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Thanks to Bev and Tom for some good, practical suggestions.
We will try them today.  I agree that festination is a major
contributing factor to Iain's falling and if we can develop some
techniques to help him overcome this, it would make his life so
much easier.

I guess I am confused about what is a symptom of PD and
what is a manifestation of the treatment being used.  I always
thought that festination was one of the symptoms of PD.  But it
seems, in Iain's case anyway, that festination is a side-effect
of the medication he is taking, since this walking problem only
happens when is meds are at their peak.  So, is festination a
sinemet problem that would go away if another treatment could
be found?  How many of the troubling, debilitating symptoms
that are attributed to PD are really caused by the current
medications?

For another example, Iain becomes severely dyskinetic when
even on a low dosage of sinemet.  So, as I mentioned, he has
had to cut back drastically on his meds.  So, although he is
very stiff and slow and looks quite disabled to me, other
people are now telling me how much better he looks lately.  In
other words, the side-effects of the medication, not the PD
itself, are what casual onlookers think are the symptoms of
PD.  Dyskenias is very upsetting for people who know nothing
about PD - more upsetting than the ridigity for sure.

Waiting for the magic bullet.....

Barb Bates
Barbara Duffin-Bates
Program Support
Vaughan Memorial Library
Acadia University
1-902-585-1378
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