I've had this since 1984. The first symptom my sons listen for when I'm around is slurred speech. They pick it up before I notice it. Talking, eating, chewing are all tiring as jaw and tongue muscles are involved in MG. For me, this was the first symptom that I went to a doctor about - getting choked when I ate. Slurred speech means I need to rest for a while.

If the tongue muscle stops working (and it can), the food or liquid will simply roll off the back of the tongue into the wind pipe. I quickly learned to do the Heimlich maneuver on myself as I live alone. I also learned to eat slowly (as my mom used to tell me!) and pay attention to what I'm doing. I don't eat foods that require a lot of chewing unless I'm feeling really good. I also only go out to eat with my sons and their families - otherwise, I just drink tea or water when in other social situations that have food available.

My situation may be more extreme than others because we're all different with our symptoms but it's something to be careful with.