hi Doc, I'm so sorry to hear you're feeling like MS is winning the battle... you said one thing that I feel I really must comment on:
Work has been very stressful lately and I feel like I can barely function sometimes

I was dx in August of 2000 and went back to work the end of September 2000; I eventually got fired from that job and within a couple of months had another job; the stress went up and down at the first job but went from constant to worse on the second; I got fired from the second job in April 2004 and applied for SSD as the stress was causing exacerbation's of my symptoms, increasing cog fog, mental/emotional/physical fatigue I could never catch up to... I went on disability in August 2004 and over the next couple of years felt dramatically better across the board and it showed up in my bi-yearly neuro exams too--within 2 years my disability scale went from 3.5 to 0...

So, until I got fired and went on disability = no job stress, I felt like my MS was winning too. Is there any possibility you could apply for SSD and stop working? I don't know what kind of work you do, but I know my line of work could be terribly stressful and as much as I loved it, I had to stop working.

We all know stress is one of our enemies and I hope you can find a way to eliminate some and feel better~