Here is a question that just came in..."Does a person, stable on meds and with clear or largely clear MRI scans really need an MS specialist? Can a PCP care for them, prescribe medication and monitor the progress and effects?"
The answer is yes, the person does need to see an MS specialist; all medications have risks that must be monitored by an individual with expertise in the use of those medications and monitoring for disease activity is complex and involves far more than regular MRI scans. MS medications in particular are becoming more complex and risky, similar to the situation with cancer and HIV drugs. Most individuals would not consider allowing their PCP to monitor cancer treatments and most PCPs would be reluctant to do so. This being said, some individuals require only infrequent visits to an MS specialist, perhaps every one to two years. Most of these individuals have demonstrated stability for several years and likely have a more benign or less active form of MS. These are all issues that you should discuss with your MS specialist.
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