I dunno, I was dx'd in oct of 2008... and the darn flair never remitted. So I am no longer RRMS but the doc can't tell me if it is SPMS or PPMS. I am expecting the latter seeing as every single MRI (all 17 of them) have shown new lesions. But, she doesn't want to speak of PPMS because it would mean my insurance will not cover any of the drugs that she is using to try to slow the progression.