He's had quite a bit of fatigue for a while, but that may be stress-related - he works more than he should. He's had a number of small, probably unrelated symptoms/issues for years, but he's gotten so used to being told it's in his head or that there's just no good explanation for the aches/pains/not feeling right that I doubt he knows what is connected to what. He pretty much blows off anything medical now until it gets to the point where it can't be ignored.

We're hoping at this point it's just ocular and stays that way - I consider the 16-20% number I've been seeing tossed around for ocular MG not progressing to generalized to be pretty promising. He doesn't think he's noticed any muscle weakness. He's had the eyelid droop for six months - his PCP said she didn't think it was anything when he went in for something else and mentioned it. So we're not seeing a rapid decline, I don't think.