Joan,
The solution will not be found by neurologists and vascular people only. We must not make the mistakes of the past again but keep our eyes open. This community has come very far, really, and a lot is thanks to you personally. But we did so by thinking outside the box. And we should do so in the future.
I am convinced that endocrinologists have a very important role to play here as well. I am very serious on this: MS is to do with a low nutrition condition of the brain, caused either by the narrowings of the veins and iron depositis or by a hardening of the veins at mid age, or a combination of both. See
http://www.thisisms.com/ftopict-15188.html Everything that I have seen since I posted this first time fits within this concept. And I have some very encouraging words from real specialists in this matter.
On the stagnation: Everything in health care today is structured, I am sure in America this is not different from Europe. We have all these disciplines, and they all have their own associations. The specialists have their own field of expertise and their own protocols. Everything outside this (eg our problem) involves risk to them and is doomed. Moreover, I understand that the boundaries of their fields are very well defended, there is much envy, etc.
In this highly compartmentalized system, all disciplines have their own protocols. These protocols have been cast in stone. Anything outside that presents risk is not welcome (so has to be FDA approved etc, you mention it...) Over and above, issues of identity, status, interests etc play a big role. Altogether this means that little to no pioneer spirit remains, like maybe 40 or 50 years ago was there. And that is unfortunate because we need pioneer spirit to solve our problem. But also the knowledge, skills, experience etc.
Hence, if you talk about real multi-disciplinary collaboration and an open mind into it, you talk about cultural preparation. And that is a big challenge with a real risk of stagnation if the disruption is too big! I sense that may be the case here. We need and we want fast progress, not a system that turns around three times first before it decides where to go.
Leo