I would have one other comment in that your Dr didnt become a Rheumatologist and not have some or considerable knowledge about steroids and there effect on the body. My PA that I see in the general practice understands steroids. She just didnt feel comfortable diagnosing me with PMR without a Rheumatologist. We also do not know what you have been going through or how your treated. Like what other conditions you might have. All these can play an important decision in your treatment. Probably her giving you her reasoning and you being educated on your end is how you reach a treatment. As Dadcue said he had free reign to treat himself. I had free reign. My Mayo Rhumy knew that I understood the seriousness of steroids. I requested dexamethasone instead of prednisone but he agreed because he knew I had an understanding of the drug. I would say I took advantage of stock piling as many as I could for just in case. I would fill the 10mg prescription. I filled everything until the prescription ran out. I dont know if I will ever need them but I dont have to beg to start out.