Parkinson Weekly

Oruen CNS

Parkinson Weekly is your go-to podcast for the latest insights in Parkinson’s disease. Each week, Professor Bas Bloem, Consultant Neurologist in the Department of Neurology at Radboud University Medical Center, Nijmegen, takes you through his chosen “Article of the Week” – highlighting new research, clinical perspectives, and what it means for patients, carers, and healthcare professionals. Have a question you’d like Bas to answer on the podcast? Email us at parkinsonweekly@gmail.com – we’d love to hear from you. Stay informed, stay connected, and join us every week for clear, expert-led discussions on Parkinson’s.

  1. 5D AGO

    EP 27 - Parkinsonism and Related Disorders

    🎙️ We’re back with the twenty-seventh episode of Parkinson Weekly, hosted by Prof. Bas Bloem. In Episode 27, Prof. Bloem explores an intriguing and under-researched question in Parkinson’s disease: can temperature influence symptoms? Inspired by a 2024 study published in Parkinsonism and Related Disorders by Nahid Mohammadzadeh & Joseph Friedman the episode examines how exposure to cold may worsen tremor in people with Parkinson’s disease. Drawing on both clinical observations and emerging evidence, Prof. Bloem discusses how nearly one-third of patients with tremor reported worsening symptoms in cold conditions—often independent of shivering—while warmer environments may offer relief for some individuals. The episode also reflects on earlier research, including findings from Prof. Bloem’s own “holiday survey,” which suggested that many patients experience symptom improvement in warmer climates, though responses can vary significantly. Importantly, Prof. Bloem highlights the limitations of current evidence—small sample sizes, self-reported data, and a lack of objective measurements—while emphasising the potential clinical relevance of temperature as a modifiable factor. Finally, the episode calls for a more personalised, holistic approach to Parkinson’s care, encouraging patients and clinicians to consider environmental factors such as temperature, and urging researchers to further investigate this overlooked dimension of the disease. Articles can be found here: https://www.prd-journal.com/issue/S1353-8020(24)X0006-1 & https://www.researchgate.net/publication/364544026_How_vacations_affect_Parkinson's_disease Have a question you’d like Bas to answer in a future episode? Email us at parkinsonweekly@gmail.com – we’d love to hear from you.

    13 min
  2. MAR 27

    EP 25 - Article Of The Week: The impact of diet on Parkinson's disease risk: A data-driven analysis in a large Italian case-control population

    🎙️ We’re back with the twenty-five episode of Parkinson Weekly, hosted by Prof. Bas Bloem. In Episode 25, Prof. Bloem explores the complex and evolving role of diet in the risk of developing Parkinson’s disease. Inspired by a recent study published in the Journal of Parkinson’s Disease (2026) by Angelo Gigante and colleagues, the episode examines how different dietary patterns may influence Parkinson’s risk alongside established environmental and genetic factors. Prof. Bloem discusses findings from a large Italian multi-centre case-control study, which suggests that higher consumption of sweets, red meat, and processed meats may be associated with an increased risk of Parkinson’s disease, while fruit intake appears to have a modest protective effect. The episode also places these findings into context, comparing the impact of diet with other known risk factors such as pesticide exposure, metals, family history, coffee consumption, and physical activity, and highlights the emerging theory that Parkinson’s disease may begin in the gut. Finally, Prof. Bloem reflects on the limitations of current evidence — including reliance on self-reported dietary data — and emphasises the need for further research to better understand how nutrition could play a role in prevention and disease progression. Article can be found here: https://journals.sagepub.com/doi/10.1177/1877718X251388058 Have a question you’d like Bas to answer in a future episode? Email us at parkinsonweekly@gmail.com – we’d love to hear from you.

    18 min
  3. MAR 12

    EP 23 - Papers on 'Response Fluctuations'

    🎙️ We’re back with the twenty third episode of Parkinson Weekly, hosted by Prof. Bas Bloem. In Episode 23 of Parkinson Weekly, Prof. Bas Bloem explores the phenomenon of response fluctuations, where the benefits and side effects of oral Parkinson’s medications vary throughout the day. Rather than focusing on a single new study, this episode revisits several influential papers that have reshaped how clinicians understand these fluctuations and their underlying mechanisms. Listeners will learn about key concepts including “on” and “off” states, predictable wearing-off, dose failures, and different types of dyskinesias—including peak-dose and biphasic dyskinesias. The episode also highlights how Parkinson’s disease progression narrows the brain’s therapeutic window, making it increasingly difficult to maintain stable symptom control. Prof. Bloem also discusses an often overlooked factor: the gut. Gastrointestinal issues such as delayed gastric emptying, constipation, small intestinal bacterial overgrowth (SIBO), and Helicobacter pylori infection can significantly affect how levodopa is absorbed, leading to delayed or unpredictable medication responses. Finally, the episode explores treatment strategies—from adjusting dosing schedules and adding adjunct medications to the role and limitations of continuous dopaminergic therapies, while emphasising the importance of realistic treatment goals and expectation management. This episode offers practical insights for clinicians, people living with Parkinson’s disease, and caregivers seeking to better understand and manage medication fluctuations. Listen now to discover how evolving research is shaping the way we approach response fluctuations in Parkinson’s disease. Articles mentioned can be found here: https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(15)00007-1/abstracthttps://movementdisorders.onlinelibrary.wiley.com/doi/10.1002/mds.870120304https://pmc.ncbi.nlm.nih.gov/articles/PMC2865731/Have a question you’d like Bas to answer in a future episode? Email us at parkinsonweekly@gmail.com – we’d love to hear from you.

    28 min
  4. FEB 12

    EP 20 - Article Of The Week: Exploring the impact of Parkinson's disease on driving: a population-based survey

    🎙️ We’re back with the twentieth episode of Parkinson Weekly, hosted by Prof. Bas Bloem. In this episode, Bas discusses Exploring the impact of Parkinson’s disease on driving: a population-based survey, a large real-world study examining how Parkinson’s affects driving ability, licence retention, and conversations between patients and healthcare professionals. Driving is closely tied to independence, identity, and quality of life — yet both motor and non-motor symptoms of Parkinson’s can compromise safety behind the wheel. Bas walks listeners through the findings of this population-based survey, which showed that most people with Parkinson’s still hold a valid driving licence, often many years after diagnosis, with many voluntarily adapting their driving habits by reducing distances or avoiding night-time travel. However, fewer than half had discussed driving with a healthcare professional, highlighting an important and often overlooked gap in routine care. He explores the broader factors that influence safe driving, including cognitive slowing, executive dysfunction, visual–spatial challenges, and the ability to respond under pressure — issues that may not always be captured during standard clinic assessments. Bas also considers the limitations of self-reported confidence and discusses the potential role of structured or simulator-based testing. This episode provides practical, real-world guidance for clinicians, patients, and families, emphasising the importance of regular conversations, early identification of risks, and supportive strategies to help people with Parkinson’s maintain safe mobility and independence for as long as possible. 👉 You can read the full article here: https://pubmed.ncbi.nlm.nih.gov/39545559/ Have a question you’d like Bas to answer in a future episode? Email us at parkinsonweekly@gmail.com – we’d love to hear from you.

    13 min

About

Parkinson Weekly is your go-to podcast for the latest insights in Parkinson’s disease. Each week, Professor Bas Bloem, Consultant Neurologist in the Department of Neurology at Radboud University Medical Center, Nijmegen, takes you through his chosen “Article of the Week” – highlighting new research, clinical perspectives, and what it means for patients, carers, and healthcare professionals. Have a question you’d like Bas to answer on the podcast? Email us at parkinsonweekly@gmail.com – we’d love to hear from you. Stay informed, stay connected, and join us every week for clear, expert-led discussions on Parkinson’s.

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