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Dear Charlie, We have been thru the wringer when it comes to mismanaged care. The whole hospital care was a mess. They stopped all her home meds and never restarted them. (doctor ordered them, nurses never found the list of meds I gave to the ER) CK level (indicating muscle damage usually cardiac, was over 3,000 on admission and over 5,000 when they kicked her out of the hospital. This included meds for hypothyroidism so her thyroid test results were abnormal which they never followed up on. Her blood pressure was 180/90 on admission then started out 140/80 and 150/90 then up to 160/90 before they discharged her - no treatment. The 1st neurologist was a real jerk and when I called to schedule the procedures with him he screamed at me on the phone and told me the procedures would not help Carm with her symptoms and we would come in and sit in his office and listen to him tell us what he was going to do with Carmel!!! Sounded threatening - thus he won't get near our dog let alone my mother in law. The multiple infarcts go along with the nursing documentation of left sided weakness the first 2 days she was in the hospital. We think it is a very good chance is that she either had another stroke or her fall was caused by the pressure in her head ( "conscious falls" are a common sympton of normal pressure hydrocephalus) It appeared to us that Parkinson's was an "easy" diagnosis to get her on meds and out of the hospital with a disease that has no cure and there was no reason for additional time as an impatient. The only time we saw anything resembling the tremors of Parkinson's was after they started her on the medications. According to the PDR, the meds can cause the same symptons or make them worse - thus we could have been seeing side effects of the meds. Bill and spend alot of time with his mother before this happened since I am a nurse and I got the responsibility of monitoring her blood pressure. We went to her apartment 3-4 times a week for Bp checks and there were no new symptoms that we noticed. She was taking alot more tylenol and tylenol pm and this could be because of headaches. When she was off the meds the tremors disappeared and right now she is off the meds there are no tremors, no change in gait. Memory loss and confusion could be attributed to the strokes as well as NPH. Her primary care doctor has decided to refuse to respond to my phone calls for help for BP too high or too low or questions concerning her meds, I am dealing with this on my own since she has not seen the new primary care doctor yet. The referral to the neurologist was delayed due to the insurance refusal for the referral to the doctor who agreed that she needed the tests done. We have not seen the neurologist yet, he could not see her until 2/15 - and I explained it was an emergency, the LP was supposed to be done in January- they told me take her to the hospital. Can't do that unless she had a doctor's order for the test. She is asymptomatic,eccept for confusion and memory loss which can be attributed to many other things thus they would not admit her. So Lp was not done, Shunt was not done and we wait. She will be 81 this august. Because her blood pressure has been getting lower and lower, and the Parkinson's meds have a side effect of hypotension, we have already stopped the meds and her blood pressure is back to a better level - and wonder of wonders - she has no symptoms of Parkinson's. This will also give the new doctor time to check the dopamine level while she is off the meds to see if they are really warrented. Thanks for the info, would like to hear from your friend the neurosurgeon. Leslie