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  I don't know why this did not come through in my 2 previous attempts
Sorry about  any inconvenience this  may have caused,.

Rick, Mary Ann  and Jann.

Unfortunately Mary Ann's expense with her husband is similar to mine .
I  have had  PD diagnosed 16 years ago  and I have had a significant
reduction of ny speaking skills and consequently my ability to converse
with others.  My ability to speak has diminished due  to my motor
function of my facial muscles I form words with as well as slowing of my
thought processes and inability tot word find ..  This leads to social
withdrawal.   My cognitive abilities are only slightly affected  and I
want  to join conversations but I speak so slowly and haltingly that it
is quite difficult. for me and the people I do converse with. Talking on
the phone is quite difficult too.

BTW  citralopam is an antidepressant which came out after I  stopped
practice.  Therefor I have no experience with it .  It is my guess than
the CLINICAL NURSE SPECIALIST   that your husband saw  was concerned wit
his speech reduction as a result of depression which can create a
clinical picture similar to that of dementia.
Charlie

Charles T.Meyer, MD
Middleton  WI

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