Just wanted to commiserate ... I'm going on three years in limbo now. So many doctors, so many tests. Everything ruled out.
Be strong despite, and seeing a counselor was very helpful for me
Hi and welcome,
Unfortunately, sometimes getting the correct diagnosis can take years, I can't comment in regards to MS or offer suggestions of alternatives, because you haven't provided any diagnostic information. It's possible you have more than one medical condition going on which would definitely complicate things but if you've been seeing an MS specialising neuro for 2 years, and he's still not convinced you have MS, it's quite possible that it is something else.
The alternative is that he's waiting for something MS specific to happen that cements MS in his mind, which may be perfectly logical if your neurological evidence is non specific or even absent but it may necessitate you getting a second MS opinion.
I can only advise you to compile your medical reports together and look through all your test evidence and doctors reports to see exactly what abnormal diagnostic evidence you actually have eg the neurologically abnormal clinical signs found in your neurological assessments. T2 lesion size, shape, enhanced, non specific, the different locations on your brain and spinal MRI's, note any changes ie new lesion etc from one MRI to the next. Your LP results, abnormal visual test results, blood tests etc
Note every thing you've been officially diagnosed with that is suggestive / consistent with a neurological causation or not suggestive / inconsistent eg visual symptom of blurred vision was diagnosed as Optic Neuritis (ON), Nystagmus, Diplopia etc = suggestive / consistent with MS vs diagnosed with normal 20/20 vision and dry eye = not suggestive
Keep in mind that many medical conditions cause similar symptoms, MS has many mimics because MS is a disease of the central nervous system, your diagnostic evidence would need to have some neurological abnormality for MS to be on your list of potential causes but the totality of your diagnostic evidence may be more suggestive of an alternative medical condition and will hold the clue.....
Cheers..........JJ
sorry you're going through this. it's a long, never-ending process, or so it seems for some (myself included) but sometimes it is a very fast diagnosis. if your neuro is continuing to see you and follow what's going on then that's something. but you can expect him to treat symptoms. eg. meds for pain, meds for fatigue etc. keep us posted on the sleep study. good luck.