Myasthenia Gravis For support and discussions on Myasthenia Gravis, Congenital Myasthenic Syndromes and LEMS.

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Old 05-26-2013, 05:17 PM #1
Heat Intolerant Heat Intolerant is offline
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Heat Intolerant Heat Intolerant is offline
Junior Member
 
Join Date: Aug 2009
Posts: 62
15 yr Member
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I think all of us need to step back and try to understand the expertise of a neurologist who has gone to school for many years and treated very many patients (no doubt saving many a life and leaving no patient to die prematurely of a respiratory crisis!).

Now, let's start with this:

The following link contains a very famous picture from Posey & Spiller which is known as the "face of myasthenia":


http://www.myasthenia.org.au/html/symptoms.htm


But is this really the face of myasthenia because of the ptosis?

We can determine that it is not. "Unsure81" has "just me" ptosis. Pingpongman's sister had "non-MG-related" sagging face disease, (a condition which is, like Myasthenia, successfully treatable with Mestinon!)

Undoubtedly, there are many different kinds of ptosis and droopiness and also other clues in every patient's face which every competent neurologist can analyze on the spot -- leading to the most amazing conclusions!

There is always more to every simple picture than what meets the eye, to wit:

http://www.moillusions.com/2013/05/p...-illusion.html

At first you see only a fox, but if you look closer, you can see human heads and a variety of animals.

A neurologist's evaluation follows similar principles with the following caveat: when a neurologist looks at your face, he can see things nobody else could even dream existed there -- and not see things everyone else sees!

So, Unsure81, if you should want a really exhausting "exercise", try figuring out the difference between the Posey & Spiller "face of myasthenia" and "just me" ptosis.

Nobody on here can know certainly what you have but it's a good idea to know how the most competent and experienced neurologist must practice his craft.

This is tongue in cheek. Sorry, I'm just in that kind of mood today. But the upshot is just that it can be tough to have a serious conversation with a neurologist

Last edited by Heat Intolerant; 05-27-2013 at 05:03 PM.
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