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I have not heard anyone ever express thoughts on the finality of
surgical therapy in PD.   I am convinced that basic research is by far
much more important than surgical centers.  Surgery  has been proven to
be very good   palliatives which can last from a few months to a few
years and sometimes even longer.  SBut, surgery does not cure and the
disease still persists, and sometimes when surgery is ineffectual it may
even adversely affect the PWP.
Pallidotomy changes the characteristics of the brain itself by a careful
'searing' of the pallidum, and once that is done, it is irreversible.
When, not if, but When a cure is found, the natural biological synthesis
of L-dopamine will be resumed assuming the brain is still functioning in
a natural manner.  If the alteration of the pallidum interferes with the
natural function of the brain, the cure for those who had incurred the
pallidotomy may not be available.  Emotionally,  I can strongly
sympathize with those PWP who want relief from the misery of tremors and
dyskinesia.  Yet, surgery is still only a relief or a reprieve for some.

Basic research is the only avenue that can achieve the cure to end the
misery of PD.  When the cure is found, it will be universal, that is for
all PWP, instead of those who can afford temporary relief by surgery.
My money and faith is totally in basic research, be it in foetal
transplants inter or intra species, recombinant DNA (genetic
manipulation), and foremost at this time is the most promising of all is
with stem cells.

Keep the faith, a cure is coming for sure, and I wish us to be  young
enough to avail ourselves of it.

Michel Margosis