Dear Old biddie

Thanx for that piece of information and I have taken it on board as i find it very useful? however you are not telling me anything i do not know already. what i was confused about was the definite statement you made that medication is the cause of the freezing and not the pathology of PD. This I partially agreed with you when I said these symptoms can be worse when taken in high doses or perhaps in longterm use however, some patients that do not get this treatment still freeze. It is this misinformation i was correcting, perhaps what you meant to say was that freezing can be caused by extreme use of ldopa therapy.

Your advise on joining a PD caregivers list is a good one and I will look into that however, working in the community and seeing PD patients almost daily counts for something. The studies that are carried out are carried out on patients by the way, either way our whole practice should be based on evidence.

I still respect your views as they come from your experience and expertise for that i can not but learn from you nonetheless what is fact is fact. Evidence based practice should be what we all gear for, freezing is a symptom of PD but high doses of medication can be a cause too

Hope your weekend is going good...lol