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Ivan, With all the problems that you have at least consider something. My consideration although I was scared was What do I have to continue living for - to be an invalid in pain until I fall or get pneumonia or wind up in a nursing facility after first driving my wife crazy? I chose STN stim but the choice obviously depends on the individual and their symptoms and their temprament. I chjose that because it offered the most hope and on top of that it is reversible. If something better comes along the leads can just be pulled out. A pallidotomy is permanant. Once it is done it is done and can't be undone. Medicare in this one case should be an advangtage to you as STN and pallidal stimulation are covered by it and not by many private insurances. Good luck on your trip. I think it will be worthwhile for you. Charlie Ivan M Suzman wrote: > ^^^^^^ WARM GREETINGS FROM ^^^^^^^^^^^^ :-) > Ivan Suzman 49/39/36 [log in to unmask] :-) > Portland, Maine land of lighthouses 85 deg. F :-) > ******************************************************************** > This evening at 5:00 I am going to be seen for the first time by Dr. > Growden at Mass. General Hospital. I am looking forward to it. If any of > his patients would like to talk to me on- or off-list, I would > appreciate knowing your feelings about him as your physician. > > Although Tasmar has been helping me noticeably, I still have deep > off-periods (although shorter and less frequent), and severe hypothermia. > It is difficult to decide what to do. > > Boston Univ, has asked me to please consider a left-sided pallidotomy, > but > Rhode Island Hospital has said no, rather consider a bilateral DBS. > > So I need a 3rd opinion. > > I'm on Medicaid. > > Ivan :-) -- ****************************************************************************************** Charles T. Meyer, M.D. Middleton (Madison), Wisconsin [log in to unmask] ******************************************************************************************