One of my most heart felt memories is remembering sitting on the end of the hospital bed sharing a fish dinner from "Tony's Take-out" with my FIL Just a couple weeks before he died.
Managing Advanced PD centers around juggling a dozen differently shaped balls. Even in the best of situations, ultimately you drop some. It depends on your team, and how much you are willing to give up.
Not to put too fine a point on it, but the ultimate diagnosis is made post mortem. Many afflictions have the same symptoms, but are not PD, and consequently don't respond to Dopamine therapies.
