement, muscle stiffness, and impaired balance. Other less visible and non-motor symptoms frequently observed are fatigue, speaking difficulties, sleep disorders, and cognitive changes among other things. Some have also reported losing their sense of smell.
Despite the common symptoms associated with ParkinsonBԪַs disease, each individualBԪַs experience varies greatly, with unique symptoms and requirements.
Researchers believe that ParkinsonBԪַs is likely caused by genetic and environmental factors. However, thereBԪַs still no clear understanding of what triggers the onset of the neurodegenerative disorder.
Commonly associated with older age, this progressive brain disease typically sees an increased risk of diagnosis as people grow older, with the average age being around 60. However, onset can occur as early as 40.
The risk of developing PD is twice as high in men than women but is known to progress faster and be more lethal to female patients.
Living with ParkinsonBԪַs
Ross Lane, a retired industrial electrician living in Courtenay, was diagnosed last year with the neurodegenerative condition at 76 years old.
Feeling increasingly tired, Lane first met with a sleep doctor who diagnosed him with sleep apnea. After visiting a clinic in Nanaimo, he was given a machine to help him sleep, but after a few months, his condition didnBԪַt seem to improve.
BԪַI (went back to my doctor) and by that time I had clear symptoms,BԪַ Lane said. BԪַWhen I would reach for something, my hand would move very slowly. When I was writing, (everything) would get very tiny. After seeing this, my doctor said BԪַThat doesnBԪַt sound like a sleep problem, it sounds like ParkinsonBԪַs.BԪַBԪַ
Struggling with various motor and non-motor symptoms, Lane said that some are more apparent than others.
BԪַWhen I walk, I stagger around like IBԪַm drunk, but I havenBԪַt had a drink in years,BԪַ Lane said.
When asked how it was to live with ParkinsonBԪַs disease, the man explained it was as if somehow, his BԪַmuscles forgot how to do stuff (heBԪַs) been doing forever.BԪַ
Despite living independently, Lane finds that lifeBԪַs most basic tasks often pose serious challenges daily.
BԪַNormally, you wouldnBԪַt really even think about dressing up because you would just whip your pants on or whatever,BԪַ said Lane. BԪַBut when you have ParkinsonBԪַs, you have much less mobility so I really struggle. ThatBԪַs one of the reasons I went back to coveralls.BԪַ
Some things that many might consider trivial, like flipping pancakes or cleaning oneBԪַs home, take considerably more time and energy for Lane to accomplish.
Regardless of these physical limitations, the retiree mentioned that one of the most debilitating parts of ParkinsonBԪַs is the isolating nature of this disease. After surrendering his driverBԪַs licence for fear of causing an accident, Lane now feels trapped within the confine of his apartment.
BԪַItBԪַs kind of lonely because I donBԪַt have anybody to talk to about it,BԪַ said Lane. BԪַEven though IBԪַm in a support group, we only meet once a month. I canBԪַt walk as far or as quickly as before.BԪַ
This loneliness is made worse by a lack of prognosis.
BԪַThe medical profession will not give me a prognosis and canBԪַt tell me how quickly my disease is going to progress or (when IBԪַm going) to be dead,BԪַ Lane said. BԪַI feel a little abandoned.BԪַ
Comox Valley resident Bev White shares a similar story to Lane.
In 2022, at age 75, she was diagnosed with PD after her partner, Paul Atterton, asked their doctor to take a closer look at WhiteBԪַs gait.
In the following month, the woman was diagnosed with ParkinsonBԪַs disease and Lewy body dementia - which is commonly associated with ParkinsonBԪַs and AlzheimerBԪַs.
BԪַI think there were early signs if you knew that you were looking for. I think a lot of people donBԪַt know (about PDBԪַs symptoms,)BԪַ said White. BԪַI was trying to learn how to play bridge because itBԪַs supposed to be good for your brain, but for the life of me, I couldnBԪַt (learn) anything beyond the very basics.BԪַ
After sharing his life for the last three decades with White, Atterton has seen the state of his partner decline drastically over the past 12 months.
BԪַItBԪַs been two years now and thereBԪַs been a dramatic change, especially on the cognitive side,BԪַ Atterton said. BԪַ(Her symptoms have just) exaggerated over time. The length of the awake day is shortened. Her shuffling is getting more (evident). ThereBԪַs a lot of muscle stiffness, shortness of steps, loss of speech and overall confusion.BԪַ
Atterton describes every morning as a BԪַbusiness meeting,BԪַ during which both review the dayBԪַs schedule, ensuring they stay within a 24-hour time cycle to avoid further confusion on WhiteBԪַs part.
Considering herself lucky to be sharing life with her loved one, White recognized the chance she had to have a supportive partner.
BԪַ(Paul) is a rascal!BԪַ White said laughing. BԪַBut heBԪַs been absolutely amazing and incredibly patient in the last couple of years as weBԪַve gone through all this.
BԪַHe makes me breakfast, lunch and dinner, and washes the dishes. HeBԪַs been very supportive and very patient. I canBԪַt imagine where I would be without him.BԪַ
Yet, underneath this unwavering support, the couple is increasingly feeling the ever-growing weight of this disease. Having to give up his own hobbies and social life, Atterton is now fully dedicated to White.
BԪַI donBԪַt say that selfishly or begrudgingly, but weBԪַre not getting the support we need and IBԪַm basically BevBԪַs 24/7 health care system,BԪַ Atterton said. BԪַShe is not able to live by herself. If I wasnBԪַt here, sheBԪַd be in the hospital today. Bev canBԪַt manage simple things like putting out her medication, knowing what time of day it is or even what house sheBԪַs living in.BԪַ
The hardest thing for Atterton is to witness the disappearance of his lover, day by day, and watch Bev slowly become a shadow of her former self.
BԪַ(Everyday is just) like fixing a puzzle,BԪַ Atterton said. BԪַI had Bev as a 1,000-piece puzzle and now sheBԪַs 400 pieces of it. ItBԪַs changing dramatically every day more so in the last two months than it was in the last year.BԪַ
Despite what the disease brings, White, Atterton, and Lane want to spread awareness about this progressive brain disorder.
BԪַPeople seem to be afraid to even ask me whatBԪַs going on, but IBԪַm not embarrassed by (my condition,)BԪַ Lane said. BԪַItBԪַs just the disease that I happen to have and IBԪַm happy to talk about it. I donBԪַt know if people are not curious or theyBԪַre scared to ask me questions, but I would say ask me about it if youBԪַre interested!BԪַ
For more information about ParkinsonBԪַs disease and to learn more about services and resources available in B.C., visit .
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