In the event that both a city and county tax deed is issued on property for the same year of unpaid property taxes, the general rule is that a properly issued county tax deed would take precedence over a city tax deed.
The Three Stages of MS. By Ashton Embry. Many people think MS has two stages: relapsing remitting (R-R MS) and secondary progressive. (SPMS). I see the MS disease process as having three distinct stages. The often ignored and perhaps. most critical stage of MS, is the first one which can be called Pre-clinical MS (PCMS).
MS never starts out as secondary progressive. However, it is possible for someone to be told they have this type if they have had unexplained symptoms for some time. A diagnosis of primary progressive multiple sclerosis (PPMS) may be made if you have had no previous relapses of your symptoms, and: 1  you have become steadily more disabled for at least one year.