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> So what are these changes , dont keep us in the DARK> > I need some changes as my benefit from the op 2 years ago is gradually > deminishing and my doctor has made many adjustments with out a great deal of > progress. Dear DBSers, There is a difference between stimulation adjustments of STN and pallidum, so you cnnot compare the two. In addition, there is a difference among STN patients or among pallidal patients. The adjustments need to be made systematically and PREFERRABLY in the hospital. A sudden improvement after an adjustment may just be a placebo effect, so you have to wait some days to see whether the result is sustained. Adjustments should be made by a physician specialized in the field and NOT BY A NURSE. As a matter a fact the Neurological Programmer for making the adjustments states that this device should be restricted for sale, distribution, and use by a physician. Advice on which stim. parameters are the best is very difficult because of interindividual differences. Good luck, and a happy 2000 for you all. Chris van der Linden, M.D.