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Maybe tape-record a few sentences when she is 'on' and when she is 'off' and the times that they were taped and the med times. Also, keep a log of the activity she was doing prior and during the speech in questioned. I have read that Pd'ers have low volume and slurred speech. Consult a Speech and Language pathologist in the hospital setting. Your doctor can refer ur wife to one. nancy m. KF Etzold wrote: > > Carline has problems with her speech too, slurred and low volume. > Her speech is best in the morning and in the evening just before retiring. > There was a suggestion a few days ago on this forum that Sinemet actually > makes speech worse. I am wondering if this is not happening with her. > I am less sure whether the effect is due to the sleep-benefit i.e. simply > resting but this would be inconsistent with an improvement in the > evening. > > K-F cg Carline