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Friends--you may recall that we were going to see a "genuine movement
disorder specialist" at the Aring Neurological Institute, U. of Cincinnati,
having given up on our other neuro after the MIRAPEX debacle.  The appt.
was today, and went very well. We are to try REQUIP (Ropinerole) instead
of Mirapex again, but at a very slow rate in titration--about 1/3 of the
schedule recommended by the manufacturer.  Dr.Samaha mentioned that in
older patients the introduction should go more slowly, while for younger
ones the usual schedule works OK.  He also confirmed that Mirapex is known
for having considerable degree of hallucinations. We are to work our way up in
dosage gradually,checkimng with him if there are serious side effects, and
return in 3 months.  Peter liked him, and I'm so glad we went,despite the long
trip.  That clinic, BTW, started last year to do pallidotomies, using the
"mapping" technique learned at Emory, I believe.
So tomorrow we start REQUIP, and thanks to Ernie for sending us the info
re: his experience with it, which was  encouraging. Dr. S. agreed that
we should not expect any changes/improvement at the lower doses, just as
Ernie said.
BTW, they are printing in their neurology dept. (u. of Cincinnati)ews-
letter an article I wrote re: the PD and CARE lists, so we may get some new mem
bers!

Camilla Flintermann, CG for Peter, 79/8, Oxford,Ohio
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"Ask me about the CARE list for PD caregivers!"
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