Hello all: I had posted a couple questions some time back regarding RR MS and my Second Opinion to an MS Specialist in Dallast I did not have it, I just let it go... I do have several lesions in my brain that were not related to MS. I did find out I had Carotid Artery Plaque and Ischemia of my brain.. This is a far cry from a diagnosis of MS! It seems to me that the Neurolgist I was seeing would of know the difference between the lesions for MS and Ischemia. I was told it was a good thing I was on Coumadin NOW, seeing I had this. A chance of me having a stoke is not uncommon, and I could of had a clot form in my brain as well. My theraputic levels are suppose to be between 2-3. Sometimes they get down to 1.6 !! I feel fortunate not to have had anything happen to me knowing what I do now. I had this bad PE 2 weeks after going off AVONEX injections last year. This tells me that I had a clot problem and at that time was not on a thinnner!! SO, If you have doubts about getting another opinion, then go with it,, It was worth it for me. myrudy