Hi Helen, First let me explain that I am the care giver, my wife is the Parkie. I am 72 and she is 71. She has had Parkinsons for over 20 years and until last year we were able to control this nasty disease with meds. Sinemet, Comtan, and Permax along with much trial and error with other Parkinson medication. As you know, no two Parkies react the same so trial and error becomes a way of life. Fortunately we have had Neuros who allowed and even encouraged us to experiment with different meds. For the past year the on and offs have become erratic with longer and longer off time. She has been taking this medication 5 or more times per day. Her main problems are tremor and freezing when she is off. Now days, sometimes the medication gives no relief even if doubled. When she feels cold, I know that she is going into off mode. We were very fortunate to discover the medical team at St. Johns Hospital in Oxnard California and she is now scheduled for DBS next week. We have high hopes for this operation as we have witnessed the results. She was evaluated as a prime candidate for DBS. Unfortunately, not all are able to qualify as there are many flavors of Parkinsons. I hope that this is useful to you and anyone else reading this note. I posted to the list so more people can read about our experience and perhaps gain from it. I offer this only as a statement of our experience [we have a lot of that] and am not trying to give medical advice. For the past several years I have surfed the net for any and all information on Parkinsons and DBS. There is a great deal of excellent information out there for anyone who is interested. Prayer is also a big help, so believe it. Ron Heimback ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn