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Thea Lou Seese First let me thank you for responding to my post NOT ALL PALLIDOTOMIES AR= E CREATED EQUAL. It was designed to spark some discussion. Believe me I am pleased to hear Gordon has had as good a result as he has= had. Do I recall correctly did he have a unilateral pallidotomy in Portland with Dr. Burchiel? You wrote I do not understand how a surgeon can do two things at once. = To have a bi- lateral pallidotomy simply means that they do both sides of= the brain. Not unlike having two wisdom teeth extracted. Faith in your surgeon is of the utmost importance. In fact this is the very point I was making in posting NOT ALL PALLIDOTOMIES ARE CREATED EQUA= L. We need to put pressure on our surgeons to be the best they can be and n= ot just accept whatever they have to offer us be it an 8 hour surgery = Dr. Iacono has been doing this surgery for over five years. Unlike other= neurosurgeons who do one or two a week. He does 6-8 a week. One side takes around 1 1/2 hours. So if you do your math it is not hard to see w= hy Dr. Iacono has done so many more pallidotomies than the other surgeons. My plea is that we have to call our surgeons to a higher standard of excellence. If we aren't going to do this, Who is? I think that when we= talk about having a pallidotomy we need to in the same breath say who the= surgeon was, and where the surgery took place because if all of us who ha= ve had pallidotomies could get together in one room we would see that NOT AL= L PALLIDOTOMIES ARE CREATED EQUAL. Thanks for opening up a discussion on this critical issue. Pallidotomingly yours, Don Berns Don Berns D. Min 110 Delano Dr. Pittsburgh, PA 15236 412-650-6812 <[log in to unmask]> check out pallidotomy website at www.pallidotomy.com