Getting the diagnosis of Parkinson’s disease

It is very hard to imagine what it would be like to be told that you are suffering from a condition which, so far it may have little impact on your life, is going to be there for life and may drastically affect the quality of your future.

Anyone reading this account of patients’ experiences of receiving their diagnosis may feel annoyed that the doctor giving the diagnosis did not do more to comfort, inform or generally reassure them about the future. Maybe they did. But for the person being told the diagnosis the memory of it includes their initial impression and the information that they went on to uncover about what someone describes as their ‘unwelcome guest’.

The doctor may have had to break such news many times before, but it may still be something which is not easy to do right. Some people mentioned how difficult it must be for a doctor to deliver such a ‘daunting’ sentence.

Fiona realised that it might not have been easy for the consultant having to tell them the…

Age at interview 46

Gender Female

View profile

Many people we talked to felt that their diagnosis had been delivered quite brutally, that the significance of what they were being told had not been made clear.

Tom complained about the use of long words like idiopathic, substantia nigra and cogwheel rigidity. Others supposed, hearing the word disease, that this was a fatal illness, even that they might not have long to live.

Gina, who knew nothing about Parkinsons disease at the time of her diagnosis went away confused…

Age at interview 49

Gender Female

Age at diagnosis 42

View profile

Judie described the unfeeling attitude of the neurologist she had gone to see privately and…

Age at interview 62

Gender Female

Age at diagnosis 52

View profile

Ruth described the brutality of the original delivery of her diagnosis, her immediate reaction,…

Age at interview 56

Gender Female

Age at diagnosis 47

View profile

Certain things said in Gaynor’s first consultation stuck in her mind – ‘You and I are going to get to know each other well over the next few years if we don’t fall out or you don’t move’; and to ‘explain’ why she should have developed Parkinson’s disease that it was ‘the way the dice has fallen’. Her doctor also advised her to join the Parkinson’s UK.

When Rachel was told when she was 71 that she had mild early Parkinson’s disease she was advised ‘to regard it as a nuisance and not a tragedy,’ which she thought was a very good piece of advice.

Peter’s GP surprised him by seeming to be prepared to take a bet on his having Parkinson’s disease and offering to prove it by giving him a trial of medication.
One woman, who feels she had made the mistake in going alone to her first appointment, remembers she had been shocked after being told that, while Parkinson’s disease was the most probable diagnosis, only time could reveal whether this was really the case. During the next year her husband refused to accept the diagnosis and this uncertainty seriously depressed her.
Some people were not fully informed what was going on in their GP’s mind. For instance when they referred them on to a neurologist without actually explaining why they were doing this (some were even confused about whether neurologist wasn’t another name for a psychiatrist).

When Penny was referred on by her GP she was expecting to discover that her symptoms were caused…

Age at interview 53

Gender Female

Age at diagnosis 51

View profile

Karen only realised that she probably had Parkinsons disease when she looked up her medication…

Age at interview 45

Gender Female

Age at diagnosis 39

View profile

Most people’s symptoms at the time of their first consultation with a neurologist were quite slight, though persistent. This might explain why at least some people could be in denial (see Path to diagnosis & Early symptoms).

Elisabet was aware that something was wrong but didnt allow herself to consider that it might be…

Age at interview 67

Gender Female

Age at diagnosis 50

View profile

Nicolas feels that he had been in denial and regrets that he failed to share with his partner the…

Age at interview 47

Gender Male

Age at diagnosis 44

View profile

Some admitted to having had some idea about the possible diagnosis before first seeing a neurologist. Bob said that he had thought that it could possibly be something like that because of the symptoms, but he didn’t want to believe that his fears would be confirmed. Ann said that she had lived for three months with the idea that she might have Parkinson’s disease; she had dreaded having it confirmed.

Humphrey had looked up the symptoms and decided that he should write about his experiences.

Age at interview 57

Gender Male

Age at diagnosis 54

View profile

Keith had done quite a lot of research before going to the neurologist.

Age at interview 74

Gender Male

Age at diagnosis 70

View profile

But for many people the news came as a complete surprise, producing stunned disbelief.

One reason for refusing to accept the diagnosis was a belief that Parkinson’s disease affected only old people. Also their symptoms were at this point a long way from the image they had of people with the condition.

Stephen described his reaction to people with neurological problems before he became one himself.

Age at interview 42

Gender Male

Age at diagnosis 33

View profile

Tom came out of the neurologist’s waiting room to the horrific realisation that in time he would…

Age at interview 40

Gender Male

Age at diagnosis 27

View profile

Helen, then 33, was furious when her GP said he suspected she was suffering from Parkinsons…

Age at interview 39

Gender Female

Age at diagnosis 33

View profile

Some people refused to believe that such a diagnosis could apply to them because they had always been so fit and healthy. In the case of two people who had been enthusiastic runners, their running may have helped the early discovery of their disease, as their first symptoms were problems with running.

Steve noticed that he had suddenly dropped from being first in the team to being last for no…

Age at interview 52

Gender Male

Age at diagnosis 50

View profile

Several people felt relief at the diagnosis because they had feared something worse, for instance a brain tumour. Others having had vague symptoms for years – fatigue, pains, cramps, spasms, shakes, had been variously diagnosed as depression, frozen shoulder, repetitive strain or felt they were being labelled as having generally hypochondriacal neurosis (an excessive fear of or preoccupation with a serious illness, despite medical testing and reassurance they did not have it). Philip had suffered from increasingly incapacitating depression which he associated with pain as he waited for a hip operation. Once Parkinson’s disease had been diagnosed and he had started on medication he soon found he no longer needed to take an antidepressant. Peter admitted that at first he felt relieved it was PD and he had not realised how serious the condition could be.

Jean had been told several times that she had nothing wrong with her so her diagnosis came as a…

Age at interview 72

Gender Female

Age at diagnosis 64

View profile

For Elaine too the diagnosis and also the start of treatment made sense of symptoms for which she…

Age at interview 44

Gender Female

Age at diagnosis 43

View profile

Sharon had suspected for some time that she might have a serious neurological disorder and was…

Age at interview 57

Gender Female

Age at diagnosis 49

View profile

Ann came to adopt a very positive attitude to the diagnosis she had been given.

Age at interview 68

Gender Male

Age at diagnosis 66

View profile

People who felt that the diagnosis could have been delivered in a better manner suggested that more information, help with coming to terms with the diagnosis or a referral to a specialist nurse would have helped. Several had unanswered questions. Over time people had found out what they needed to know from the Parkinson’s UK, websites and nurse specialists (see Information & Support and support groups), but others would have benefited from an earlier pointer. Above all they deserved a better appreciation of the loneliness and isolation of the person newly told that they have Parkinson’s disease.

“I walked out of his office and I was sort of stood in this massive corridor in an old Victorian building and there was not a soul in sight and nobody to talk to and nowhere to go. And I just had to walk home on my own with this in my head until I got home.” David.

Telling others

After learning their diagnosis, people had to decide who else to tell and how to tell them. Some people told others straight away, others did...