Each patient is unique in terms of the severity of their symptoms, lifestyle, expectations, and the course of the disease. For this reason, my approach of more than 35 years is built on personalized, appropriately timed decisions rather than ready-made protocols.

When evaluating each patient in the clinic, I always ask myself these fundamental questions:

To what extent do the symptoms affect the patient’s daily life?

Does the current medication regimen provide sufficient benefit?

Are the side effects of the medications limiting quality of life?

Is it the right time for surgical treatment, or is it still too early? Is the patient suitable for it?

These answers are shaped not only by the clinical findings and the patient's life. Because in Parkinson’s treatment, it is not only about reducing tremor or speeding up movement. The primary goal is to ensure that the patient reaches a point where they can preserve their independence, feel safe, and live at standards close to normal like other individuals — in short, what we call “quality of life.”

When evaluating advanced treatment options — for example Deep Brain Stimulation (DBS) — the decision process becomes even more delicate. What matters here is not the decision and planning of the surgery itself, but making the ideal judgment regarding the surgery’s applicability to the patient and its timing.

Striking this balance is one of the most subtle areas of medicine and is largely shaped by experience.

To me, each patient is not part of an algorithm but an individual with their own story. Therefore, when forming a treatment plan I consider not only the disease but also:

- the patient’s daily routines,

- their social life,

- their expectations and concerns.

Because the right treatment only makes sense when the right method meets the right patient, at the right time, with the right goal.

Mastery in Parkinson’s treatment is less about knowing what to do and more about deciding who, when, and why to do it — and, of course, knowing how to do it.

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