Thank you both. I'm hanging in there, Im just so freaking tired all the time. Working 8 hours at a computer is killing me, and it's not even labor so I shouldn't complain..... I've noticed with the steroids my body doesn't heal as well. I got bit by a fire ant and it got red around it and it has stayed. I'm brusing easily too. Oh well, this is life with MG I guess. I was REALLY lucky to not have severe symptoms for 4 years. On another note, my bulbar symptoms haven't really improved either with the meds. I made sure to tell my doc that too .