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Ken Becker <[log in to unmask]> wrote in part:

<<<I am the son of a pwp, Max, 79, 8, he is being released tommorow from
a
rehab/nh facility, after 2 weeks there and one week in a hospital, to be
treated for chestpain, he has had prior bypass surgery, a pacemaker,
etc.
The  hospital, for some reason cut his sinimet to about 70% of what he
was getting and the NH apparently kept it the same. In the last few
weeks he had been getting rather violent when he was upset, actually
punching people who were caring for him, now he is more subdued, and
may complain, but not get violent. ALSO he is lucid  most of the time,
not confused, and also has not had any hallucinations, in about two
weeks, which he was having previously.  THe only other medical changes
I know of is being put on Heparin injections, a blood thinner. Would
the reduction of Sinimet, and /or the addition of the blood thinner,
normally have those effects? HE also picked up a Staph infection in the
hospital. This resulted in blisters which broke, leaving raw areas on
his
skin, they seem to have stopped forming, I am not sure what medication
he
recieved for this syptom, but I wonder if it could have an effect on his
PArkinsons symtoms, good or bad. Anyone out there have any feedback on
this situtation? I know my mother will speak to the neurologist about
the
SInimet, but I thought I would ask the real experts here for an opinion!
thanks in advance for any help on this situation.>>>>>>>

I would question the possible change in the amount of levodopa AND the
scheduling of the medication.  You do not state the amount he was taking
nor the schedule of how much was taken when.

Alan Bonander, Brian Collins, Robert Naylor, and I all believe that the
proper medication schedule (and concern about food types and amounts)
affect the symptoms reduction as well as the amount of side effects.

The best appears to be rate limiting by the method of getting the
levodopa into the bloodsstream.  Alan Bonander used a modified insulin
pump with continuous metered input of dissolved levodopa/carbidopa and
other meds directly into the duodenum (if recall is accurate) portion of
the small intestine.

Having to surgically install and then prepare the solution every day and
the other tasks of having such a thing installed is not trivial; but,
the results are better than the next-best alternative which is drinking
pre-dissolved medications from a daily blended solution that is stirred,
then taken hourly  in aliqouts (equal portions) throughout the day.


--
ron      1936, dz PD 1984  Ridgecrest, California
Ronald F. Vetter <[log in to unmask]>
http://www.ridgecrest.ca.us/~rfvetter