I was thinking about this yesterday, bird, and how it seems a lot of people don't really know how to determine if they are in a relapse or not. However, I can see how it might be confusing for people new to the disease process, as it was for me too in the beginning.

That definition has held true for me each time, although the symptoms have been quite different from one attack to another. Sometimes I have had only an extreme spinal headache lasting 3 weeks + increased fatigue, another time my entire mouth has gone numb, and yet other times I been paralyzed from the chest down. Sometimes it lasts 3 or 4 weeks, and others go on for months (with no 30 day break in between, so it's still one attack).

It concerns me though, if we don't know how to identify an attack. How can we be a good judge of how our DMD's are working for us if we haven't defined that we've had 5 attacks in the last year?

Cherie