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