Jim's doctor said no. He said they like to wait and make sure all other avenues have been exhausted before they even consider the pump. He said they would like to see more ambulatory patients who can stand somewhat and/or non-ambulatory patients who's spasms are so severe medication hasn't helped before installing the pump. He feels Jim is getting some relief and wants to see Jim stay on the Sinemet longer before that is talked about. He up'd his Sinemet to three times a day but wont go for more because it has a saturation limit and will stop working at that point. He said he has three patients using the pump and each has their own set of problems and wants to wait on Jim going that avenue.

So, we wait.