There was no option I saw her at the ER I was having trouble walking lifting my arms and spasms she said talk to your primary care dr. I think you have MS I went to my primary she told me no MRI it's not MS I got rid of her got a new primary doctor Who sent me to Mercy I had an MRI and was then diagnosed with MS she was great she will never know how much she help me and Knew what was wrong I am so thankful and never got to tell her .