Alicia, my initial neuro visits were expensive. The verdict was always that there is no known cause of MS and no definitely effective treatment. I tried Betaseron for years, then Avonex for twice as many years, then Copaxone--with steady deterioration of my condition. I have tried Solumedrol at times with no effect. About 8 MRIs over the years did nothing but contribute to the hospital's annual profits (My first 3 showed no MS lesions; my first neuro told me that I definitely didn't have MS!)
Some years ago I just got fed up. My neuro ended each appointment with "See you in six months." I told him that I saw no purpose in that since there was nothing he could do for me. I now have the understanding with him that I will see him on an "As needed" basis.
If I have other problems, I call my internist, who is very cooperative and understanding of my situation. He let me try Lipitor when I asked; he wrote the LDN prescription when I wanted to try that; he orders testing I request. I keep him informed of my reading, recommend books, even gave him a couple. He knows what kind of character he is dealing with!
Until real answers are found, I am quite satisfied with this arrangement. This works for me, but I know it would not satisfy others.