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JASON,
 
I wonder if this survey is starting out with a false basic assumption.  You
seem to have come to the conclusion that there is an increasing number of
younger people developing PD or an increasing incidence in the general
population (adjusted for age).  I am not aware of any data available to base
that  conclusion.  If you or anyone else is aware of data to support that
please post it.  It probably then would implicate something in the
environment and the considerable speculation over the past few days
regarding  the different factors would especially be worth further
investigation.
 
There are a lot of possible reasons that there are more younger PD patients
on the list.  The younger group is substantially more computer literate and
may still be working where we have increased contact and availability of the
"information superhighway".  The older population of PD patients tends to be
more infirm and is less likely to be able to use a computer even if they had
the skills.  And,  culturally younger people are less likely to accept their
doctors word as the whole truth and question authority more.
 
Also our awareness of PD among younger people is considerably hightened by
the fact that we have it ourselves.  My first reaction when my neurologist
colleague made the diagnosis when I was 44 was "John, I'm only 44 how can I
have PD".  I had never heard of someone that young getting PD- and I am a
physician.  That was after I had seen another neurologist friend  for a year
who totally missed the diagnosis.  Now, because I am aware of the
possibility it seems like the incidence of PD especially among young people
has gone through the roof in 6 years. I don't think it is the incidence as
much as it is my awareness of the possibility.
 
It is certainly valuable to speculate on causes but let us not get into the
trap of generalizing from our own changing perceptions. Lets keep up the
exchange of ideas but remember they have to be scientifically validated in
the end. For instance,  we cannot rule in or out the history of drug use as
a contributing factor (except of course MTTP) on the basis of our data
gathered here on the list but we certainly can come up with some ideas
worthy of investigation.
 
Let  us keep up the atmosphere of free exchange of ideas on the list.  As
Barb Patterson says there is no place for "flaming" but let us be
respectfully intellectually critical in our search for answers.
 
I am curious at people's responses to my ramblings.  I will be arround over
the next few days but Saturday I leave for vacation and will be "signed off"
the net for 2-3 weeks beginning Friday or Saturday.  And- looking forward to
meeting Alesandro in Rome- a new friend I have made on the list.
 
Au revoir & ciao
 
Charlie
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 Charles T. Meyer
 Madison, WI
 
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