I agree totally also , a back up plan in writing from PM dr for the extreme pain times.
with his # in case of verification /questions - but if it is set up well & with co operation with hospital manager in charge of ER should be no problems.

Or PM could rx special meds to cover for only those really bad times??
Probably would have to have a very high trust level for that sort of thing and I don't even know if they would do it that way...

Maybe that Rx would be held at your pharmacy and they call PM to verify -if you are in dire need?

How do others of you cover those really bad flare med wise?
Do you have a back up plan other than ER?