I am new to this forum but was diagnosed about five years ago. My first, regular neurologist as a disaster who gave me no information, expected me to make uninformed decisions, and laughed off PD symptoms--literally! Since then I have seen movement disorder specialists who have been attentive, knowlegable, supportive and great. (Three in all--first one moved, switched sites between second and third due to transportation issues.) They have all been great and I highly recommend that level of care. My progression has been slow and on the whole everything is managable. One thing I have not asked about--I worry that at some point progression will surge. Is there any way to predict that? Is a slower progression likely to stay slow, likely to surge, or who knows?