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i had posted about a wk ago a note re my friends and my experience at loma linda with dr Iacono. Reading Barb Mallut's note, I tend to respond. I had met Dr. Iacono previously at both a lecture he gave on fetal implants and privately at a consultation with my friend, parkinson patient. we all agreed he seemed to be a most probably very talented and enthusiastic surgeon. He was very interested in performing the pallidotomy on my friend. I very much agree it is a "deeply personal experience" and that everyone will relate to any given doctor differently. however i do think that given the "raw nerves" and fact that brain surgery is scary and yes, faith must be had in the dr., well, then, our experience there was one in which there seemed no evidence for trust, faith. a good looking, dramatic doctor does not necessarily make for pre-surgical stability, nor the trust, hope, etc. necessary for the work involved in going through such an emotional situation. actually, that was the letdown for us,...we had worked so hard on all of our own emotional preparation for the surgery and it all fell apart as a seeming chaos was created in the room. however, i must also say that i spoke personally to the doctor as he was deciding what to do and it wass agreed that he both could not do surgery on a patient as terrified as my friend and also that he had not helped an already scary situation by entering the room yelling at all those around. i really do think he has an excellent track record and would still recomend him. it is true, personality is not completely important in a surgical situation, however, how the doctor handles any given situation, professionally and bedside manner will always be important as we are all human beings.