Annie,
Thinking more about heat and cold--I don't have air conditioning. I also spent a lot of time at the beach, cooking in the sun, last summer. Getting very hot doesn't trigger weakness. And, in the winter my house is very cold. We have a huge house, and the only heat is a wood stove. When it gets really cold, I sit close to it and sometimes overheat. I don't notice any fluctuations in my symptoms according to temperature changes.
I also have almost no eye symptoms. I'm AChR seronegative times 3, and seronegative for MuSK and LEMS. My first two SFEMG's were inconclusive.
I'm just wondering if these atypical things about my MG add up to anything in your mind.
Oh, one more thing: I invariably come out of movie theaters very, very weak. Church, too. So while usually my MG is typically fatiguable, sitting still for long periods of time seems to set it off, too. On the other hand, I don't notice that sitting at my computer at home for long periods of time makes me weak. And I typically feel strong when I get up in the morning.
Abby