according to my canadian friends if you have MS, its considered a NEURO disease, and this does NOT entitle you to see a vascular MD. IF you have a vascular issue, the Vascular MD WONT discuss your MS, only your vascular issues, and then will refer you back to your NEURO for any MS discussion.

If you go to your primary office and tell them up front "I have MS and a sore throat. I think I need to be seen." most times they tell you that dr. so and so WONT see you, please schedule time with your Neuro. Most neuros are very over booked and it takes months to get in to see one.

There are areas in Canada where a PCP is easy to find, but many areas have a shortage for regular MDs to see general patients, and they have a wait list to even become a patient in that practice, let alone get an appointment to be seen. I have heard of folks waiting years to get a primary MD 4 or 5 years! Then you find out that this MD is so overbooked, and over worked that they are quick to schedule you out to see the special MDs who have huge wait lists. If you dont like your MD...too bad! there isnt anyone to replace him.

I dont see why a vascular MD cant give his opinion to an MS patient about a vascular issue. Didnt they find BLOCKED or narrowed veins? Cant the MD see the scans the patient brought with them? Scary mary.