Jim Koch and his wife were leaving a restaurant in Fort Worth a couple of weeks before we talked. Dinner was over, it was pouring rain, and everyone in the parking lot was running. Jim watched them. He can’t run. His balance isn’t there yet. So he walked to his car and got soaked.
“There’s nothing I can do about it,” he told me. “I’m very content. It’s okay.”
That’s the whole story, really. Everything before and after that moment. What he lost, what he accepted, what he got back, and where things honestly still stand.
A decade of denial
Jim thinks his Parkinson’s symptoms probably started around 2012, when he was in his mid-40s. Balance problems first. Then drooling, which he couldn’t control. He didn’t go to the doctor.
“It wasn’t the doctors not being able to diagnose me,” he said. “It was me being stubborn and refusing to go.”
He is left-handed. That turned out to be useful, and then it wasn’t. The tremors that eventually developed were on his right side, his right arm and his right leg. He could still eat, still write, still do most things. “Only me and my wife knew I had tremors,” he said. He went years hiding it from everyone else.
By 2022, the tremors became undeniable. He finally went to a neurologist and got the diagnosis. He was in his mid-50s.
“I was kind of excited, because now I have an excuse why my golf game is so bad.” A pause. “The issue that I had with golf wasn’t hitting the golf ball. It was getting from the golf cart to the golf ball. I could not do that.”
He stopped playing golf. He stopped running. Parkinson’s, he had always figured, was an old person’s disease. Having it at such a young age required him to entirely rethink who he was.
He also stopped drinking when he got diagnosed. Not because of any interaction with medication. “I told my wife: I can’t pass a field sobriety test sober. I’m not going to take the risk.”
Hitting bottom
The standard treatment for Parkinson’s is Carbidopa-Levodopa, a synthetic dopamine. It’s the gold standard. It made Jim feel normal when he first started taking it.
The problem is the tolerance. Every three months, his doctor adjusted the dosage or the frequency. By the time Jim decided to go to Mexico, he was taking Carbidopa-Levodopa every three hours just to get through the day.
His neurologist, his movement disorder specialist, his physical therapist were all aligned: let’s work on slowing the progression.
“I don’t want to slow it down,” Jim told me. “I don’t want to live this way anymore.”
He was in a dark place. Depression had moved in alongside the anxiety that had been with him for years. “I was reaching for anything.”
The find
He’d heard about ibogaine before. A nephew of his, a US Navy pilot, had mentioned it two years earlier. Some of the nephew’s friends had done it for PTSD. There were early indications it might help Parkinson’s.
Jim had no interest. “I saw it was a psychedelic and I’m like, no, that’s not me.”
Then, in early 2025, he heard Joe Rogan’s episode with Rick Perry and W. Bryan Hubbard. They were talking about ibogaine.
“Rick Perry and Bryan Hubbard are probably the most conservative politicians I’ve ever known. I thought: there must be something here.”
He started researching. Within a few months, he decided to go.
The leap
Jim’s neurologist told him not to go.
“Don’t go, Jim. Don’t do it. There’s not enough data.”
Jim’s response: “I don’t care. I don’t want to wait for the data. I would rather be the data.”
That line still sits with me. I’ve heard a lot of people describe their decision to go to Mexico for ibogaine. Most of them describe something that sounds like desperation dressed up as bravery. Jim wasn’t doing that. He knew exactly what he was saying. He had been watching Western medicine manage his disease for years, and he’d decided he didn’t want to be managed.
Western medicine does a great job of keeping sick people sick.Jim Koch