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A  Dear George:

        Happy to help.

        1.Didn't feel there were any risks about second procedure. Dr. Kim
Burchiel is Head of Neurosurgery and he did not feel the risks were any
different than the first operation.
        2. The second surgery was to control the left side, so it was done
on the right side of the brain. Dr. Burchiel did discuss the possiblity of a
speech slurring. Gordon now has some speech problems for which he has done
therapy, which helped a lot.
        3. Dr. B. decided on the thalomotomy because of kind of tremors he
had, greatly affecting his right and left limbs. He felt pallidotomy was not
indicated. He is also doing stimulation surgery and we watched that video.
        4. Dr. Mosely was written up in the Billings newspaper last June, I
guess, as that is when we were in West Yellowstone. He was brought there to
set up that department. WE'd suggest you call the hospital and get their
basic information on the Neurology Department. His name was familiar to us.
        5.Second procedure made a great difference in his ability to
fly-fish and to cast. To me (Mrs.) he casts just as well as ever. The change
was over-night.
        6. Tums--Yes. That was the recommendation of the Movement Disorders
Clinic at OHSU Dr. John Nutt. A nurse friend remarked that it is in the
literature and she had totally forgotten about it, evidently a common bit of
information that everyone has forgotten.
        7 Medications: Sinemet; 25/100, 12 a day--this down almost half.
Amantadine 2 a day, morning and noon. Tums at each doseage if Sinemet.
Doxepine- 2 at night to halp sleep. Sometimes a Benydryl if he gets a
coughing spell.
        Also, The Oregon Doctors set-up is about three years old. Dr.
Burchiel studiewd in Sweden, with Dr. Laitenen.
        P.S. Gordon is somewhat unsteady wading--he's not fallen in, however.
He is tying flies again, also.

        Let us know what you decide, please.-Gordon Seese
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