Patient : Unilateral tremor, no pill rolling or cog wheel rigidity noted. Tremor is in left hand. Started as a almost unnoticeable fine tremor, progressively worsened, and has moved up arm and now slightly noticeable in the bottom lip. No interference with activities of daily living, as the movement can be stopped when becomes consciously aware of it. Neurologists feel it may be early Parkinson's and prescribed Azilect and primary care physician disagrees, feels it may be medication induced but has not made any changes. This is my grandfather,he is 75, only major medical problem is heart disease with bypass 14 years ago and recently placed stents. I need further guidance in what I should do,look for, request of his physicians. Thank you.
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