Hello, I would love all feedback from those that have had a thymectomy for MG. My 24 y.o. daughter was diagnosed 4 years ago and became quite stable about 6 months ago and her symptoms were well controlled with medication (mestinon, immuran).

8 weeks ago she had a VAT thymectomy. She tolerated the surgery well although she had a lot of pain for a couple of weeks.
Immediately after her surgery she had a significant improvement in her symptoms and didn't even have to take mestinon for 5 days! But now her symptoms are worse (facial bulbar manifestation) than ever and she's taking 8-9 mestinon per day. The P.A. at the neurologist office said this was typical, but I'm still worried. Has this happened to anyone else? Has anyone seen a marked improvement followed by a rapid and worsening decline? What does this mean for her chances for complete remission? I am curious what others experienced in the weeks/months following thymectomy.