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本篇文章截止时间为:2018年8月10日前译回
I was 32 when Ihad Parkinson’s disease diagnosed in June 2003, but I had known that somethingwas wrong for almost 18 years. I experienced the first symptoms in my teens,and a few years later was diagnosed as having generalised dystonia.
I researchedthis diagnosis for hours in the library in the suburb of Stockholm where I grewup. I read page after page of medical textbooks, trying to make sense of theways my body was failing me. Sometimes it felt as though my body simply ignoredmy intentions. For example, I was much slower than my classmates at buttoningmy shirt in the changing rooms. My fingers would be slow and rigid, and I feltawkward and sad.
I was empowerednot only by the knowledge I acquired, which helped me to better understand mysymptoms, but also by the process of sense-making itself. To read medicaltextbooks and peer reviewed articles restored a feeling of control amid all theuncertainty.
When I wasfinally given the correct diagnosis, I knew that searching for informationwould be key to managing my disease. The process was easier and more effectivebecause the internet had evolved immensely.
Now I take sixprescription drugs to manage my Parkinson’s disease, combined in threedifferent ways at six different times a day. When I need to change dose, I usemy smartphone to track finger function, allowing me to optimise the timings.These days my neurologist tells me that I know more about research into thedisease than he does.
I am definitelyan e-patient.
Sara Riggare, doctoral student in health informatics
Karolinska Institutet, Stockholm, Sweden
BMJ 2018;360:k846 doi: 10.1136/bmj.k846