Thanks to all who gave an input about fatigue.  I went to my neurologist today 
but did not accept a prescription at this time.  I think I'll try some of the 
non-prescription suggestions including trying to rest more. I do work full-time 
and clean our church for three hours twice a week plus keep up a house.  

There is another issue about which I would like some thoughts from others:

While in the hospital three years ago the diagnosis was TM.  I was never 
referred to the neuro who made the diagnosis as far as follow-up.  I just went 
to my primary physcian who just said there is no treatment.  After two years I 
asked if he would refer a neuro and he did.

Well, the neuro was flabbergasted that I had no follow-ups so ordered spinal 
and brain MRIs and the spinal was the only on the showed the "old" lesion--no 
change in two years.

I had another brain MRI last week and today was told no lesions.

However, the neuro still won't accept firmly a TM diagnosis and wants me to 
have a spinal tap because if it is positive I can take monthly IV's to help 
prevent any further "damage".
He said he hopes I have just had an isolated incident brought on by a virus 
but, of course, won't say that is the case so wants the spinal tap but won't 
"twist my arm" but let him know and he will order it.

So, has anyone had anything similar happen?  What would you do?  A spinal tap 
doesn't sound fun.  Could it create further problems?

Sorry to be so wordy.

Thanks,
Gary in Michigan

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