A Musical Journey with Parkinson’s Disease

Rand Laycock, a 70-year-old symphony orchestra director from Ohio, was diagnosed with Parkinson’s disease shortly before turning 60. Initially informed by his doctor that Parkinson’s was not a death sentence, he remained hopeful about future advancements in treatment.

Challenges and Treatment Exploration

Despite following a strict medication regimen over 11 years, Laycock noticed a progression in his symptoms, particularly intense tremors in his right hand that became more pronounced under pressure.

As his condition evolved, he began to experience dyskinesias—uncontrolled movements often related to long-term medication side effects. This prompted Laycock to consider alternative treatments, leading him to deep brain stimulation (DBS), which a neurologist described as a “pacemaker for the brain.”

Understanding Deep Brain Stimulation

Deep brain stimulation involves implanting a device that sends electrical currents to specific brain regions, enhancing neuron activity that may stagnate due to conditions like Parkinson’s disease. In May 2024, Laycock underwent the initial step of DBS therapy, receiving a brain implant and participating in programming his device for optimal performance.

“I know the thought of brain surgery can be intimidating, but it’s a life-changing procedure that allows you to become your own self again,” Laycock shared.

Advancements in Treatment: Adaptive Deep Brain Stimulation

After experiencing success with traditional DBS, Laycock advanced to adaptive deep brain stimulation (aDBS) in March 2025. Unlike traditional DBS, which provides constant stimulation, aDBS automatically adjusts to specific brain frequencies in real time, ensuring more effective symptom management.

Dr. Michael Gostkowski, a neurologist at Cleveland Clinic, explained, “By tracking a certain frequency in the brain, it can increase or decrease the stimulation as needed to better control symptoms.” This adaptability was particularly beneficial for Laycock, as his symptoms fluctuated throughout the day.

Returning to Music

Since beginning aDBS, Laycock has reported significant improvements in his quality of life. His tremors are largely resolved, except during periods of extreme stress, and his dyskinesias remain manageable.

Now approaching his 47th year as a music conductor, Laycock continues to pursue his passion while cherishing moments with his family, including his wife, two children, and granddaughter.

Advice for Others with Parkinson’s

Laycock encourages others affected by Parkinson’s to consult with their healthcare providers about the potential benefits of DBS or aDBS. He emphasizes the importance of exploring treatment options to regain control over one’s life and well-being.