I too live in the lower mainland (Surrey) and have PPMS.  I used to go to the MS Clinid at UBC, where I also saw Dr. Oger on my very first visit.  My primary neuro there, was good and seemed to ask all the right questions. bottom line I wanted something closer to where I live as getting to UBC was physically taxing on me, so she suggested I see her at her private practice out my way.  This was all fine and well until she moved out of province and recommended another  Dr who was also a neuro.  As it turns out, being a neuro doesn't mean an MS doctor (who knew!), so I am now journeying back to UBC double quick.  I have been taking Lyrica for my PPMS as this is what  was prescribed, and is doing the job of  quelling my pain but nothing else.  I am glad to find this site, as I have been looking forever for a place to discuss these things.  Why is it so hard to find a good forum? Lori