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Thanks to Bob Howard for his explanations. I know that we were annoyed that we had to "shop for a good doctor"; who wants to go shopping when you're sick? But handling illness has become more a patient's responsiblity than it was in previous years. Don knows more about PD than his doctors do; his doctors, however, know more about medicine. Together, doctors and patient work out the best course of treatment. I don't think we were "fortunate" to find doctors who care; we just quit going to those who didn't (or didn't seem to). We were constrained by those on the HMO's list, of course, but we found suitable care within those constraints (except for the stim. surgery, of course, which we are still paying off by moonlighting). Joanne Sandstrom [log in to unmask] CG for Don, 58, 21 yrs., sinemet & eldepryl, stim surgery 6/94