I went without a neuro for many years but made sure I had an excellent primary care doc. When I started Avonex, I was referred to a neuro and have had a neuro ever since, more or less.

I went from Avonex to Copaxone to no DMDs, and at that point, a couple of years ago, there seemed to be no need to report to the neuro once a year or so. I believe I'm supposed to return in a couple of years.

I'll probably do that even though there's not much reason to. Maybe there's an interest in seeing how I'm doing and keeping a record of it.