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The list is starting to see more requests for information about PD and surgery. The best advice is to be sure that the primary care physician (whoever is following the patient's drug therapy ) DIRECTLY communicates with the surgeon and/or whoever will be writing the admission medication orders. Unfortunately, there are many physicians who do not have a sophisticated understanding of the latest thoughts about the management of PD medications and need to hear from the physician who knows you the best. It is also up to us to become more assertive and alert when admitted to the hospital. We should bring with us an accurate list of our medication regime and be sure that the admitting orders are consistent with what we are taking. If necessary, demand that the floor nursing staff communicate with your Neurologist and confirm to you that this has been done. They are NOT too busy to do this. Talk to the nursing staff about dyskinesias, confusion, "on-off " problems etc etc so that you are sure they understand the problems that a PD patient may have in a strange environment and how to respond to these patient needs. Of particular concern are medication schedules which may not match the routine of the hospital. Also important-- being sure that the post-opertive medication orders include the PD medications. Take nothing for granted -- be alert -- ask questions and DEMAND assertively that everyone who touches the patient is aware of individual needs. Don't be shy about demanding that your doctor be called to check on medications. There is no reason why the PD patient should not do well in the hospital if everyone is made aware of some of the unique aspects of the symptoms and the medications. Good Luck Ken Janis