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David: My wife had a colon resection on Jan 24, came home on Feb 1, and back to the hospital with intestinal blockage on Feb 8, and is coming home today (likely in 12 hrs) barring any complications. Prior to surgery, the surgeon consulted with the neurologist and the primary physician on how to deal with all the medication. First, I provided the medication (NO generic) and a printed dosing schedule. She had no oral food intake for well over two weeks since Feb 24; she got all her medications (glusose, saline, Zantac, heparin, etc. by IV, BUT NO PD medication. Post surgery, she was able to swallow her Sinemet and Permax with a minimum of water. With the blockage, NOTHING by mouth; the Sinemet, Permax, and other medications were ground up in a mortar and pestle, slurried with a little water and pushed into the NG (naso- gastric) tube with a 50 ml syringe, and rinsed with an additional bit of water. Since I had worked as a pharmaceutical chemist, I was able to show the nurses how to do that. And that worked fine, except the one time when an intern prescribed a shot of Phenergan and Barb was spaced out for the day. THE IMPORTANT THING IS TO HAVE THE DOCTORS AGREE ON PROCEDURES, ON MEDICATIONS AND DOSAGES AND MOSTLY HAVE THE NURSING STAFF ADHERE TO ALL THE INSTRUCTIONS AND TIMING. And also after reading two hours of this bulletin, I'd like to sleep for a couple of weeks. Good luck. Michel