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Sherilyn - I'm sure it's truly frightening to feel that your symptoms are progressing rapidly and that the meds aren't helping enough. If you're alone a lot, that makes it doubly frightening. Other list members have given you some very good advice and asked some good questions. I have just one question to add: Are any of these symptoms, such as shortness of breath and difficulty speaking, new? That is, did any of these come on suddenly? If so, I think you should call your neuro *or* your GP right away. These could be the signs of something other than PD. If, on the other hand, there has been a more gradual progression, it sounds as if you're undermedicated. You're on very low doses of medication. If any additional medication causes severe dyskinesia, you may be one of the people who reacts strongly to Sinemet or the agonists. My husband is the same way. You may not be ready to hear this, but if you're unable to control your PD symptoms through medication, you'd be a good candidate for DBS surgery. My husband had bilateral DBS three and a half years ago, and got a whole new lease on life. In other words, there's hope. Where one door closes, another opens. If you'd like information on DBS, you can look in the archives, or I and other listmembers would be happy to answer any questions you might have about it. Hang in there, and keep writing. That's what we're here for! Margie Swindler cg for Dick, 54/17