Clare, Go to
Home and familiarize yourself with all of the drugs that can make MG worse! Eye drops at the ophthalmologist contain numbing agents AND Atropine. Both make MG worse. I always get sick after eye appts. I always had trouble coming out of general anesthesia.
Did you ever see a MG expert? I wonder what they'd say about the SFEMG results, in combination with the knowledge that you were immunosuppressed!
Well, lupus does not cause
fatigable muscle weakness. Talk about ignorance on the part of those doctors!

It can cause weakness, but that's not the same animal as what MG is.
If you don't improve, get to the ER.
Lupus is bad enough. But MG is so unpredictable and dangerous (potentially).
Annie