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Shannon, thanks for your input. It's hard to believe how helpful a little information feels. My mother's thinking is pretty clear, tho' I'm noticing a lot more near-term memory lapses. She's a little depressed and has been on relatively hi dose of prozac for over a year. All of that seems appropriate/normal response to limitations and stress. I've read stress can trigger PD-related deterioration too. Mom's pretty resistant to a wheelchair, but I think more information might sway her too. I tend to interpret her quietness as passivity but she often sets me straight. Speaking of information, can anyone enlighten me on these wheelchair transfers? Is some kind of bed/toilet rail necessary to hold onto/pull with? I don't know about her upper body strength, she's losing so much weight. Thanks. emily (cg/Mom, 76, 2 months) [log in to unmask]