Thanks Everyone.

Haven't been to the PCP (he's on holidays until Sept. and his locum & I don't see things the same way). The Neuro isn't due up here again until December, so he'd just tell me to see the PCP if I called him. Might try to to go and see another MD though.

Negative on the Lymes as of 2 or 3 years ago. That's when symptoms didn't go into remission and a lot of testing was done all over again...and then came the the Dx of SPMS.

I realize that "De Nile" is more than a river in Africa, but I'm really hoping that it isn't another form of auto-immune stuff. So far that has hit the endocrine system (pituitary & thyroid), the digestive system (regional enteritis & liver) and of course the nervous system (MS & TM).
Crumb...I've adapted fairly well to the rest of it but I really do need the joints in my hands and arms to work in some capacity or I'll be completely out of a career. I did work this last week for three days which involved doing massage therapy and a fair amount of computer work, so that may have set the hand joints off.
This coming week is scheduled to be a repeat performance, so time will tell...but I really can't afford to take more time off either way.

Like I said, it does feel like some sort of arthritis but the virus theory is one that I hadn't thought of. Hmmmm....will be checking into possibilities with that while plodding on with the vegetable only diet.
Will keep you posted on how things go with that as it seemed to help before.

Trish, it seem like you and I have similar symptoms, course and limitations on the meds that we can take.
Hope that your digestive stuff has settled down .

On the bright side, it is sunny here, but it has only been going to a nice 72 degree high. Ahhhhh...love it.

With love, Erika