I feel that I am on too much medication and would like to get a new workup to see if I can have a better quality of life. I have a Bjork Shilley valve since 1983 and on coumadin since. I have early signs of Parkinsons, I have a pacemaker. All of the meds side effects are about the same. I am on 6 different meds .I am weak and extremely thin. I see a Cardiologist,Neurologist,Pulmonary Dr.,Ent, and a primary internist.