Dear Blyle,   My first reaction to your post was why was a paramedic telling you this? Usually it's your doctor who makes this sort of determination and you would know all about it.   Be that as it may, it sounds like you have made peace with MS as best as you can.   My brother passed away last year after 10 years of primary progressive MS. Some months before he died, he told the family he had "end stage MS", but we didn't really understand what that meant, for we had heard for so many years, how MS doesn't kill you, how you can go on and on. MS does not take the lives of everyone who has it, but it does for some and I wish that was better understood by everyone.   I wish I had understood it for I would have been able to be more of a help and comfort to him. I would have been there in a different way other than just visiting, helping with chores around the house etc. I think I would have done things like looked at our childhood pictures together, talked about the past, talked about his death that loomed in the future, and maybe done more things together that he liked to do, like listen to music, or look at nature and more.   Like you, he put on a good front, saying what a great life he had, and many people commented on how seemingly chipper and upbeat he was. And he was, but he also had some very sad times where he was in despair.   So I hope that the MS community will begin to see that MS can indeed take a life, and not hide our heads in the sand about it, deny it, and thereby deny ourselves and our loved ones, the chance to be together when togetherness is most needed.