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>If someone truly has ONLY a tremor in one hand, than perhaps a thalamotomy
>might be a better surgical option.  In my opinion, Pallidotomy should not be
>considered unless an individual feels their medications do not adequately
>control their symptoms - ie, uncontrolled symptoms or side effects
>significantly interfere with their quality of life.  Another possible reason
>might be if one cannot tolerate the medications.  Most surgeons would not
>perform this surgery unless you ALREADY have symptoms.  This surgery cannot
>stop the progression of the disease or prevent the manifestation of other
>symptoms.  But also, it cannot cause other symptoms to appear.  If symptoms
>do appear later - it is due to the progression of the disease - not the
>surgery.
>       How do you find "who is the best" to perform this surgery?  I suggest
>contacting one or some of the National PD organizations and asking for their
>recommendations.  That's about the only unbiased way of doing it.  Thanks,
>Carole Hilton, LCSW   [log in to unmask]
>----------
>From:  Samantha Franklin[SMTP:[log in to unmask]]
>Sent:  Tuesday, November 26, 1996 4:28PM
>To:    Multiple recipients of list PARKINSN
>Subject:       Re: Response to Gavios re:  Pallidotomy considerations
>
>.
>Would you recommend Pallidotomy for someone who only has a tremor in one
>hand? Is it better to have this procedure done when the symptoms are at a
>minimum, or wait until other symptoms develop? Can it prevent the
>manifestation of the other symptoms? Can this procedure cause the other
>symptoms, if they weren't present before it was done? How do you find out
>who is the best vs.
>friend-of-the-doctor/standard-office-referral/holder-of-the-
>iron-clad-reciprocal-agreement surgeon for this procedure?
>*****************************
>* With a smile in her byte, *
>*     [log in to unmask]     *
>*****************************
>
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