Angell, You're very welcome. I wish more doctors could explain this damn disease, or have a physician's assistant who could take more time to do it.

I would never tell anyone to take or not take a drug. You are on ZPak? For an infection? Don't stop it. Some MGers do fine on that or Biaxin. DO NOT, however, take Ketek/Telithroymcin! It has a black box warning on it for MGers. Also, the Quinolones now have a warning for us.

Just look for any signs of MG becoming worse while on it.

I take Mestinon syrup, mainly because I don't have stomach acid and it absorbs better for me. I can also titrate the doses in a far smaller way.

The other thing about Mestinon is that if you don't use your muscles a lot and are more sedentary, you may not need as much Mestinon. The more you do, the more acetylcholine is used up.

Well, math is the key to the universe, but not to MG. MG is more of an instinct thing.

MG just put me to sleep for a while. The little brat can do that to you when you least expect it. Don't fight it, because it's the body telling you what you need.

It's time to renegotiate your contract. I'm from a family of farmers. No way would they expect someone to do physical labor if they had MG. They would ask them to do things like making meals, planting seeds, or some easier task. I'm really sorry you are in that position!

And I'm glad you backed off on the dose. However, if you are showing signs of an MG crisis, don't think because you may have had them before that it's okay to sit at home. A hospital has to help you, insurance or not.

Take it easy!

Annie