Thank you all for the positive encouragement and the great information. Mark, I printed off the document you attached and I plan on taking it with me to the neuro ( with questions of course) next month. Unfortunately, sometimes the more I read, the more nervous I get about all of this because there seems to be a lot of doom and gloom type stories out there as well as many unknowns ( which I am not too good at dealing with). That being said, it is nice to be armed with information :-)
As far as the meds go, I have an advantage in that regards because I am a pharmacist. I know that not one med used for MG is 100% safe in pregnancy. They are all category C and below. If I end up needing symptom control, I do feel comfortable taking a low dose of Mestinon as many of the studies and publications I have read indicate problems at higher doses.
Thank you gr8ful for the hospital info… my doctors are all part of the UPMC system so hopefully they will be able to coordinate amongst each other the best course of treatment for me. I have decided to leave my regular OB at this time and switch to a high risk OB group that is part of the hospital where I will deliver ( also UPMC). They are pretty on top of things and the doctors actually seem pretty knowledgeable about pregnant women with various autoimmune diseases. My regular OB just seemed kind of clueless and was not eager to answer any question I had regarding the MG and how it related to pregnancy.
I am trying to take it day by day for now and I will keep you all updated!