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Dar All,

Hi.  I have not been keeping up on my reading or lurking, but I need some
advice if there is any.

My father is nearly 82, has been diagnosed with PD for maybe 12 years.  That's
another story.  Anyway, he was most hard-hit with depression at first - takes
Prozac.  Recently, he began Mirapex.  It did help return his personality but
his moevement is not helped at all - may even be worse.  His med schedule is:

Morning - 1 (20mg) Prozac
          1 (.25) Mirapex

Noon    - 1 (.25) Mirapex
          a half Clozaril (forgot to get this dose)

3:30    - 1 (20mg) Prozac

Dinner  - a half (10/100) Sinemet

Bedtime - a half Clozaril

Recently, the second Prozac had to be ordered because he began getting very
depressed and upset again.  His right hand's shaking is awful - at times he
cannot hold a glass of liquid.  The other side is not as bad, but he is
frustrated and says it tires him out terribly.

To complicate matters, my mother, his primary caregiver, had a serious and
permanent loss of vision in her strong eye via veinous occlusion and subsequent
neo-vascular glaucoma.  What a crzay time.  It seems stabilized somewhat now
but she will never be the caretaker she was.  This puts pressure on him which
has to bother him.

His doctor is not a movement disorder specialist nor is he the type that
welcomes the patient as a partner in his/her own care.  I mentioned the
listserv and said it seemed to me that PD was really a matter of balancing
drugs as much as anything.  He said it was not that at all.  My father has a
history of high sensitivity to PD drugs.

So, here's the question:  any suggestions?  We live in Scranton, Pennsylvania
but I question the merit of another evaluation.  It would mean going out of
town to Philly or New York or Washington.  What benefit?  He is getting tired
and more feeble.  Can I do anything?

Thanks for ALL your help through this wonderful listserv.

Jeanne Hoffman