I found it interesting that the JAMA article discussing Dopamine agonists implied that dyskinesia is a relatively minor problem. Our neurologist once related that it was better for my husband to take a higher dose of Sinemet in order to gain greater function, and suffer the accompanying dyskinesia, then it was for him to be under-dosed. My husband is at the greatest risk for injury and choking when he is dyskinetic - and I would imagine that he is not unique. It was during a dyskinetic period that he fell, severely injuring his hamstring. When he is dyskinetic it is difficult for him to swallow - and we've had several terrifying moments when he has choked while eating during these periods. We work diligently to remove as much dyskinesia as possible by manipulating his medication. And I make sure that his neurologist is aware that dyskinesia is much more than a minor irritant - it can kill. ------- God bless Mary Ann (CG Jamie 61/21)