Thank you both for the reply, I'm not even sure how quickly I am expected to see a response. The ptosis and weakness comes and goes but the double vision to the extreme right and left is pretty much constant these days. I have been started on 1/2 a 60mg tab every 4 hrs for 3 days then to go up to a full 60mg tab every 4 hrs until I go back in about 2 weeks. The doc said by then I will have an idea. So far it just feels like someone took a weed wacker to my stomach, but that could be just a worsening of other issues.