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I am considering unilateral and bilateral pallidotomy. I am globally-oriented, and wonder if Sweden or the U.S. or elsewhere is best.. I also want to know more from NADH users. I speak French and English. I need advice from those of you who can take the time to write. I rapidly use up PD meds...and have to take them every 2-3 hours, plus heavier nighttime dosing. I have SEVERE end-of-dose tightening and cramping of muscles, painfully slowing down, sometimes 5 or 6 times/da. Tremor is NOT a dominant feature. In fact, it is very limited. I am becoming very tired, and am dreadfully concerned about Maine's long, cold, damp, snowy upcoming winter.. Last winter by the woodstove was exhausting!! I am an otherwise healthy, 46, pd diagnosis March, 1989, actual symptoms as early as June, 1987, male, Euro-American. I am 5'11", 165 lbs., athletic, former college prof(anthropology and anatomy), non-smoker, passionate about life! I am a well-known human rights activist, and am working very hard on passing the Udall Bill. I cannot work outside my home and live inadequately on $746/mo, i.e. Social Security....and feel enmeshed in a tiger's grip by PD. My condition has rapidly worsened (though my spirit is doing pretty well). I have no domestic partner. I have many friends, but my biological family is distant and is responding poorly...this may be because I have a strong gay component in my sexual orientation. Soooo, there you go, friends--I can't be "in the closet" to you. I trust you will be understanding of gay, bisexual and lesbian PWP's (People with Parkinson's). I live with a friend who is like an adopted son, 22. We are strictly friends. He is gay. We share my house. We met in the Maine Gay Men's Chorus. I need 1100-1200 mg. Sinemet/da. I use 4 x 2.5 mg. Eldepryl/da. There are no parkinson's specialists in Maine. I believe my dopamine deficiency is of genetic origins. I am not sure how to evaluate my medical condition. Permax in tiny doses made me disoriented. Parlodel blocks my digestion horribly... Anti-gay doctors and attitudes make my search for care a DOUBLE-WHAMMY!! Please advise. Ivan Mfowethu Suzman Portland, Maine ([log in to unmask]) My Concord grapes are doing GREAT and will be ready in ten weeks......... P.S. Camilla and Sherri, THANKS for your letters...keep them coming! And Janet,what is Bermuda weather like for Parkinsonians?