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IDear James and Anna -

My husband, Dick, was diagnosed at age 37.  He is now 52.  (In net terms, we
would describe him as 52/15, meaning age/years since diagnosed).

You asked,

> We question whether the Artane calms the tremor/symptoms or does it
actually
>suppress or slow down the disease process?????

Artane is an anticholinergic, and as such just calms the tremors.  Dick
started out on Cogentin, and it worked quite well at calming the tremors for
a number of years.  By the way, Artane made him dreadfully ill.  But everyone
is different.

The only drug that is currently thought to slow the progression of PD is
Eldepryl.  If your doctor isn't prescribing it, ask why.  There are many
schools of thought on when to start Sinemet, which is the drug of choice for
PD.  Some feel that it is advisable to delay the start of Sinemet in case
there are only x number of years of benefit to be derived from it. Not all
doctors agree on this one.  No one really seems to know the answer, so you
might have to decide for yourself.

The reason your doctor probably doesn't want to attempt to sketch any kind of
future for you is that PD patients are so different, and the disease varies
so widely in individual cases, that it's almost impossible to predict.  From
personal observation, it seems to me that early-onset PD usually progresses
relatively slowly.  Dick continued working for 13 years following diagnosis,
and had his surgery been available a couple of years earlier, he might have
been able to continue longer.

Unlike a lot of illnesses, there's room for a healthy amount of denial in the
early stages of PD, in my opinion.  It won't significantly affect your life
during the early years, and by just "keepin' on keepin' on," exercising, and
keeping fit, you'll do as much good as thinking and worrying about it.

However, that doesn't mean you can't educate yourselves to the extent you can
tolerate right now.  Stay tuned to the net, read as much as you can, and
inform yourselves.  If the information becomes overwhelming or makes the
future look too bleak, I'd suggest backing off and just living your lives
until such a time as you're ready for more information.  You'll know when
it's time.

Best of luck to the two of you.  If you have questions I can answer on an
individual basis, feel free to write to me at [log in to unmask]  Sincerely,
Margie Swindler