I'm not a medic, so make of this what you will. Levodopa has only a partial impact on my tremor. Nevertheless, it does make a difference. Assuming that you're not already on levodopa, the importance of keeping your job may make it worth trying sooner rather than later.
I went on C/L one year ago. I do fast waking, exercise, gum chewing and physical therapy for balance. I can still walk 2 miles daily, and only have breakthrough tremors, dystopia, and stutter steps, when meds are wearing off. No serious freezing yet, except my fave sometimes. I am a very busy retired person. Tending a farm and doing church activities. Spirituality helps me cope. We believe that we can accept and offer suffering for reparation and the good of others.
I have a problem with dry cough, diminishing vocal volume, and choking on thin liquids which is all supposedly caused by vagus nerve neuropathy ( makes sense as I also have peripheral neuropathy). But if I chew gum the coughing stops and I do not have as much choking. Studies have shown that this works. It was recommended by a voice therapist. I chew gum (aspartame-free) whenever the coughing begins. Usually 3-4 times per day.
I worked full-time in sales-related capacity, out with clients and other reps for hours a day, full-time for 6+ years after diagnosis and then another 2-3 years more but not as full time/actively. I was lucky to have that option and took it more because I was physically exhausted to run around all day like that than because of noticeable symptoms. I've found I notice things more than other people do.
I understand your concerns. Tremor is one symptom of PD I do not have. Most my symptoms (slowness, stiffness) fortunately are relatively mild and although they have progressed over 11 years, do not seem to be that noticeable. Since you are recently diagnosed (or in one post I read of yours, not officially diagnosed), you are probably not taking medication and don't need to deal with wearing on/wearing off symptoms or dyskinesia (again mine are thankfully mild).
I was very driven and successful in my career, enjoyed my clients and thrived on the interaction and contact with them. In slowing me down physically, PD has taught me to slow down internally, to take more time for myself, and to focus on what I do each day as opposed to the things I ran out of energy for. It's helped me to remember that PD is a progressive disease; at least in my case, I didn't wake up one morning suddenly worse. There are also bad, okay, good, and very good days.
I am not sure if you mean financially or otherwise when you write about 'planning' for the future. I truthfully retired a few years before I would have if I didn't have PD. I needed more time for exercise, yoga, and other self-care practices. Hope this helps you in your own PD journey.
Just arrived in my inbox: Today is International Self-Care Day. I'm a huge believer in synchronicity. Thank you for PDWarrior1900 for the reminder.
I had some internal tremors in my very early stages, but I never had visible tremors until recently, 14 years later, and they are not regular Parkinson’s tremors, but more of stress related shaking in my legs when I am extremely low on my meds. There are different types of PD. I have non-tremor dominant PD.
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