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Mary As Parkinson's progresses, particularly if you are not having text book symptoms, a movement disorders specialist can be god sent. It is very helpful to have someone treating you who is not afraid to balance drugs......change drugs.........recognize drug reactions/interactions......and understand that although you are doing ok during the 15 minutes in his/her office..........that 30 minutes from now you may be unable to move. The sooner treatment and referral to allied medical professionals can begin..........the easier your adjustment will be. Pitfalls can be spared. I would fight with all of my might for a movement disorder specialist. Several new drugs are soon to be released by FDA.................theories change. The first neuro I saw was not comfortable treating chronic degenerative conditions in a patient his own age...........he could cope better with stroke/accident/seizures..............thank heavens he referred me to a specialist. Neurology is a widespread field: tumors; seizures; children; MS; Alzheimers; etc........each is very different None of this is said to degrade the general neuro and general practioner who may be empathetic and willing to search for some of the answers and be more helpful to some patients than an overcommited specialist in some instances. Rita Weeks