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This is a panel discussion at the end of the Grand Opening of the Cedars-Sinai APDA Information & Referral Center in 1999. Many thanks to Linda Squire, the coordinator of the Cedars-Sinai APDA Information & Referral Center, who gave us permission to present this APDA copyrighted talk.

The panel included Dr. Michael Levesque, neurosurgeon, Dr. Michael Rezak, neurologist, Illinois Young-Onset Parkinson's Medical Director and Dr. Espy, neurologist and Dr. Stefan Pulst Medical Director for the Cedars-Sinai APDA Information & Referral Center.

Questions:

1. A young-onset Parkinson's patient who is on approximately 3.5 gm/per day liquid Sinemet wonders if they could switch to an agonist such as Permax or should there be a combination of the two?
Dr Rezak answers.

2. A question for Dr. Espy: Do neurologists routinely recommend exercise programs for Parkinson's patients, if not why not?
Dr. Espy answers. Dr. Resak follows-up with a comment. The moderator, Dr. Pulst, follows up with his experience at an ataxia conference.

3. A question for Dr. Levesque: At what point should I have surgery?
Dr. Levesque answers. Dr. Espy has an opposing viewpoint. Dr. Levesque responds. Dr. Rezak has a median response.

4. Are there alternative treatments for tremor like natural herbs?
Dr. Espy was the only one to respond with a possible option.

5. If one parent has Alzheimers and the other has Parkinson's disease should we be concerned for us and our children?
Dr.Pulst answers.

6. Is it true Sinemet should not be used with a history of melonoma?
Dr. Rezak answers.

7. Can entacapone be used as a substitute for tolcapone (Tasmar)?
Dr. Rezak answers. Dr. Espy responds.

8. Is Deep Brain Stimulation for someone who has had a pallidotomy?
Dr. Levesque answers.

9. If after using levodopa and the symptoms are no longer controlled, what is the next step?
Dr. Espy answers. Dr. Rezak adds additional comments.

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Questions or comments?John Cottingham is the author of this site.