ahhhhhh, Holly, here's a great big

praying for your Grandma...

IVSM wasn't yet in fashion when I was still having massive flares.

things have settled down a lot for me since I became SPMS... just sort of a long slog, and hardly any noticeable flares, just a slow accumulation of residual deficits at this point, and an occasional (har har!) new symptom.

there's no availability of IVSM here in the jungle, and travel is prohibitively expensive lately, so... I just cruise along, and try to tune most of it out (except for the TN, there's no tuning with THAT stuff... )

anyway, thanks for explaining it to me, I didn't know much about it.