Hi, I have just read your post concerning your brother, I think the consultant could have handled the discussion with your brother much more sensitively as with any operation there is a risk and we know they have to point that out But!
My husband is 70 yrs now but was diagnosed in his late thirties, he has had many problems during this time and I won't pretend it is easy with the constant struggle of keeping up with the many changes PD brings never mind the side effects of the medication. However my husband has been able to enjoy quite a few hobbies since giving up work at the age of 46 yrs and has even won many local and a national competitions for his photography and hanging baskets. He has now had to go into a home as I can't manage him anymore at home, I hate having to do this and miss him dreadfully but I have no choice in the matter now and get really frustrated at the lack of understanding and care for people with early onset PD so I urge your all to keep banging the drum for better care and support.
Your brother needs to speak to other people who are in the same position as they will help him to understand and cope with this difficult condition and there are many on here who can do just that, please get him to join the forum. He will see many people coping and also some struggling with their different problems, depression is well known in Parkinson's so he is not alone. If you can get him to do this and get some counselling he may be able to gradually come to terms with it and perhaps enjoy some of the things he used to.
My husband had a pallidotomy operation when he was 51 and then was on a apomorphine pump for the next fifteen years, so you see there are different treatments that can help him cope and sometimes help the symptoms. Once he gets the help and starts to feel better keeping active both mentally and physically will help him see that he can enjoy life a bit more.
My best wishes to you both