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He has responded to Requip. His doctor stopped him at 3 mg 3X per day. He was having improvements in his tremoring. I felt it wasn't enough, and finally convinced them to try 3.5mg. This seems to help even more - he now blinks and has expression and more personality in addition to having reduced tremors. When the doctor first told us about Requip, he said we should increase the dose until we saw side effects, then back off. Rich still doesn't experience any side effects (other than drowsiness, which he really had even before the Requip) so I wonder if he should be taking more? On the other hand, does taking more Requip hasten the day when it will no longer work and we have to start on levadopa? Of course, we want to delay that as long as possible. When he was first diagnosed, I researched to find the best expert in the New Orleans area. Dr. Rao was the name everybody gave me. Unfortunately, at the time Rich was diagnosed (right before Christmas) the earliest appointment I could get with Dr. Rao was April 20th, so we are still waiting to see him. In the meantime, we are seeing a neurologist who says he is a lower-body movement disorder specialist, and although I like him, I don't think he has the level of expertise with Parkinson's I am looking for. We have a lot of hopes for Dr. Rao though. Has anyone heard of him? Thanks! Wendy -----Original Message----- From: Parkinson's Information Exchange Network [mailto:[log in to unmask]] On Behalf Of Robert A. Fink, M. D. Sent: Saturday, March 27, 2004 12:38 PM To: [log in to unmask] Subject: Re: No Subject On 26 Mar 2004 at 8:01, Wendy Siegel wrote: > As you know, symptoms do START on one side. Perhaps some people just > take longer to progress? My husband had symptoms only on his right > side for years before they progressed to the left. Even now, they are > still predominantly right-side. In addition, he never hand the classic > "pill-rolling" shake, but has a tremor more consistent with essential > tremor. I would still at least raise a question as to diagnosis. How has he responded to "standard" treatment? Best, Bob Robert A. Fink, M. D., F.A.C.S., P. C. Neurological Surgery 2500 Milvia Street Suite 222 Berkeley, CA 94704-2636 USA 510-849-2555 FAX: 510-849-2557 <http://www.rafink.com/> "Ex Tristitia Virtus" Disclaimer: That which is written in my e-mail is not to be considered as "medical advice". Such advice can only be given after a formal, in-person, consultation between doctor and patient. ********************************************** ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn