Recent diag. of ms by pa at neurologists office. mri: 10-12 non-specific lesions occurring over 10 years; no obands, no lesions on spinal cord or optic nerve. 2nd opinion from wfu ms clinic did not concur with ms; complex migraine. how to proceed?

Let's assume you have had a full and thorough evaluation and that migraine has been confirmed and MS excluded. Now, find a neurologist who focuses on treating headaches, and have your next decisions routed through that facility. Might return to WFU, or any local clinic which could provide this intervention.

Usually, a PA needs at least some oversight from the physician(s) in the office. You should find out whether the neurologist reviewed & concurs with the PA's diagnosis. Ask to speak with him/her personally. If you don't get a clear and convincing explanation of why the neurologist thinks it's MS, or an offer to be re-examined by him/her, go elsewhere. I NEVER trust a PA's uncorroborated exams.