My meetings with neurologists have seemed almost formulaic and minimally helpful. It starts with how are you and proceeds with we don't knows, review of alternative medications with uncertainty of benefit, and suggestions of physical therapy and to pace yourself. An MRI is done every 2 years with no observed change. I have not seen a neurologist in 3 years, but my PCP has suggested that I should. My PCP has provided far more practical help in addressing my MS symptoms, especially regarding assisting devices. I am 74, was diagnosed 22 years ago, and 3 years ago stopped use of Rebiff after 20 years. Does this sound like your experience with neurologists? Can or should I expect more in light of what is known about MS. I hope for more, but wonder if I can or should expect it. Thanks for comments from your experience.