What a fascinating way of describing this "roller coaster disease".

You are right-there are the "crazy" fluctuations of this illness, there are the medications and there is how much we do.

All this together creates the balance of what life with MG is.

And like Annie says it is a full time job and hard to do on your own.

But, it does make life easier if we manage to achieve at least some stability.

The consistency is by changing the resolution and looking at larger time scales.

You may not be able to do much today, but if you add today and tomorrow it will be OK. And over a week or a month you will almost always have a reasonable amount of productive moments.

So there are certain things you have to do each day (those are the basics), certain things you have to do each week and certain things you have to do each month.

This gives you a lot of flexibility, even in an inflexible world.