Hi,   My dad was diagnosed with PPMS in 2002 and they said he probably had it for about five years before. We live in Canada and the doctors don't seem to help. My dad has gotten worse over the years and its very hard on the family. We made contact with a doctor in Houston at the Multiple Sclerosis Baylor Clinic and the doctor requested files, MRIs and all medical history sent to him. My parents flew down last week to Houston for an appointment. The doctor took tests and examined my dad's files and suggested that my dad try copaxone. It is an injectable drug that has shown to slow down PPMS. It is quite expensive, $24 000 a year. The doctor gave my dad quite some hope. In Canada, the health system will only allow for copaxone's use for people with RRMS. The doctors refuse to give my dad copaxone. The MS clinic here does not return my dad's phone calls, appointments are made yearly because they don't have enough staff even though we are the highest per capita for MS patients in Canada. It is extremely frustrating because it seems like now there is no help.