DEAR reader, WHAT follows is a 8 weeks follow-up of my 2nd side Pallidotomy. I apolgize for the size of the type and the structure but I was fiddling with a report format since this document went to my personal Neurologist. WHAT'S IMPROVED I'M HAVING NO SERIOUS OFF TIMES DURING THE DAY.THERE ARE NO SYMPTOMS OR DRUG SIDE-EFFECTS SERIOUS ENOUGH TO DISABLE ME ALTHOUGH THERE IS IN EACH DAY A TIME TO REST. I NO LONGER HAVE THE SEVERE DYSTONIA IN MY RIGHT FOOT AND ANKLE. THERE IS NO LONGER ANY RESTING TREMOR ON MY RIGHT SIDE....UPPER AND LOWER TORSO.. WALKING IS FUN AGAIN. MY HIP AND BUTTOCK MUSCLES HAVE MOVEMENT IN THEM I ACTUALLY HAVE A BIT OF A SWISH TO MY WALK. SINCE I'VE NOT USED THESE MUSCLES THEY LACK THE STRENGTH TO CARRY ME ANY GREAT DISTANCE BUT IF I CAN GET A MILE OR SO IN EACH DAY I'M HAPPY. I'M ABLE TO FUNCTION FROM THE MOMENT I AWAKE IN THE AM [I NOW GET ABOUT 6-8 A NIGHT OF SLEEP . NO MORE 3 AM AWAKENINGS].I SPRING[WOULD YOU BELIEVE CRAWL?] FROM BED, GET DRESSED , HAVE BREAKFAST , READ THE PAPER, KICK THE CAT ETC BEFORE MY MEDS KICK IN. WHAT'S NOT SO GOOD. I'M HAVING SOME PROBLEMS WITH MY SPEECH BOTH WITH VOLUMN AND ARTICULATION. THIS IS ONE OF A SERIES OF MOUTH /NECK/THROAT PROBLEMS SOME OF WHICH EXISTED BEFORE THE SURGERY[ DENOTED BY THE LETTERS "BS"] AND AFTER SURGERY WHETHER IT EXACERBATED OR CAUSED THE SYMPTOM[ DENOTED BY THE LETTERS "AS"] * ARTICULATION MAINLY "AS" BUT WITH SOME "BS" * VOLUMN MAINLY "BS" BUT WITH SOME "AS" * TROUBLE SWOLLING PILLS BUT NOT WITH FOOD. CLEARLY "AS" * TROUBLE CLEARING MY THROAT. CLEARLY "AS" * RESUMPTION OF MY CHRONIC COUGH AND HEART-BURN. CLEARLY "AS". * TROUBLE OPENING MY EYES ESPECIALLY IN EARLY AM AND LATE PM CLEARLY "AS" * RUNNY NOSE "AS" * SOMETIMES MY FOREHEAD FREZZES WHEN I FROWN. "AS" * AND I STILL HAVE MY LEFT SIDE PROBLEMS WHICH NOW ISOLATED SEEM TO EMERGE AS BIGGER BEASTS WHO WANT TO MESS WITH MY MIND AND BODY WITH THE DISAPPEARENCE OF MY RIGHT SIDE RESTING TREMOR MY FAMILIAL TREMOR IS MORE PRESENT. MY WRITING CLEARLY HAS GONE DOWN HILL "AS" AND "BS" IN EQUAL PARTS. MY LEFT ARM IS INVOLUNTARILY ROTATING INWARD SUDDENLY. STARTED ABOUT A YEAR AGO WHEM IT OCCURRED WHEN I PICKED UP A HEAVY OBJECT FROM OVER MY HEAD. NOW IT HAS ADVANCED TO THE POINT WHERE I CAN BE CARRYING SOME LIGHT OBJECT AND MY ARM TREMORS AND ROTATES INWARDLY. THIS IS ESPECIALLY TRUE WHEN I'M CARRYING SOME THING HEAVY IN MY RIGHT ARM. TODAY IT OCCURRED WHEN I WAS LIFTING A HEAVY DISH AND WHEN I WAS REMOVING A LIGHT PIE FROM THE OVEN. MY LEFT HAND AND ARM BEGIN TO TREMOR AND THE WHOLE ARM ROTATES INWARDLY ."BS" AND "AS" THIS IS MY MOST PRESSING PROBLEM ALL IN ALL THE DECISION TO DO THE 2ND SIDE WAS A WISE ONE. I STILL HAVE SERIOUS PROBLEMS AND I CAN'T SEE MY SELF GOING BACK TO WORK AT THIS TIME BUT WE ARE ON THE RIGHT TRAIL. I ASKED DR COSGROVE MY NEUROSURGEON] IF HE WOULD ALLOW ME TO STAND IN DURING ONE OF HIS PALLIDOTOMIES AND HE INITIALLY SAID THERE WERE TOO MANY REASONS NOT TO ALLOW SUCH BUT AS WE TALKED HE SEEMED TO SOFTEN A BIT. I THINK HE WILL WELCOME ME SOONER THAN HE THINKS. I WOULD MAKE A FINE PATIENT ADVOCATE [log in to unmask]