Ohio Music Conductors Explore Deep Brain Stimulation for Parkinson’s Disease

Cleveland Clinic has shared the story of 70-year-old Rand Laycock, a symphony orchestra conductor diagnosed with Parkinson’s disease just before turning 60. Laycock recalls the words of his doctor, who suggested that advancements in treatment were on the horizon—so, it wasn’t a death sentence.

Despite adhering to a medication regimen, Laycock’s symptoms worsened over the subsequent 11 years. He noticed an increasing tremor in his right hand, especially when deadlines loomed for his orchestra. “It becomes really noticeable when I’m under pressure,” he mentioned. Alongside the tremors, he began experiencing dyskinesia, which can occur from long-term medication use for Parkinson’s.

Neurologist Michal Gostkowski introduced Laycock to an innovative treatment called deep brain stimulation (DBS), often referred to as “brain pacemakers.” This technique involves implanting devices that deliver electrical impulses to targeted areas of the brain. The idea is to stimulate neurons, which can become less active due to conditions like Parkinson’s.

In May 2024, Laycock underwent his first DBS procedure, with support from programmer Erica Hennigs, who helped activate and configure the device. Laycock noted the intimidating nature of brain surgery but emphasized its potential to restore a sense of self.

After a nearly successful year, he transitioned to a more advanced form of DBS known as Adaptive Deep Brain Stimulation (ADB). Unlike traditional DBS, which offers constant stimulation, ADB adjusts in real time according to the brain’s needs. “It tracks specific brain frequencies to optimize stimulation,” explains Dr. Gostkowski.

Given Laycock’s fluctuating symptoms throughout the day, the adaptability of ADB seemed promising. Hennigs pointed out how this flexibility could benefit Laycock, especially in live performances, where sudden changes could potentially lead to tremors.

Excited by this enhanced therapy, Laycock embraced the opportunity, expressing relief over not needing to constantly tweak settings or medication. Since starting ADB in March 2025, he’s found that his tremors are nearly absent, surfacing only during extreme stress or anxiety. His dyskinesia is also well-managed now.

Approaching nearly 47 years of his career as a music conductor, Laycock is eager to relish more moments with his family, including his wife, two children, and granddaughter. Gostkowski encourages others with Parkinson’s to explore options like DBS and ADB to enhance their quality of life.

In sharing his journey, Laycock stands testament to the transformative impact of such medical advancements, asserting, “It’s a life-changing procedure that allows you to become yourself again.”