Patricia I understand you not wanting to take Provigil if you are hyper. And that Mestinon can be tricky at times. I understand about being frustrated when you can't do the things you used to. I, myself, used to be very active, also. Moving to the bush, how adventurous! Yes, it would be nice if they developed a medicine that could help us better deal with this Myasthenia stuff. In the meantime, I guess we will have to keep on plugging along You take care Patricia and I will do the same