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Dear Listmembers,

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Some remarks in this thread ask for more attention.  Nancy B. said: "he
always takes sinemet before retiring".  Darwin Hawkins, however: " I
don't take any within four hours of bedtime".  I remember that some time
ago I was asthonished by Dennis Greene, who said he sometimes needed a
sinemet to be able to sleep. For me it is impossible to sleep on sinemet.
The question that now arises is: is there any relation between being=20
able or not to sleep with sinemet and having the" benefit of sleep".
Bruce found a reported relation between "sleep benefit" and much
interdose symptoms.This is in concordance with the reported relations I
found between sleep benefit and duration of illness.  Like  Barb.Mallut,
I can't mop floors during the "benefit of sleep" period .  If I try to be
active the benefit disapears soon and symptoms like freezing and dystonia
 appear. But unlike Barb it is not only an effect of pallidotomy., but  I
have the impression the sleep benefit is increased by pallidotomy.  I can
lengthen  the period by abstaining from physical activity.   I do feel,
like Tom  Riess, this period is better than a normal "on" period. The
difference is that being "on" thanks to sinemet, I feel never totally
relaxed. The effect of sinemet is not only that I am able to move, but
also that I have to.  If  I resist, the first result is dystonia, which
may or may not be followed by freezing . When in the benefit of sleep
period I can be relaxed and feel quite normal. The fact that I am not
able to be physically active is a thing I know but I don't feel it.

The literature about sleep benefit  says it is common and reported by 30%
to 40%  of  the patients. It has no relation to quality of sleep and it
is more frequently reported by young -onset patients.=20

Thinking over things like this , I hope to see some clustering of
symptoms that would divide us PWP's into type A and B or X and Y. Does=20
any of the research-wise members know whether a factor analysis is ever
tried on patients and symptoms?=20


</bigger></bigger></fontfamily><bigger>Regards, Ida</bigger>



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Vriendelijke Groeten / Kind regards,


Ida Kamphuis                            mailto: [log in to unmask]