So far the only treatment I've had is Mestinon, and it seems to be hit and miss. Tonight I can hardly breathe in or out. It's like my chest is full and can't move up or down. Sometimes the Mestinon works good for breathing, but not tonight. I see a doctor on Friday, but if I don't feel any better I'm going to the ER. However, the ER in the town I live in doesn't have any neurologists on staff. and the last time they sent me on a two hour ambulance ride where they did nothing either. I think they need to do the IVIG on me.