If your MS is like mine, surviving a day is much like surfing. The ocean is an energy field and the waves come in, some higher and most with deep troughs. When I'm in between energy waves, down in the trough, I just dog-paddle along the best I can. When the wave crests, I feel like I'm surfing on a high, cruising along and I get stuff done! It's awesome. I'm surfing today and may have just made a bad decision due to misplaced optimism that this wave will last: I expanded my counselling hours so I can serve more clients. Oy vey, I hope this works out.