An indicator to me that I had a real medical problem took place at a friend's home around Christmas 1992. I remember sitting there with uncontrollable tremor in my right arm and thinking that I had better stop drinking so much coffee! (I was also having problems with fatigue.) About that time, tremor started becoming a regular problem for me. I started questioning my former MD's diagnosis of carpal tunnel syndrome and old leg injuries (the curling foot problem) and asked for further tests. After I started taking medication for PD (at first just Eldepryl, later Amantadine and Parlodel were added at different times), the tremor was controlled and rigidity and bradykinesia became the primary problems. I began taking Sinemet CR in late 1996 when the bradykinesia became more than I could manage. I started T'ai Chi practice about 1991, when I thought my physical problems were just due to being 40. What I'm trying to sort out now is how much my recent improvement in physical and mental condition is due to Sinemet and how much to my continued practice of T'ai Chi (and related exercises) and more recently acupuncture treatment. I feel and move better than I have since before 1990 (when leg & foot cramping began causing me difficulty when running or swimming). The reason that I began this letter with tremor is that this morning I was shooting a pellet pistol and having no difficulty hitting the paper target. Before PD, I did some target shooting with a 9mm pistol and a 5.56mm rifle. Granted an airgun is probably easier to shoot than a 9mm pistol, but until recently because of PD, I would have had difficulty even hitting the standard 5 meter airgun target (let alone the target center). I suspect that T'ai Chi practice and acupuncture enable my body to better utilize the PD medications. When combined, they may slow the progression of PD. I strongly recommend to PWP, especially early onset PWP, that they take a wholistic approach to Parkinson's. This would include diet and exercise. I recommend T'ai Chi, but if tremor or balance problems prevent that, possibly building an exercise program around Yoga would help. I would also recommend that you use the meditation and prayer practices of your religious tradition. Charley Countryman