Good people: I have been advised that I will be needing bi-pass surgery (open heart) sometime soon. My concern is that anaesthetic management is especially difficult in a Parkinsonian; in particular, control of rigidity, etc while maintaining gastric suction and nothing-by-mouth.. Who is in charge of oral medications when the patient is "off"? I'm sure that we have P-D persons who have been thru this rock and a hard place during the past few years; and all responses will be acknowleged promptly. Thanks for your help...... Dave n Lyn P.S.: Dawn in Australia confirm your fine letter hope I do as well