Dear David, Please excuse my delay in responding to your last request for further information. I have been on a wonderful motorhome vacation over the last month as we toured the United States. I am choosing to reply to your private note in a more public way since I believe others may benefit from the questions you raised. Let me begin by saying I have the highest respect and regard for Dr. Iacono. Simply because he is such a straight forward doc who is not afraid to "call it as he sees it". A characteristic which has not always put him in the good graces of the medical community. Yet a charactreistic which I feel is most important from the patient's standpoint. In no sense is Dr. Iacono skewing his results by glossing over the failures of which he will admit there are 4-5 out of 160 plus pallidotomies at this point. Even these which were primarily the result of internal bleeding were not a total wash. One woman who had sufffered a stroke as the result of the pallidotomy when she had wrongly taken aspirin in the 24 hour period before surgery, said tome the relief from the Parkinsons still was worth the stroke she suffered. I woud say that everyone is experiencing between a C+ and and A+ result. No one is dissatisfied, in fact all patients are extremely grateful for the restoration the pallidotomy has accomplished. Dr. Iacono has in reent months done perhaps 30-35 bilateral pallidotomies, all with excellent results. He is now doing bilaterals as the rule rather than the exception, which is wonderful because a person is fixed up all at once rather than having to come back six-nine months later to have the other side done. Why has his technique which is so promising not spread like "wildfire" among the community of surgeons is a question we alll have at this time. It is certainly not due to Dr. Iacono's desire to keep it a secret. In fact to the contrary he is more than willing to have neurosurgeons come spend time with him and learn the technique. The advantage that Dr. Iacono has over other surgeons, in my opinion, is not just his consummate skill and technique, but a real passion for the patient and a willingness to do whatever it takes to help a patient get well. Plus he has dedicated his life to studying Parkinsons. Parkinsons is not just one of several diseases he is concerned about it is the disease he has personally dedicated himself to battling. Furthermore he not only is very confident in his abilities as a neurosurgeon but he is well aware of his own limitations as a finite human being endowed and blessed with certain skills by the author of every good and perfect gift, the Lord God. There is a spiritual sensitivity and discernment about Dr. Iacono that I find remarkable. The lesion is made through the application of heat, approximately 65o-70o C. for 20-30 seconds. Finally concerning the atmosphere at Loma Linda. It is fantastic. The best I have experienced at any hospital in the U.S. God bless you David and Aviva, and if there are any more questions I can help with please do not hesitate to write. I have put a brochure in the mail to you. Pallidotomingly, yours Don Berns <[log in to unmask]> To: Anthony Foster I would be happy to talk to your friend about the Pallidotomy. My phone number is 818-790-8812. To: Joan Yarborough, don't give up hope, although "atypical PD" of Parkinson's Plus does not respond as readily to the Pallidotomy Dr. Iacono would be glad to see your husband. To: Someone who asked if they could excerpt part of what I said last month via Internet in a newsletter in Canada, that is fine with me.