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Dear Mark and Tammy-- I haven't seen any onlist replies to your post, and I'd guess that most of us are overwhelmed with the story you shared about your FIL , and not sure how to respond! There was one thought/question that occured to me as I read your post, which I' ll share for what it's worth: The symptoms of extreme personality change you describe, and confusion,etc. sound more like Alzheimer's disease than PD to me. It is, of course, possible to have both AD and PD simultaneously, as a PWP in our support group did last year. I wondered if the specialists who examined your FIL said anythingabout AD? The next thought was that he should be in a more closed setting, perhaps, as it sounded as if he's still in the ori ginal room,and free to wander. If his NH, or another, had a special AD unit this would provide more supervision, control of outside doors, etc., as those precautions would be appropriate for the protection of the patients. Could this help with FIL? You have obviously dealt long and thoughtfully with this situation, and I hesitate to rush in,so am only raising questions that occured to me--but the time may have come for FIL to face some of the realities he has avoided so long in his "privileged" situation--for his good,after all. It is a very sad thing to have to do, but sometimes in the name of love we do restrict our "spoiled children", no matter how old they are :-) Please stay connected and let us know how things go. Camilla Flintermann,CG for Peter 78/7, Ohio (formerly an Iowan,too)