On a positive note: Although it has ben almost a year since diagnosed (male, age 65), and although I don't think I am any less depressed, angry, frustrated, and insecure than I was at the outset, I have experienced some positive feelings as well. My wife (caregiver) and I just returned from a long tourist/weekend in Toronto. We walked for miles, dined, drank, went to see a film, attended a jazz session, and stayed up late. We did the same thing a year ago and I was exhausted, stiff, and uncomfortable most of the weekend, and could not keep up with my wife - walking crowded streets was a chore. But this trip was different! Perhaps it was my meds ( Eldepryl and Sinemet CR). I had a great time, was ready for more, and outpaced my wife who could not keep up with me. I was aware of the difference even before my wife - a more objective observer - commented on the difference. Hopefully this "up" time will continue this fall when I go back to work in the classroom and lecture. All of the above is just so that I can remind everyone of a positive observation that has been made on this List from time to time, namely: The conclusive diagnosis of Parkinson's Disease is generally made a year or so after the initial symptoms first appear. By the time a medical diagnosis of Parkinson's has been made there have already been indications of tremor, rigidity, micrographia, slowness of movement, postural and gait changes, and stiffness of muscles. These symptoms vary with the individual. So too, the progression of Parkinson's Disease and the severity and frequency of the symptoms vary significantly. Some PD'ers have postural, gait, and rigidty problems early in the disease while for others tremors predominate. For some the progression of the disease is slow. For others, the time period between diagnosis and significant disability can be short. But, in addition to the idiosyncratic nature of Parkinson's Disease we must also note that the progression of the disease is not necessarily linear. A patient's disability - physical and mental - may slowly deteriorate over many months and then suddenly improve and stabilize for a considerable period. There is, in addition, a variable response to medication by Parkinsonians and by the same individual during certain periods of time. None of us can avoid the grim future unless and until a cure is found. In the meantime we need to grab on to a positive thought from time to time. +--------------------------------------------------+ | Sid Roberts [log in to unmask] | | Youngstown State History Department | | University Youngstown, OH 44555 | +--------------------------------------------------+