I have secondary progressive MS and whereas I am not sure of the benefits of the usual meds for 2ndary progressive I have chosen not to pursue them at this time (and because I hate the thought of needles with these unsteady hands.) My daughter who is an ER Nurse came with me to the doctor's appointment which was very helpful as one cannot remember all the things that were said so she wrote a great deal down and asked the doctor some questions that I had forgotten to to ask. She remembered to ask him about my swallowing and choking and enunciating problems so he is referring me to a speech pathologist. The good thing is that I can go to the MS clinic anytime I want and speak to the MS nurse that has me as his patient. As my daughter lives in Halifax, it gives me a place to stay with someone I dearly love when I am down there. Thanks for answering me so quickly. I know that I have alienated some on the site and I feel badly about that as I am usually a very kind and considerate person.