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SJS - You wrote about your mother's swallowing problems. My mother (85 years), who has had PD for about ten years also had extreme swallowing and "gag reflex" problems a few years ago. She went through various mistaken trials--including the prescription drug Reglan for the "gag reflex." We know now that Reglan is a "no-no." It caused much worse Parkinson's symptoms. She became completely immobile and slept most of the day. What ended up working for her was (I don't know the proper terminology for this)--putting a tube down her throat that then stretched the throat. She has to chew her food more thoroughly than thorough. Dinner with Mother takes about two hours, but the procedure worked. Before the procedure meal time with Mother was very painful. She gagged on every other bite, and frequently could not finish the meal. I don't know that this would work for your mother, but it is worth asking questions about. My heart goes out to you. I know the pain. Love, Joan (55 years/PD for 7 years)