Someone asked earlier, about the earliest signs of PD. We think, that, perhaps there were two years of subtle symptoms, before the actual diagnosis. As the person listening from the congregation, (my husband is a pastor), I noticed how weak is voice was becoming. Occasionally, he lost his place, or , there were long pauses. Once, I took him to the ER, thinking he might be having a stroke, because of an episode where he was conscious, but not responsive. Nothing was found, and it was considered a possible TIA. Other symptoms became apparent later, such as, his gait began to change....leaning forward, starting to drag one foot. His sleep specialist/neurologist, who had been seeing him for many years for RBD, finally made the diagnosis of PD.