It's nice to have your perspective, Keith! I hear that my neureologist is putting most everyone on the patch so I'll see in Sept when I go back. I think it was just appoved in US (or just found its way to Kansas!)and people in my support group report the pharmacy having to order it for them - no one is real impressed YET, but it's only been a few days or so. Do you find it helps you sleep and that getting up is easier? That's apparantly the aim with these folks..Off topic: would you share how much and what kind exercise you do? I'm trying to increase the amount without ending up in bed with exhaustion!!! (the humor part I can deal with stretched out in bed with a funny book ) Thanks.