One of the most disruptive aspects of a disease like Parkinson’s is the lack of predictability, which shows up in many ways. In the long term, there is the unpredictability of how quickly and in what ways the disease will progress. There is the shorter-term uncertainty of how each of us will respond to any given medication or treatment. And then there’s just the unannounced “Parky day.”

What do I mean by a “Parky day”? It’s one of those random days when you didn’t do anything out of the ordinary. You got the usual amount of sleep, you took your medication at the right time, you’re hydrated, and there’s no unusual stress or activity — but you just feel like crap.

It’s tempting to look for a culprit when you have a Parky day. When you say you aren’t feeling great, it’s natural for those around you to ask what caused it. It’s natural to ask yourself, too. And it’s good to try to understand possible triggers so you can avoid them in the future. But with Parkinson’s disease, sometimes there is no apparent reason for the increase in your symptoms.

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