I so so feel for you wanting a better doctor. I started on Mestinon thankfully in July of 08. I was already so weak my diet had become lousy cause I couldn’t walk a full grocery store.. I had an attack during a really hot shower affecting breathing and was tried with Mestinon in hospital. Could you make it to Mayo Clinic in Minn. ? They did a lot for me. They discovered something new each time I was there.. I have a young neuro since 2009 who keeps giving me Mestinon but won’t do more. A senior doctor actually sent me home from hospital 2 years ago still unable to stand up from a chair.. This incident has my daughter traumatized and scared about our coming trip to Mayo Clinic. Sculptor44