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Goodmorning,

Last week I asked the list for advice
regarding a first time visit to a Movement Disorder Specialist.
Last Wed. during our visit, we found discernable differences
between the MDS neurologist and the other neurologists we've seen.
One of the MDS's FIRST insights about my mother
(who is 80/  pd for 10 years)
was that she was visibly depressed, "more depressed than you realize".
She also told us that most pd patients who come to her
are over-medicated.
Happily for us, she took my mother off of her agonist (miripex),
off domperidone and coalesce,
increased her daily simemet slightly
and prescribed paxil, an anti-depressant.
(Does anyone have experience with paxil?)
She recommended tai chi
(why has no other neurologist recommended exercise?).
and her nurse gave us a computer printout of the doctor's suggestions
at the end of the visit.  We never felt rushed nor ignored.

I am writing to highly recommend seeing an MDS
for medical suppport with pd, for those who haven't  yet.
But check with your regular neurologist and family doctor
a few days in advance of the visit
to insure that your paper records are forwarded.
In our case, they hadn't been sent.

To the one person who took the time to answer my question on-list
out of a membership list of 2000, amidst the flurry of postings about list
content,
thanks again Murray for your advice.
To others who post everything from hard core pd info,
to computer nurd info, to poetry and info about depression,
I say thank you all: all of it adds to a portrait of pd that may trigger
insight.
For those who object, lets attend to the message headers,
posting accurate message titles with pd/non-pd designations
rather than censuring the human side of pd.

Joan
(in sunny Ontario
where 2.5 minutes of delete time per day
is a small price to pay for membership in a worldwide pd community)

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