@therese Your situation is almost exact replica of mine! I was diagnosed 5 years ago and also dropped my working week to 4 days in 2018. Doesn’t make a huge difference just makes an almost impossible situation a tiny bit easier. I hear you with the adaptations I am constantly chopping and changing in order to meet ms requirements, yeah it seems the MSresponds to it well at first but then just goes back to normal. I don’t think it’s the MS getting worse necessarily, it’s just the MS being so wildly variable. What do you do for work? I am a bridge engineer.