I been in hospital 11 days blood pressure issues potassium low and horrible headachebanpacerbtypebheadache sonbrain needs to heal not a ms issue it a pace headache that has to heal
Before bp will b down and pain clear gone . I will b going home with VNA services .

I definitely go if my vital signs
are not good or I have neurological symptoms, like neuropathy, vertigo, ataxia, vestibular problems.. but for pain, anxiety and weakness I go to a pain clinic once a month for perscriptions.

I took my whole bag of fusion all the needles and my meds

There really are very few things in MS that are true emergencies. Most ER's are for putting out fires, so honestly unless you are in severe pain or absolutely unable to walk, there really isn't much they can do for you and you might find yourself disappointed and frustrated. Calling your neuro's answering service is the best bet. (depending on their office set up of course) Not all relapses need to be treated with medications, and when they do require steroids, the steroids only simply shorten the course, not the severity or hault it in it's tracks. So really, starting steroids 12 hours earlier in an exacerbation really isn't going to have that much of an impact. Given that, it has to be something really dire for me to go to the ER. If you need to be hospitalized and it's during the day, your neuro can arrange for this directly avoiding the ER completely. Like someone said, ER's are sort of pointless in this setting, they are just simply made for other things.

Most doctors have an answering service. I know that I can call my neurologist and she will usually put me off (after hours) until the following morning. I will then go to her office for Solu-Medrol over the following 3 days. I will go to the ER if I am having a problem that can cause seious issues, such as not being able to urinate, or difficulty swallowing. These are serious and the last one is potentially life threatening.