I know what you are feeling as I have been there. Take heart as I went into remission for 17 after my thymectomy. I was taking 120 mg mestinon at a time and everything else, now I am out of remission but can't take any of the meds as I react to badly to them. This morning I drove to town to pay 2 bills and by the time I got home I could hardly move my arms. Summer is VERY hard on us MGer's so try and make your family understand. Don't feel bad that you have to stay on the couch, I know that is hard as MGer's seem to be the "have to get it done now" kind of people. My husband wanted to go to the movies tonight but I just can't, he says he understands but... I can't help but feel bad that he is not getting 100% of me, so come rant with us as we all have or are going through the same thing and we are hear to share the frustration.