Dear Listmembers, Tuesday Dick (74/1+) and I had an appointment for an evaluation with Dr. Efrain Perez at the Health Science Center and University Hospital in Syracuse NY. This is Dale S." Doctor. We were both very impressed with Dr. Perez. He feels that the neuro started Dick on the dopamine replacement too early, and that the dosages that he prescribed were only homeopathic dosages. He has now recommended that Dick take only the eldepryl for the present time. When it comes time to prescribe more meds. it will not be sinemet. Dr. Perez spent more than two hours with us, asked all sorts of questions and answered all of ours. Went into PD related depression (Dick has mild to moderate), the Parkie sweet- tooth, (we both have that), an also inquired if he cried easily -- everything that's been covered on the list recently. The neuro we had been going to previously spent less than 5 minutes with us, gave us the prescriptions and told us to come back in 6 months. Wish we had found Dr. Perez sooner. The nicest part of the visit is that we actually got to meet the one and only Dale Severance in living color right there in the waiting room. Dale is even more charming in person is that is possible. Happy and healthy holidays to you all and many thanks for just being there. Dorothy , cg for Dick 74/1+ in Rome NY [log in to unmask]