So much excellent advice. I am still trying to digest it. Today on my Dr.'s advice I reluctantly cut my CR down to 2 and increased my Permax to 4 grams. I surprisingly am covering my PD symptoms pretty well and the dyskinesis are not as sustained but it is way too soon to tell anything. Since ever my thing works for a couple of days with me (the Placebo Affect) I am as a friend recently told me "The Queen of Denial". One thing is for sure I have peak dose dyskinesis and end of dose dyskinesis. If things do not improve Presbyterian Hospital here in Dallas has a clinic where they observe you for a day and do a total workup. It is expensive but 80% covered by insurance and I will avail myself if need be. I think I may be on the right track. Thanks for all your responses . It is great to know what educated and caring advice there is out there. Donna