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Dear Ann, Thank you, I have read that article. Two things I have a little trouble with. One is that it states in that article that the symptoms are ALWAYS on one side or the other symetrically. My symtoms are not. Tremor in right hand, left leg, and left eyelid closes. I have read elsewhere that it is not uncommon to see cases of asymetrical symptoms. From what I gathered this is often associated with other parkinsonian disorders. I guess a good neuro is more qualified to make those judgements. The other thing is that the neuro wants to see me "on" sinemet. That eliminates them seeing for themselves these things that an exam should reveal because the sinemet seems to put me back to normal. No rigidity, no tremors, eyes open, steady gait and balance. We will see. Jennifer Anne Rutherford wrote: > Hi Jennifer > > When diagnosing Parkinsons a neurologist will be thinking << TRAP.>> > > These four letters stand for the cardinal signs of Parkinsons > > Tremor Rigidity Akinisia Posture. > > At least 3 should be present for a sure diagnosis, so people without > tremor often take longer to have their problem identified. > > I would also suggest that you find a very interesting document in > > the Parkinson Archive Treasures. Its title is something like this "the > neurological exam explained" and I found it at the end of the new home of > the PARKINSN LIST. > > Presented at an Australian Parkinson conference it takes > > you through the neurologic exam explaining what each test should reveal. > When you have > > finished you will be in a position to rate what your various doctors have > done. > > Emory should be just fine but there are a few spoiled apples in every > basket. > > Hope this helps > > Anne Rutherford