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Dear Mrs Tate: I am sorry that you are having so much trouble. The best solution, however, is to seek a second opinion either from another neurologist or from a movement disorder specialist. Jack's case seems fairly complicated in terms of drug management, and to rely on informal advice as you are doing is looking for more trouble. Jorge Romero, MD ----- Original Message ----- From: "Constance Tate" <[log in to unmask]> To: <[log in to unmask]> Sent: Sunday, August 13, 2000 1:48 PM Subject: med info needed > hi > i am having a problem with jacks condition. he saw the neurolgist that > originally diagnosed > him as having pd. this time i was disappointed with dr. as he had jack walk > about and do some > hand and finger movements then wrote a perscription for generic cogentin to > take 1 tablet > in morning this was mid april. we did not see any change and went back mid > may when dr. > changed pers. to comtan 1 tablet in morning and said to phone in 2 weeks to > report on > jacks condition. we did so and could just speak to nurse--he was better in > morning but > became very slow by mid afternoon. the nurse said she would tell doctor. > after a few days the nurse > [not the doctor] called and told us to increase the sinemet at noon then > call back in 2 weeks to report > again. sshe said if there were any problems the doctor wold see him to > decide how to progess. > by this time i am furious and told our own dr. who said she would speak > to neuro and have him > phone us which never happened. is this usual for patients to have to go > through a nurse and > only speak to dr. at an office visit? > right now jack has seen our local dr. who agreed that he was not > improved and wants him to > go for physical therapy again. right now he is taking > 8 am comptan sinemet cr 50/200 1 senna > 12 noon sinemet 50/200 sinemet 25/100 1senna > 4 pm comtan proscar 25/100 [our own dr. suggested > dropping 50/200 and adding > the comptan instead] > 8pm sinemet 50/200 and 2 senna > my question is how do i tell if he is over or under medicated. he is more > confused and is too > tired to do exercises or anything i suggest. > would appreciate any input or suggestions. at this time he does not want > to see neuro or > any another neurologist. > our own dr. is happy to read my printouts and we have confidence in her. > connie >