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and Hello to you Diane: I have been a care partner for over five years, and though my wife was fairly quickly diagnosed by a most competent MD, his lack of experience with PD led to overdosing Sinemet. That leads to dyskenesia and importantly reduces the time span during which Sinemet can be effective, and agonists (e.g. Permax) is needed as a synergist. My point is that the more information you have, the more intelligently you may be able to find a neurologist who is more experienced with PD, and can ask more pointed questions. PD is extremely complicated and no doctor knows it all, but they know a lot more than we do, and trust implicitly our neurologist, cardiologist, internist, etc. Good luck, Michel