Movement & Neuroperformance Center of Colorado, P.C.
Movement & Neuroperformance Center of Colorado Newsletter 
Neurology - Rehabilitation - Deep Brain Stimulation Specialty Clinic 
In This Issue - The Patient Perspective
Meet Jill
Off the Cliff
Ready for Surgery
Adjusting Stimulation
DBS Expert
Patient Testimonial
Back on the Bike
"Within hours of seeing Sierra for re-programming, his stride, balance, energy and facial expression were coming back."
Comprehensive Deep Brain Stimulation Services
* DBS Education
* Evaluation for Surgery
* Expectations
* Team Approach
* Collaborative
* World-Class Care & Outcomes
PD Blog
Get answers to your questions!
Dr. Giroux's Blog serves a world-wide audience.  
Follow the blog. 
Submit questions. 
Learn from others. 
DBS Blog
DBS Programming Blog now available. Practical and technical information about DBS. 
Follow the blog. 
Submit questions. 
Learn from others. 
Upcoming Events
   Archimedes Spiral
Quick Links
 





Our Events and Classes Calendar
are added frequently. See our calendar for the latest information for the happenings at the Center.  
Dr. Monique Giroux
Dr. Giroux
Medical Director and CEO
Sierra Farris, MA, MPAS, PA-C
Director DBS Services 
Our Location Offers Free Valet Parking
499 E Hampden Ave
Suite 250
Englewood, CO 80113
303-781-0511
 
Issue: 4.0Summer 2013
  
Greetings!
 
Greetings from Colorado's Movement & Neuroperformance Center
Empathic Care. Empowered Patient. Mindful Healing. 

The summer newsletter is devoted to the Patient Perspective. The patient experience with their diagnosis and healthcare is important to highlight so that we gain an understanding about the patient's journey. This understanding is critical to improve how we care for our patients. This edition will highlight the patient experience before, during and after deep brain stimulation (DBS), a surgical procedure that improves quality of life and quality living for our patients.  
Meet Jill -
Mother, Wife, Successful Business Woman, E
ntrepreneur, Volunteer 
 and person living with Young Onset Parkinson's
The Journey

In early 2005, I noticed that my left index finger was sticking straight out. For the next five months it was doctor after doctor. One of the doctors suggested I had dystonia and I started Mirapex. It seemed to work. 

 

After my doctor retired, I found a movement disorder neurologist that informed me "you don't have dystonia. You have Parkinson's." I had just turned 42 and I was devastated. 

 

Only about 10% of people diagnosed with PD are under the age of 45. Unfortunately, I am not a stranger to Parkinson's disease; my mother was diagnosed in 2001 and my younger sister was later diagnosed in 2011. 

 

Over time, my symptoms progressed, so my doctors increased my dosage and eventually added Sinemet, the most commonly used medicine for PD. That seemed to work. I also got Botox injections to control the cramping in my left hand; it helped, but my hand lost all strength. Through it all, I continued to raise my children, run my business, work out at the gym and generally live a normal life. 

Time to get off the cliff
My New Neurologist 

When I arrived at the office of Dr. Monique Giroux I was at my wits end; hurting, not sleeping, tremoring like crazy and scared beyond belief. After hearing my saga she calmly suggested we first worry about "getting me off the cliff" and then talk treatment plans. After taking me off all of the meds possible and ensuring I was safely off the cliff, she ordered major blood work to determine if anything else was going on inside my exhausted and aching body and brain. She then suggested we take two simultaneous paths; one path for natural healing and the other path towards Deep Brain Stimulation surgery. 

 

The road to DBS is not quick as there is about six months worth of hoops to jump through in preparation. The MRIs, blood work, x-rays and doctor exams are fairly easy; the hard part is the four-hour evaluation by a neuropsychologist. In the meantime, I continued with the exercise, the gluten-free, the probiotics, the acupuncture, the chiropractic and the hypnotism. 

And I continued to get worse.

 

My 12-year-old son had to help me get dressed, I couldn't go to the gym because I hurt too much, I wasn't sleeping, I was ineffective at work and I was getting completely depressed. I had to have the surgery. 

 

I couldn't live like this anymore.

Ready for Surgery
The Big Day Arrives 

So there I lay, getting prepped for DBS. Four nurses were sticking needles in my arms and shaving the side of my head. The anesthesiologist had just told me - and had me sign off on - all of the possible horrific complications there could be, most of which I could die from. I asked my husband Alan, who was looking quite pale, "Are you scared?" He nodded as his eyes welled up with tears. It took everything in me to not shout 

 
"Stop! I've changed my mind!"

 

The DBS team put me under anesthesia and when they brought me back up to consciousness, there was a nickel-sized hole in my head and a four-inch wire plunging into my brain. They woke me up to do the testing, but the brain has no feeling, so it didn't hurt at all. However, it was weird when they turned the electricity on to test my reactions. They checked different wire locations and amounts of power for about 30 minutes until the surgeon was pleased with the results. Then they put me back under, tunneled the wire down my skull and neck and implanted a battery in my chest. After a total of seven hours in the operating room, I awoke in the recovery area. Eventually, my husband and youngest son were able to come see me. We all cried.
 

The worst was over.

 

I spent just one night in the hospital and then was sent home the next morning. For two days I experienced a honeymoon period, meaning that although my DBS power wasn't turned on yet (and wouldn't be for three weeks), I was oddly symptom-free, a fabulous side-effect due to the swelling in my brain. After that second day my symptoms returned. The next day my husband removed the bandages from my head. After five days I was allowed to wash my hair. After two weeks I was back at work. But during those first three weeks post-surgery, I was back on all my Parkinson's meds, as I had to wait for the post-op swelling to subside in my brain before the doctors could turn on the neurostimulator. 

Adjusting Stimulation
DBS is not a cure

Three weeks after surgery Alan and I met with Sierra, my Neurostimulation Programmer (yes, there is such a job), to get my unit turned on. The night before I had to be off meds again and had yet another sleepless night. But when Sierra turned that thing on, my tremoring and cramping instantly and completely stopped. 

 

Alan and I both cried. Crying has become a part of our world, 

but this time it was tears of absolute joy.

 

I now have a plugged up hole in my skull, 1.9 volts of electricity running from my chest, up my neck and into my brain and a really bad haircut... and I haven't felt this great in more than two years. In the six weeks since I've been "turned on" (I love saying that!), I have been completely symptom-free. I am sleeping like a baby through the night and am down to three pills a day.  

 

Parkinson's is a progressive disease and although the benefits from DBS should last me at least ten years, I will continue to get worse. The surgery only helped the one side of my body that needed it, but eventually I will start to be symptomatic on the other side and will have to get this all done again. My battery should last around five years and then will need to be replaced. I am keeping my fingers crossed that during the next ten years a cure is found for this terrible condition. 

 

In the meantime, I'm back to being a mom, a wife, a business owner and a volunteer. I feel that the best way for me to deal with this condition is to speak up. Parkinson's will be a part of my life until there is a cure, but it doesn't define my life...I define my life! 

 

Jill Ater is founder and Chief Operations Officer of 10 til 2. 

Deep Brain Stimulation Expert - Sierra Farris
World class DBS care in Colorado 
Sierra directs our Comprehensive DBS Program with over 13 years specializing in DBS. Experience at the Cleveland Clinic gave Sierra the rare opportunity to work alongside leaders in DBS therapy and participation in novel DBS research. Sierra and Dr. Giroux bring the world class care philosophy of the Cleveland Clinic to their patients in Colorado. 
 
Sierra works with Dr. Giroux to adjust stimulation and medications for their patients. She also assists in surgery testing stimulation to assure optimal electrode placement for each patient's unique symptoms. Sierra is most noted for her intensive troubleshooting clinic tailored for people that have DBS side effects or unsatisfactory results with a success rate of over 90% in finding a cause for poor outcome. Sierra is a national instructor for Medtronic teaching many clinicians over the years how to adjust stimulation and troubleshoot problems. Learn more about Sierra and the Comprehensive DBS Program at the Center.

We hope you enjoy reading the Patient Perspective edition of our center's newsletter. On behalf of the Movement & Neuroperformance Center of Colorado and our staff, we hope this year brings you peace, happiness and a sense of empowerment. 
  
Sincerely,
  

Dr. Monique Giroux

Medical Director and Co-Founder
Movement & Neuroperformance Center of Colorado

  

Sierra Farris, MA, MPAS, PA-C

Director Deep Brain Stimulation Services

and Neuroperformance Programs