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Sorry to send this way but previous post never showed (?) so i am trying 
resending it    -  thanks for your  patience 

My name is John.   I was diagnosed with PD in 2008 at age of 50.  I've been 
following this listserv since then but have had little to contribute.  I have been 
fighting the fight, best I could with exercise, diet and minimal medication.  I 
have been able to continue working as a teacher, although it is getting harder; 
on feet all day - great; paperwork at computer all evenings and weekends - 
killing me.

Alas, about 18 months ago I switched to a different neuro and started the 
Sinemet/Stalevo drill, which completely relieved my symptoms. As required 
dosing times have now dropped to about 2 1/2 hrs,however,  my neuro has 
informed me "that it is time for DBS."    Since I've only seen this neuro 4 times ( 
for a total of about 30 minutes) , the neuro has never seen me "off" and 
doesn't have time to discuss options, I feel that I need a 2nd opinion and 
possibly a new neuro.

Therefore, I am reaching out to the listserv for advice.  

1) I would especially appreciate recommendations for neuro in Buffalo,NY area .

2) Also thoughts, experiences on how to find best place for DBS in the region 
(Buffalo, Rochester, Cleveland, Toronto). 

Ray, I remember that you and quite a few other list members have mentioned 
loss of your voice as a major negative consequence to your DBS.  Since I am a 
teacher, I have resisted the idea of DBS in the past because of this. 
Furthermore, I would have to take extended leave this year; since I am in a 
system that does not grant tenure, I sense that taking leave would mean no 
contract renewal.  

I was hoping that DBS would buy me a few more years at teaching.  My family 
is suggesting that that opportunity is gone, that I need to focus all my efforts 
on my health as I prepare for the long, arduous fight ahead.   They suggest 
that I go on leave, file for disability, get the DBS and use the time it buys me 
to focus on exercise and nutrition;  they suggest that DBS only buys me a few 
years and it makes sense to concentrate on exercise, nutrition and family while 
I can.   Any thoughts ?

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