I think you're right Mariel. I'm not so convinced the doctor looks at those papers the medical place makes me fill out. He certainly never mentions them to me unless there is a specific problem! I average the pain, fill in the child scale of happy to sad crying faces and DH and I giggle over them. BUT my doctor responds to me in person, through hit or miss by him and me I've got no pain (found it was slight positional changes) and medication trying, failing, oh this one helps - have gotten us where we are. There is no exact science to all this MS stuff I think.