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Joyce, I agree with you that everyone experiences benefit from pallidotomy. It's a bit like comparing apples and oranges sometimes when comparing benefits among patients . Many times the improvements are a very subjective and internal thing. Something that may be felt by the patient but not visible to the observer. Those improvements are equally important. One of the beauties of outcome is that we are often able to take more Sinemet to control symtoms on the "other" side without experiencing the awful side effects. It is very im portant for patients to remember' that Pallidotomies, Thalamotomies and DBS are not cures - just very good control techniques, allowing us to "buy some time" until the next best treatment,medication and ultimately comes along Terrie Whitling