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Phil I forgot that my attachments would be in old WordPerfect [5.1 DOS] and will send tomorrow in MS Word and/or ascii. I forgot to mention. I'm 68 yrs old. Presume you are much younger. The lack of arm swing is typical. The inability to do rapid repetitive motion to me indicates that you have used up the neurotransmitter at the particular synapse(s) required for that motion. I have the same problem myself with the fingers. I use Sinemet, Eldepryll, and recently Tasmar. I was on Comtan for 5 1/2 years, first in the US trial for safety and then in the effectiveness trial. I think the Tasmar is a more effective COMT inhibitor but there are possible liver problems which I am watching for. I find that Mirpex does nothing for me except give me a head wobble and vivid dreams. Good night. ----- Original Message ----- From: "Phil E.Gesotti" <[log in to unmask]> To: <[log in to unmask]> Sent: Friday, January 12, 2001 9:46 PM Subject: Arm Swing I've had PD now for 4 1/2 years and what was once a loss of natural arm swing is now an inability to even consciously swing my arm. I also find it very difficult to repetitively quickly bend my arm at the elbow from straight to 90 degrees and back straight. I'm taking Sinemet, Comtan and Mirapex, but have problems regardless of where I am in my med cycle. More or less meds doesn't help. How common is this especially this early in the disease? Phil Gesotti