Managing lift with Parkinson's is lot like being a plate spinner at the circus. Early on in the course of our disease we just have a few disease management tasks because we have less problems and our meds work better. We still have energy and can pretty much handle the disease alone. As time goes on, like the plate spinner adding more plates, we add on more medications and have more drug interactions to manage. When symptoms get worse or new ones develop our lives get busier managing our disease and it's challenging to keep all our plates spinning. If we're not vigilant and can't keep up, plates wobble. If we're not sleeping, it's hard to exercise. If we are not exercising, our symptoms get worse. Over time. PD keeps adding problems and taking away energy. We need help to keep all our plates spinning, or else!