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(DBS) Deep Brain Stimulation – The Latest Advancements

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Davis Phinney Foundation for Parkinsons

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Dr. Joohi JimenezShahed sits down with us to discuss the latest advancements in DBS.

0:00 Introduction
3:15 What is DBS and how does it work?
4:32 How does a patient know they’re ready for DBS?
6:08 Who is the ideal candidate for DBS?
9:24 Is there an age limit to getting DBS?
10:49 Are there any nonmotor symptoms that improve with DBS?
13:01 What is the history of DBS?
16:25 What types of DBS devices are available?
18:09 Who decides which device you get?
19:42 Are there certain criteria for choosing which specific device is used?
21:36 How does one go about finding and selecting a neurosurgeon to do the surgery?
23:51 What are some of the pros and cons of different types of batteries?
26:35 How long do the nonrechargeable batteries for last and what does the process look like to replace the battery?
27:48 What does programming your DBS look like?
29:36 What are the DBS options for individuals who are more remote and underserved?
31:40 What are some of the limitations of the technology?
33:50 Is there an average number of years that patients do well after receiving DBS?
35:14 Is there an advantage to getting DBS earlier in the course of Parkinson’s?
39:17 What are some of the exciting advancements happening in DBS right now?
42:20 Is DBS reversible?
43:45 As Parkinson's progresses, is the battery level required to maintain the same level of performance increased?
45:02 Does DBS help any other Parkinsonisms?
46:42 How long does DBS surgery take?
49:03 What is the success rate?
50:25 Can you upgrade your DBS?
51:56 Are there any lifestyle changes that need to happen after DBS?
54:16 What is the cost of DBS and is it covered by insurance or Medicare?

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