Hey there, Bernard! Nice to "see" ya back on the List... you've been missed 'round these parts m'friend. I'd like to add one comment to your so-succinctly-and-accurately-put statement about the person with PD adapting and balancing to life with the disease and it's assorted nuances, i.e., drugs, physical degeneration and changes, etc. I'd forgotten (or maybe "ignored" would be a better word?), what with my preoccupation with Parkinson's, that I'm ALSO dealing with plain ol "LIFE changes," not having to do with PD at all. These life changes come with their own set of physical changes and nuances... that we often tend to ignore or just grumble about. There's even a NAME for these life changes - AGING <grumbling and groaning> It seems to ME that most PWP are either approaching middle age or ARE middle aged, or are even older than that. So it figures that not only do we cope and adjust (hopefully!) to the slow degeneration and changes inflicted upon us by the disease but we're also coping with physical changes going on simultaneously to those changes caused by our PD because we're aging. Frankly, sometimes it's tough to know what's causing which symptom! <'nother groan> I think it's important each of us remember that not ALL the changes going on within our respective bodies are being caused by PD, and it's equally as important to make our family and physicians to see the COMPLETE picture we present them, rather than conveniently blaming ALL our physical problems and changes on the most OBVIOUS - the disease. Say... where'd all these gray roots come from in my hair, huh? Caused by PD? Nope... THIS "symptom" arrived one day after I turned 40 - along with the bifocals! <grin> Barb Mallut [log in to unmask] ---------- From: Parkinson's Information Exchange on behalf of Bernard Joly Sent: Thursday, January 08, 1998 7:44 AM To: Multiple recipients of list PARKINSN Subject: Improving the effect of medical treatment When you are diagnosed with PD, you generally start a heavy medical treatment, and you are going to live with it for some 15-20 years. You have to adapt to side effects, to cope with symptoms you don't know quite well whether they are caused by the disease or by the treatment. You go through periods of doubt about the intakes : too few, too many ? You get confused, and it is not comfortable. The best neurologist would be unable to help you, because no PD is like another one, nor even the same as yesterday or ten days ago ; because you cannot summarize within ten minutes what happened to you on every day of the past three months ; and of course, because there is no way to measure accurately how well, or how bad the treatment works. We all react differently to that strange situation. My personal move was to try and understand, anticipate, even control the response of my body to all these tablets. Helped by an old, but solid scientific background, I gathered whatever I could find about the effect of our medical treatment, and I ended up with a tool (actually, a very simple Excel spreadsheet) that I call MEG07. Those of you who might be interested will find a description and a user's manual (in both French and English) on my personal site at http://perso.wanadoo.fr/bernard.joly All this is free of charge, and you carry full responsibility on whatever may happen if you take my ideas seriously. Any comments welcome Bernard Joly [log in to unmask] http://perso.wanadoo.fr/bernard.joly http://perso.wanadoo.fr/parkinson.francophone