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).
Triggers of an MS exacerbation can include: 1  Infection: An MS relapse may be triggered by viral, bacterial, or some fungal infections. 2  Vaccinations: Certain vaccines may be associated with triggering an MS relapse, while others may not.  Stress: The role of stress in MS relapses remains unclear, however.