Thanks for your reply Dianna. My first appointment that I went to was with a regular neurologist. He was the one who originally put me on sinemet. He referred me to the MDS I am seeing now who wanted to see me as he put "baseline" so he titrated me off sinemet for a short time. Things got pretty bad so he said my issues were definitely caused by dopamine loss. I don't want to make it sound as if Im totally handicapped because Im not, I just don't feel right still tremor and very stiff and sore. Maybe I just have unrealistic expectations, I was just hoping things would get back to where I could go back to work. Do DAT scans differentiate between parkinsons and Parkinson plus syndromes. I am very glad I joined this forum and I really appreciate your responses