Dear Mr. Stossel: Thank you sincerely for exposing the outrageous disparities in funding research, and the politically correct way in which the process operates. It's been a long time coming. Is there any possibility of a follow up? Perhaps one in which the members of the subcommitte are asked why they weren't at the hearing on 9/28. It was outrageous that only Chairman Spector and Senator Cochran were present. I have included my personal assessment of the system's betrayal in a piece I wrote about my family's long history with PD, which I had attached to an e-mail I sent various members of Congress. I urge you to please read it. Much appreciation, Charlotte Mancuso (650-329-0967) --------------------------------------------- THREE GENERATIONS OF PARKINSON'S DISEASE: A CRISIS OF FAITH Every generation of my mother's family for as far back as I've known, has suffered the devastation of Parkinson's Disease (PD): My Grandfather Barone; his children, my mother, Anna, Uncle Laurie, Aunt Nellie, and now me, Charlotte, his granddaughter. We have all suffered from PD, a devastating neurological disorder that destroys brain cells controlling the body’s motor function, and many involuntary functions of the body. When my mother was diagnosed with PD, she was 43, my brother was 7 and I was 3. By the time I was in grade school, she required 24-hour care from us, which we alone provided. My Dad carried the largest burden, especially at first, but all 3 of us pitched in, stuck together, and carried the load for 24 years. For example, when I wanted to start kindergarten and go to school like my brother John, I was told it was necessary for me to stay home in case my mother needed help, since Dad was working and my brother was at school. Later, my father worked at night when John and I were in school. We endured on very little sleep for 24 years. I'll spare you the details of the bloody falls, trips to the emergency room, and the pain she endured before she finally died of PD. We stuck together, but in the early times, serious consideration was given to splitting up the family: I would go to my God Parents---Aunt Peggy, my mother's sister who later in life died of Alzheimer's, and Uncle Tony, who happened to be my father's brother (they had no children of their own); my brother would go to his God Parents---my father's sister Mary and her husband Frank (they had only one child and could have no more). You can imagine the anxiety we felt at the prospect of not only being removed from daily life with our parents, but from each other as well; I wondered when and if this would occur. For all the pain and suffering we endured, and it is a test of endurance to care for someone with advanced PD, I am forever grateful to my Dad for keeping us together. I found out later that my father had said to the family: Look, if they were your children, would you give them away? It was never spoken of again. As a young child, I had questions and prayers; questions and prayers that still have not been answered: How did she get sick; would the rest of us get sick; would she ever get well; when will doctor's find a cure like they did for polio; or will she die and when? I saw a faith healer on TV during the fifties; shouldn't we take her there to be cured like people who got up from wheel chairs and walked away? I was told it was a hoax. Then there was, Why?... Why can't Mom take me to school, go to open school night, make me a sandwich, fix my hair, finish that dress she had started making for me and then had to abandon? Why was God punishing her? What sin had she committed? Since there was no medical rhyme or reason for getting sick, she must have done something wrong. I prayed every night during my very young years, and asked my parents, again, Why? Why wasn't God hearing me and helping her, when she was just getting worse and worse, and our lives were getting more and more difficult. My mother told me she had not committed a sin for which God was punishing her; she said, "people cannot question the ways of God." What and who can I believe in? I have a son; a brother with a son, daughter, and granddaughter; and a cousin (daughter of the only Barone living sibling of 5, who hasn't been felled by a neurological condition.) Who and how many more will be diagnosed? My son asks me if it he will get PD, and I decide to have my DNA tested. My cousin is worried about strange symptoms that she is experiencing, much like the ones I experienced in 1996; I'm not sure what to say to her. She has two sons, ages 6 and 14: will they ask the same questions I asked my parents? In 1967, I was able to enroll my mother in a double-blinded drug study for L-Dopa at Columbia Presbyterian Hospital in New York, where we're from. She returned home without improvement, but with a supply of pills to continue taking. She became very severely nauseous and ill for some time; but she did something else as well: she turned over in bed for the first time in almost 2 decades, and then one day, she got up out of bed for the first time in as many years, and was able to walk a little. I even have a picture of her "putting up her hair!" These things had been impossible for her. But it was not to last for very long. She was too advanced when science developed L-Dopa; it was too late for her. My mother was diagnosed in 1948, and died slowly, painfully, and miserably in 1972, when she could no longer move, recognize anyone, speak, or swallow, at 67 years old--7 months after my son was born, who she saw, but could not comprehend. I'm 54 now, and was afflicted with PD in my forties, close to my mother's age of diagnosis. I, like my mother, was in a double-blinded drug trial. There has been promising research for PD reported in the media, but realistically, PD treatment has not advanced substantially, and sooner or later my fate will be the same as my mother’s. I was told that mortals shouldn't question the ways of God; but mortals can question other mortals: why don't we know the causes of PD, why can't we have better treatment than we have, since for all the new therapies, people like Mo Udall are still dying in nursing homes in the late nineties just exactly as my mother did; and why is the Udall Act still not fully funded? For God's Sake! For my family's sake, for Mo Udall's family's sake, and for the sake of the nation: WHY? Is the current generation of my family going to suffer the same crisis of faith in God and Country? Let's all work for success in speeding up a cure. My family and the nation can't wait any longer for the calamity of PD to be wiped out. It is time to act! Charlotte Mancuso Young Parkinson's Support Group 668 Channing Avenue Palo Alto, CA 94301