Sue, You bring up another good point. MG is VARIABLE. Fatigable = variable.

The presentation varies. It varies as to what time of day. What you're doing. If you have other complicating factors like hypothyroidism or infection. It runs the spectrum from "able to work" to "being intubated."

And, as I've said before, MG is not inert, like some kind of gas. You add movement or heat and it "explodes." It is not a "static" disease!!!

I guess MG is a shape-shifter!

So how can neurologists approach MG as if it is this finite disease with these "gold standard" algorithms, as if this disease or diagnosis is a one size fits all?

A lot of doctors are only comfortable with clear cut answers. Not that easy with MG. Lucky us.

Annie