After getting on and off this list twice I have decided I need to introduce myself. I am #2 of four daughters of Elizabeth age 77/8 and coCG with one sister and an aunt. An increasing amount of the caregiving has fallen to me, in particular medical related stuff. Mom is on Sinemet 50/200 1/2 tab tid, Permax tid(3/day),Relafin 2tabs/day for arthritis.She is having increasing trouble getting around and performing tasks. She still lives in her own home. My questions are four. Is there a way we can tell if she is functioning at her best?(this may seem to be a silly question)She says she stays in a mental fog and is not able to give her doctor specific feedback.It all seems to be trial and error to me with long periods of waiting in between adjustments of medication. Has anyone else had this mental fog problem and did you find a solution? Perhaps it is not parkins. related? Whenever her M.D. tries her on something new (the most recent thing was Mysoline) she will take one pill, it will make her dizzy or groggy and she will say she never wants to take it again. The M.D. says if she will take it awhile she will acclaimate to it, but she usually can't stand to take more than about three days of it. Has anyone had these experiences? Can anyone recommend a neuro who specializes in Parkinsons close to Knoxville, TN.? I would greatly appreciate and feedback you can give. Thanks. ========================= Susan Davis [log in to unmask] View my husband's Web-Site at http://m-media.com =========================