### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
i have been hospitalized 2x every yr for the past few yrs.  i was dx with rrms in 2008 but they backdated it to 2006 when i first had my symptoms, trying to get help thru my primary physician, then a gastroenterolgist saying i had gastroparesis then a trip to shands.  about 6 months later a lost feeling in my feet and legs resorting to using a cane and being referred to a nuerologist at usf i have been thru all medications shots, tysabri (jc positive), and each of the oral medications.  my body rejected each treatment.  the last was aubagio with 3 hospitalizations this year.when i was taken off this.  I had been on steroids several times to treat my relapses but usf changed doctors and this one isnt easy to get calls returned.  or getting him to visit me in the hospital which is relatively close to his office.  I have been told by this doctor i have progressive ms because of the amount of lesions that are active in my brain- very little brain matter has not been affected by lesions and this past time i had no mobility inmy hips down and was in wheelchair much of my lesions old and none were active and my body was rejecting the medications and i received plasma transfer 5x and over 10 days after 3 days of the steroids before that in the hospital.  within hours of my last plasma transfer i was released.  i have been in a wheelchair for since june and finally this week i asked my home physical therapist to order me a manual wheelchair since i have been getting around house using transport through my primary physician which is being delivered.  I was release from hospital on 6/28th with orders to see my neurologist within 4 weeks but still have not heard back from him to schedule this appointment.  what comes after primary ms?  are there any medications specifically for primary ms rather than the rrms

### output:

Hi, thank you for providing the brief history of you. As you been in a wheelchair and going through your history I can understand that it is a painful thing to have so many issues and ignorance by the physician. As in my clinical practice we offer the best care and time to queries of the patients, may not be so important according to us but for a patient it is important as the patient is desperate to know how his future is going to be. As you are currently under a physical therapy and also diagnosed with MS. I will advise you to understand that MS is something different to deal with the medication as all Chat Doctor. Regain the functions and also will help the body to reproduce its own internal medicine. In many cases of MS in my clinical practice we have a team approach to help the patient and never ignore the smallest query by patient or a symptom too. In case you need any more assistance I will surely be present to help you. Never give up as many MS cases in my practice I Have seen recovering when a team approach is provided. Also, you can have a look to a YouTube channel of pfizernews and there many doctors have spoken about how better an MS can be handled and fought as well.  This is just a single example. As we understand your queries and request you to keep undergoing the physical therapy and make a deep communication between you and the medical team. If you have any queries you can ask me and I will be happy to help you. Regards Jay In