My father's oncologist just told us that he could not recommend my dad have surgery or even a minimally invasive laporascopic RFA (a new procedure that has just been FDA approved for liver metastases) if he were to need it because he says whenever you put a person with a movement disorder under anesthesia it risks progressing it. Dad is 81 but in very good condition for his age (heart, lungs & kidneys) & has excercised just about every day most of his life and still plays ping pong twice a week for an hour,swims, walks everyday & drives. He has a significant tremor in his right arm that he has not diagnosed yet but is suspected to be PD. He has decided against temor medicine at this time because he still does not need it. Dad was operated on in '98 for colon cancer (stage III with only one lymph node involved). He recovered very well from that operation. It was later when he got an intestional block due to adhesions from the surgery & was released out of the hospital too early (in my opinion) by his HMO to a nursing home where they put him in a room with someone who had pneumonia! Noone came during the night to his call when his fever went up to 104 degrees to cover him & he almost died of pneumonia before we found out that morning & got him released (it took all day) to the hospital. In any case his PD progressed after that severe fever but I think that was more from neglect. He is now living in an independent living apt. in a continuing care retirement community he loves & where he would be released into an excellent rahabilitation center if he needs it. In any case I think this doctor (he changed to Blue Cross/Blue Shield - he was able to do this since he is a retired federal employee)is looking for excuses not to order scans or to look into Dad's rising blood cancer marker (as a second opinion told us last year to do). He is a preferred provider with Blue Cross & I thought this would be a lot better arrangement than the HMO for an older person but I am beginning to believe he may have certain age/cost guidlines that effect his choice more than the condition of the person's health. Any ideas of this would be greatly appreciated. Best wishes to all, Suzanne