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Greg.... I sure wish I had some insight for ya on this subject, m'dear. I had a unilateral pallidotomy, and was helped dramatically on my right side by the surgery. Since at that time, my left side wasn't noticeably involved with any symptoms, and is NOW, I've tuned into what's going on TODAY with that left side, and some other internal problems caused by the progression of the disease, rather than what was happening to me almost 5 years ago when I had the surgery. In fact, I got a shock when I read your message and realized I couldn't really recall much of the misery that I felt before the surgery. Since the pallidotomy, I haven't been bothered much at all by dystonia-like problems tho (heck... I've got plenty of other symptoms to worry about tho) <groan> I'm not the person to talk to about stress and having less after the surgery 'cause I've lived with SO much ongoing stress - first job related, trying to hold down a job as the PD got worse, and now that I'm not working, financial-related stress, that I can't recall a time in my adult life when I didn't live under the gun. WOWIE!! After rereading this response, I'm wondering if maybe I shouldn't delete it. I'm in a troubled time in my life right now, which will no doubt be resolved over the coming weeks. Didn't mean for the negativity to leak out all over the place. Barb Mallut [log in to unmask] ---------- From: Parkinson's Information Exchange on behalf of Gregory E. Leeman Sent: Friday, June 19, 1998 2:41 PM To: Multiple recipients of list PARKINSN Subject: Re: YOP v Older PWP & Decline Barb M, Do you think your pallidotomy has anything at all with the progression. The reason I ask is we have a PWP in his 40's (NOT IVAN) that has had bilateral Pallidotomy. My observation NoN-qualified of course, is that he has almost no chorea or athetosis, but he seems to posture with his arms behind his head and back, like a drug induced dystonia. I do experience a little of this on my surgically treated side (R) instead of the previously mentioned movement dyskinesias. It would seem to me if stress can accelerate the risk of progression then one could postulate that with the reduction of symptoms or side effects would generate a more positive outlook and therefor less stress and you got it less progression. Just a thought. Greg Leeman