Dear Anne, Some where else in this edition of the listserv is a more encompassing accounting of my second surgery.I will elaborate a bit on the speech problem.I should mention that I had my 1st surgery done in Aug "95 and my 2nd in Sept "96 and that my speech problems predate the surgery.More of a PD symptom I have a naturally soft voice ,softened even more by my years as a clinical social worker. When working with families in a crisis or with teenagers I found it best for me to talk with a soft voice. Just yesterday, one minute I'm chatting with a friend and my voice was fine,in the next minute I was talking with a client and my voice dropped and it took the client saying "What did you say ?" several times before I was aware of the shift, It is so ingrained in me. SO, I figured if anyone was going to have trouble with their speech it would be me. I did three things, One, I got 2 names of patients operated on by my Neurosurgeon. He by now has done some 90 pallidotomies including 10 or 11 second siders and he had data on 9 patients and 4 of them had reported post surgery speech problems, none of whom he felt were serious enough to require speech therapy.THis is not an arrogrant MD who brushes aside concerns expressed by his patients but a frank, ethical and tell-it -like-it-is man. Of course I wanted to speak with at least one of the 4 and I did so. THE man was a 60+year old retired School teacher{I think} who had little trouble talking with me. I could hear each word he spoke and he reminded me that even if his speech troubles were worse the surgery had made a substancial difference in his life .This was clearly echoed by the other patient I spoke with who was a 70 year old woman who said the operation was a success and the ".doctor had saved her life" Enough said. The second thing I did was to arrange for 3 presurgery Speech therapy appointments and one follow-up. I found these to be of considerable help The third thing I did was to talk to every one I could and I read every thing I could find on speech problems and 2nd side pallidotomies and I decided that the surgery was for me.One of the surgical Teams Neurologists said to me during the 6 week follow that based on what she had seen and on what I had told her that she would have to reconsider her view on 2nd side pallidotomies which she gererally does not support. I consider my inarticulate words to be a pain but nothing I cant overcome. IT"S more of a problem with slurring my words especially in the evening when my defences are down, MY volumn will pick up with time. AS for the other side effects from this surgery i'm only worried about the trouble with being able to open my eyes.This is a new one to me and will take some study. YOU may Wish, in a follow up posting, to mention at which hospital the person you are speaking for will be having this surgery. Many hospitals have "patient advocates" who will be your best friend. Please relay to the family that to be anxious is normal and a sign of good mental health.I do wish them the best of surgeons and luck. My very best george {glussier@ultranet,com] From the BELOVED COMMONWEALTH of MASSACHUSETTS [log in to unmask]