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HI Bob,

Welcome to the list.  I am glad you are following up in a movement
disorders clinic.  Where are you going and where do you live.

Again welcome and good luck.

Charlie

Monacci, Robert wrote:
>
> Hello All,
>
>         This is my first contact ever with a PWP. Barbara suggested that
> I introduce myself. I am 60, diagnosed in the Fall of 1991, began
> Sinemet in April of 92 and switched to Sinemet CR a month later. My
> neuro has a few PD patients and does not specialize in this area. Since
> I wanted to manage my own case, this was fine (perhaps stupid) with me.
> He suggests alternative meds but he lets it be my choice without getting
> upset with me. My philosophy has been from the outset to minimize
> quantity and types of meds, accepting some loss of function as long as I
> can get along. Presently, I take a 1/2 of 50/200 , six times a day.
> Another 1/2 or two if I must go out for the evening. I did concede to go
> to 10 mgs of Eldepryl due to it's advertised effect of maybe slowing the
> dopamine loss. My purpose in minimizing meds was to prolong immunity and
> side effects as long as possible. I am due to retire within a few months
> and look forward to it as allowing me the time to follow a rigorous
> exercise program although I' m not sure what that would be. I would
> certainly appreciate suggestions. I currently lift weights a half hour
> per day and use an exercise bike intermittently. I have frequent
> prolonged thumb and toe pain (have heard and I am interested in trying
> magnets). My day goes fairly smoothly but when off , I shuffle and
> cannot write at all efficiently etc, etc. I finally located a support
> group nearby and will join soon. I had planned to go to a neuro at a  PD
> center some distance away when retired but when I inquired , the nurse
> in charge asked my problems. I answered that I had trouble getting
> started in the morning. She suggested a Sinemet immediately upon
> awaking. I adjusted my six half pill schedule to earlier and shorter
> interval for the first two and it has worked. I have been monitoring the
> List conversation for the past two days and have learned a great deal.
> I read newsletters and view symposium videos etc. Sorry to be so lengthy
> and I promise hereafter, I will be brief. It's great to be with other
> PWP's.
>
>         Bob
> [log in to unmask]

--

CHARLES T. MEYER, M.D.
Middleton, WI
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