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Hi Janet: That is exactly my point - there is no consensus. The field is sharply divided between those who would recommend agonist first and those who would recommend levodopa first. To be really fair to all our PWP, regardless of which side of the argument one favors, one should always mention the lack of universal consensus and the availability of alternative approaches, and our willingness as neurologists to tailor an individual program for each PWP. Jorge Romero, MD ----- Original Message ----- From: "janet paterson" <[log in to unmask]> To: <[log in to unmask]> Sent: Friday, March 24, 2000 11:27 PM Subject: Re: PMID: 10495031: The initial treatment of PD / ? > hi all > > At 09:00 PM 2000/03/24 -0500, Hans van der Genugten <[log in to unmask]> wrote: > >Mov Disord 1999 Sep;14(5):716-24 > >The initial treatment of Parkinson's disease should begin with levodopa. > >Weiner WJ > > there was a study released at about the same time > that stated > "the initial treatment of PD should begin with an agonist" > > go figure! > > janet > > janet paterson > 53 now / 41 dx / 37 onset > a new voice: http://www.geocities.com/janet313/ > 613 256 8340 PO Box 171 Almonte Ontario Canada K0A 1A0 >