awaiting possible diagnosis of MS or small vessel ischemic disease

I am 65 so I guess I am a "late bloomer" if I get an MS diagnosis. I had not told anyone of symptoms but I think they were starting to notice. My granddaughter would say: Gma you almost bumped into me, as my gait is not real graceful at times. But I have been a clutz and taken a few falls over the years so I dismissed it. Then other symptoms appeared like tingling and numbness in hands and face and then tremors have increased over the past year. Also spastic muscles in my abdomen and eyes and buttocks which is a new one. Brain fog happens occasionally when I can't get the word out I want to.

The MRI raises the question of both above possibilities and I see the neurosurgeon on Wednesday.
My primary dr said "MRI looks fine but I will send you to neuro anyway. Are you sure you aren't being hypervigilant?" The only thing I feel a bit vigilant on is going down steps.

Then I picked up the report and read it. I am really disappointed in my dr. I have known him 35 yrs. I worked with him the hospital as staff nurse! It took me over a year to even mention these symptoms. It takes a lot for me to complain about symptoms of anything. (except last year when my gallbladder full of stones had to go)
So now it's just a wait and see which I know may stretch out even longer until a true diagnosis.

As Gretchen mentioned, it isn't unheard of to be diagnosed late. I was diagnosed at 46, just last year.

I hope the neuro you see will help guide you and get you some answers.

Don't forget to be your own advocate, loudly, if necessary.