I subscribed to the PARKINSN List about a week ago. I received the welcome letter and I am just now getting an introduction of my situation to you. I am a science teacher in rural La Junta Colorado. My sister is a writer for her own publishing company in Ft Collins Colorado. I am the one who has the internet address at the moment and will be doing the communicating with the net. Our mother has Parkinsons Disease and we are seeking any help the members of the PARKINSN list may provide. I would like to thank everyone involved with this list for their time and assistance. The following letter my sister wrote describes the situation and questions we have about our mother. We are a brother and sister whose mother was diagnosed with Parkinsons's about three years ago. We are puzzled, confused and very alarmed by her rapid mental decline. We are hoping others can share information with us that might be helpful. Until the onset of the disease, Mom was extremely intelligent, creative, artistic and talented. She was an avid reader. She wrote plays, designed and made clothing, drew, painted, and organized everything from 4-H groups to school programs. Now she does little but sit all day, and she is only 65 years old. Much of the time now she can't tell time, write, figure out how to dial a telephone, cook, or even get her clothes on properly. Worse, she has bizarre hallucinations. We simply don't know what to do to help her. Here are some questions we have: %Mom is taking carbidopa and levodopa, and right now is on, we believe, a low dosage. She also takes lozol (for high blood pressure), premarin (estrogen), paxil (for depression) and prescription-strength ibuprofen three times a day for pain in her leg (probably bursitis). She often acts drugged to us. Furthermore, she usually seems to get worse whenever the doctors give her a new drug or increase the strength of an existing one. We have seen improvement when my father, frustrated, has given her half the amount of some of the prescriptions. Yet the doctors insist there is no problem with over-medication. Can that be true? Has anyone else had a similar problem with a disparity between what the doctors say and the behavior you observe? How did you handle the problem? *Has anyone heard of ibuprofen being associated with hallucinations? We have a young friend with lupus who had problems with hallucinations while taking ibuprofen and now cannot take the drug. We sometimes believe we are seeing an association between ibuprofen and the frequency and severity of Mom's hallucinations. We would like to hear if anyone else has observed problems with ibuprofen. *Is there anything we can do to help Mom's mental functioning? The physical problems, though very difficult, seem manageable. It is the bizarre mental problems that are breaking our hearts and leaving us baffled. (note: a neurologist has ruled out Alzheimer's. The primary care doctor who sent her to the neurologist, however, says that he thinks she "probably has it or something similar," despite what the neurologist says.) A few examples of her behavior: She came into the kitchen last week and asked what her daughter was doing on top of the refrigerator. Her daughter was in the kitchen, but there was only a bag of potato chips on top of the refrigerator...At our Christmas Eve celebration she asked what Mildred (a friend in attendance) was doing in a coffee cup...She has "little friends," children without fingers, whom she sees everywhere. The started appearing about nine months ago. They are generally "friendly" to her, but sometimes they do things like keep her out of the bathroom. Sometimes, however, she has "seen" a man who frightens her terribly. Once she even tried to run away from him, taking off across a field towards a neighboring farm and frightening our father to death...She introduced her visiting daughter and her husband to someone no one else could see...Is this kind of thing typical of Parkinson's? *Can anyone recommend a doctor in our area who specializes in Parkinson's and is board-certified in geriatrics? Mom lives in rural area about 70 miles east of Pueblo, Colorado, so a Pueblo doctor would be most helpful. Other possibilities might be Colorado Springs, Denver, Fort Collins, Loveland and Longmont. She currently sees a general practitioner, a neurologist who visits the small town closest to her every month, and an orthopedic doctor. *Does anyone have any suggestions that might help our mother? Thank you. Cheryl Armstrong Cottonwood Press 305 West Magnolia Suite 398 Fort Collins, Colorado 80521 Michael Miller 2111 Raton Ave. La Junta, Colorado 81050 [log in to unmask]