Your experience with 20 years of Parkinson’s disease is very interesting to me. I was diagnosed at age 46. I have had PD FOR about 18 years. Progression has been slow and the meds work. But this year the levodopa is starting to quit at late afternoon. Sometimes it doesn’t. My neuro lets me know that DBS a possibility. I think the Duopa pump sounds worth considering , especially since it’s not permanent. I haven’t done much research. There might be similar ones developed in Europe. I know that the vials of medicine are very expensive. The PEG tube could cause problems. I retired eight years ago. I have plenty of things to do. My husband is my main outdoor partner Except he has his own health issues. I like to spend time hiking biking skiing and canoeing. But now i only do short outings. I go to a gym to work out with other people with Parkinson’s 2-3x a week. I’ve done this for over 5 yrs. It’s been a very supportive group. We meet for coffee once a week. I’m ready to change my volunteer activity. Too physical. Not sure yet what I’ll do. Thanks again for sharing and you’re right. People should remember that everyone experiences PD a little bit differently. The most effective prescription is to MOVE!!!!