Dear Susan > >I have never heard of Parkinson's Plus. SNIPPED You are not alone in that! There are about 8 different variations of PD+, each with particular symptoms that identify it to a really knowledgeable neuro, and usually there is no med that works for long. One way they are diagnosed is that Sinemet does NOT relieve them. >SNIPPED..Mom never recovered and in 92 was diagnosed. She >was put on sinemet and that made her way worse ( hiking her shoulder & >twisting her ankle ). Over the years she has tried many drugs and 99% did >not work. In 96 she began to freeze 50 times a day and her neurologist gave >her Artane and it was like a magic wand was waved ( as mom described it ) >she walked faster, no more freezing, it was like having my old mom back!!! >It worked until a 5 maybe 6 weeks ago. Mom was taking a tiny piece of >sinemet when she felt she needed it, but when she did she would suffer for >three days with hiking her shoulder, etc...She has tried requip, permax, >several others with no success, they would just make her very ill. Of course if she is sensitive to Sinemet she would have reactions to the agonists (Requip, etc) also. > >My mom can be seen by a Movement Disorder Specialist but only when she is >stable and gets out of the hospital. SNIPPED That's good news--I hope she can be stabilized quickly--the sudden deterioration is certainly troubling. It is especially hard for you, with your own medical problem and being in a wheelchair, to deal with all this. You are being a fine advocate for her, but need all the help you can get bucking the system! SNIPPED >>.I talked to our Doctor about taking mom to the movement disorder clinic >>but I feel that mom has gon down so much and is too frail and she feels >>that in the end that it wouldn't hold much hope and also mom has not had >>very little success with many of the parkinson's drugs. Even Requip >>didn't help. SNIPPED >>. I think she will have to go into a nursing home and in the past we had >>discussed >this and she in no uncertain terms to me that she did not ever want to go >in one. With me being in a wheelchair and being not very strong physically >there is no way I can look after her. >> > It is sad that folks make their relatives and CGs "promise" never to "put me in a NH", as sometimes that is the only way they can get the degree of care they need, and not all NHs are "snake pits". I hope if this does seem the only alternative, you can find a good one, and not feel guilty about it. But even a single consultation at a MDClinic might clarify what is really going on with her. I know you are doing your best, and getting lots of advice. Take care of you, too. Camilla Flintermann, CG for Peter 80/9+ Oxford, Ohio http://www.newcountry.nu/pd/members/camilla/one.htm <[log in to unmask]> * * * * * * * * * * * * * * * * * * * * Ask me about the "CARE " list * * for caregivers of Parkinsonians * * * * * * * * * * * * * * * * * * * * * *