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List family, Ivan said in part: > My 45-ish family doctor has just used the words, "END STAGE PARKINSON's" to describe my symptoms. THIS is truly challenging, something I must give considerable thought to, then try to forget about, and only then, try to beat it back by living VERY mindfully. It seems that Ivan has done what anyone who is told depressing information about his/her health must do. He has thought about it, decided to not dwell on it, and has pushed the information to the back of his thoughts and is still LIVING, and DOING the things he determines are MOST necessary to his living. IE, still advocating for those disabled by PD, still singing or doing the things he enjoys, still asking questions, still being the Ivan we have come to know through this forum. Keep on living, coping, questioning, advocating Ivan! Your doctor was just giving you his opinion on what for him might have been a "bad" day. Who knows, on that particular day you might have been in a bad "off" during the dr visit. Hang in there, Jeanette Fuhr 49/47/44?