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My parents have had similar experience as Barbara, at Kaiser in Woodland Hills (Barbara, where do you live? Maybe close to my parents, in Winnetka.) About a year ago they started going down to USC to see a specialist. This is not cheap, but everyone, including the neurologist at Kaiser, seems relieved for her input. When we have been up at northern Ca Kaiser it has been such a relief to have a neurologist and nurses who have had experience with Parkinsons. In general, everyone always seem to say how aggressive one must be with the Kaiser system, in order to get good care when one has an ongoing disease. debbie [log in to unmask]