to Ken B, We had the same experience as your parents. NH staff try very hard, but they really can't handle the constant care a PD patient needs, especially if he has extreme postural hypotension and dementia as my husband has. I made the decision to take him home with full-time help in November of last year. With the help of pro-amatine for his hypotension and aricept for his dementia and the wonderful young men who attend him all the time, he is now walking on his own and shows an interest in life that he hasn't shown for a long time. The cost of a full-time helper is about the same as the nursing home- alot- but the improvement in the patient and in my mental outlook is unbelievable. I know that this is not an option for everyone, but for us, it has been the best decision we ever made. Since the NH, we(all three of us) have spent 2 weeks camping in the desert and three weeks at Yosemite National Park. We eat out at least once a week. We attend support groups and are planning to go to the movies today. Our helper takes Ken to the gym 3X a week to work out. All this with a man who was in a NH unable to stand or speak last October. I have arthritis and was told by the doctor that I'd have a broken hip if I continued to try to take full care of my husband since he falls so easily. The doctor suggested the NH and indicated that perhaps walking was no longer an option. Now all we hear when we visit the doctor's office is "Wow, look at him". We may end up in the poor house, but that would happen either way, and this feels so much better. My husband is even smiling again. Barbara Smith, CG/ Ken/69/16