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hi all At 23:23 1999/07/31 -0600, connie wrote: >dear janet >my jack is taking sinemet cr 50/200 three times aday and >selegiline 55mg tab marked generic for eldepryl .he has been taking 1/2 >tablet in morning and also 1/2 tablet at noon.he hates going to doctors >and is just seeing internist when he needs refill. he is abit slower >but doesn't seem to have his hand shake unless he gets upset.jack is 78 >and was diagnosed about 4 years ago.does this sound like par for the >course? sometimes he sounds hoarse .from what i have been reading on list >it looks like we have been lucky. >sincerely >connie hi connie your jack sounds like he is having a pretty 'average' progression with pd he may be benefitting from the 'neuroprotective' effect attributed to selegiline; i believe that i am too, in that progress seems slow having symptoms 'show' more when under stress is normal having voice problems can be one of the secondary symptoms of pd i believe that other listmembers could advise on strategies to improve jack's vocal abilities, if, in fact, the hoarseness is due to pd he should get it checked out, whether he hates to go or not! he is probably in the so-called 'honeymoon years' with sinemet right now and may eventually start noticing fluctuations in his med effectiveness at which time some med adjusting and fine tuning will be called for at that time the 'low-and-slow' and 'one-at-a-time' med titration advice from this admitted non-medico may come in handy does he or you belong to a support group? maybe he could get involved in one while he's 'honeymooning'!! janet janet paterson 52 now / 41 dx / 37 onset snail-mail: PO Box 171 Almonte Ontario K0A 1A0 Canada website: a new voice <http://www.geocities.com/SoHo/Village/6263/> e-mail: <[log in to unmask]>