Why does a dr. insist on parkinson s diagnosis, when all symptoms relate to patient s physical problems? Example; shuffling gait is from no knee cartilage in rt knee, no rt arm swing when walking is due to rotator cuff surgery when 21 yrs old (now 65), and rt arm tremor also from rotator cuff (both since surgery). If a patient did not have these causes of symptoms I could understand a suspicion of parkinson s, but his dogmatic insistence leads me to believe he is either following orders of his drug company patrons, or he is short-sighted (to put it kindly). He prescribed carbadopa, which will lead to parkinson s if I don t have it, and will eventually kill me. Your thoughts, Dr?
Hi, Welcome to Chat Doctor .com I am Chat Doctor.  I have read your question with care and understand your concerns. Let me try to help you.  1. No knee cartilage in Rt knee will not cause Shuffling gait. It will be arthritic gait 2. Rotator cuff surgery when 21 yrs old would not cause any rt arm swing. The arm will still swing 3. Rotator Cuff Surgery will not cause Tremors All your clinical features are classical of Parkinsonism and do not correlate with what you have thought. Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care.