With a medical career spanning three decades and multiple countries, neurologist and movement disorder specialist Dr Meena Raj has seen Parkinson’s disease care evolve significantly.
Since joining Gold Coast Health two decades ago, she has focused on movement disorders, with Parkinson’s disease becoming her primary area of clinical and research interest.
“Parkinson’s is a lifelong condition and it’s not something where you see a patient once. You support people over many years and build a real relationship with the patient and their families,” Dr Raj said.
Dr Raj describes the initial diagnosis as one of the most confronting moments for patients and families.
While many patients remain cognitively intact for years, the gradual loss of motor control can impact the most basic activities of daily living, from writing and cooking to dressing independently.
“That slow progression and loss of control is extremely challenging,” she said.
“Patients are still very much themselves, but their bodies don’t always do what they want which can be isolating.”
While there is currently no cure for Parkinson’s disease, she is guided by her belief in individualised care and wants each patient to know they are not alone.
“No two patients are ever the same,” she said.
“I don’t treat the disease; I treat the human in front of me.
“Treatments are symptomatic, but they can significantly improve quality of life, strength and function.”
Only about 15 per cent of Parkinson’s cases are genetic, with most considered sporadic.
While research continues into environmental factors such as pesticide exposure and head trauma, Dr Raj emphasises that much remains unknown.
What is clear, however, is the benefit of exercise, social engagement, and mental stimulation in slowing neurological decline.
Dr Raj is also optimistic about the future of Parkinson’s research.
“There’s constant work happening behind the scenes, and we are far better equipped than before,” she said.
Supporting carers is another key focus of Dr Raj’s holistic approach, all too familiar with the emotional and physical toll Parkinson’s can place on families.
“Care works best when everyone feels supported, so it’s even more important for carers to look after their own wellbeing first and foremost,” she said.
Reflecting on the service overall, Dr Raj has full confidence in the support Gold Coast Health provides to Parkinson’s patients.
“We have experienced clinicians, strong allied health teams, access to approved medications and excellent statewide collaborations,” she said.
“I’m genuinely proud of the care we deliver here, and confident in the public system our patients rely on.”
