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 >