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> My questions are 1) we feel Dad should be re-assessed by a > neurologist. The GP cannot contact Dad's neurologist and seems > unwilling to discuss Dad's case with an alternate. Can we get Dad > re-assessed without his GP's referral? How can we go about doing > this? If you father does not belong to an HMO, you should be able to contact a neurologist without a referral from your GP. Have you considered getting another internist to over-see your father's case? 2) Am I wrong in thinking that a change in Dad's medication could > help him somewhat. No, you are not wrong. > 3) How is it possible for Dad to deteriorate so quickly? In Sept. he > was quite independant although my mother did not like to leave him > alone for very long because of his falls. Is this typical of PD especially in > the later stages? Could it be because of his age? Could it be caused by > his medication? Such a rapid deterioration is curious. Do not allow doctors to assume that his condition is due to PD without further examination. Has your Dad had an MRI or a CAT scan? Kate, your instincts are correct. Something is definitely wrong here, and I encourage you to insist that your Dad's doctors find out what it is. Could be that the meds are wrong; or it could be that something has changed neurologically. ----- Regards Mary Ann