After sending you the earlier fax, I did a bit of research on Myasthenia Gravis. I have come to believe your diagnosis is spot-on. The list of symptoms are very much what I have been experiencing. [BTW doctors never tire of hearing the phrase: "your diagnosis is spot-on."]

http://www.medicalnewstoday.com/articles/179968.php

These include:

1. The double vision I was experience earlier, particularly when fatigued.
2. Trouble chewing.
3. Symptoms less severe after periods of rest and sleep.
4. Trouble swallowing.
5. Face mussels weak.
6. Jaw mussel weak.
7. Speech soft and nasal. In my case speech is very difficult.
8. Fatigue.

Some of these symptoms go back a long time, particularly the trouble chewing. I thought at the time this was due to my dental problems, but now I realize it was something else. [I did not tell my primary care doctor about my weak jaw and trouble chewing for over a year because I thought the cause was bad teeth. Had I told him, he would have diagnosed MG much earlier.]

I have also been fatigued for quite some time, but I assumed this was due to my work. Driving a taxicab 50 to 60 hours a week is very taxing. I assumed the fatigue was due to this work schedule. The only time I have taken off in the last 5 or 6 years was the 10 days in September when I was extremely sick.

The above coupled with the results from the blood test appear to point directly at MG.

What is the purpose of waiting three months to see Dr. Ngo? [my neurologist who I was scheduled to see in February for the first time] Will I need to see him for treatment, or is there something you can do?

I’d like to begin treatment as soon as possible. Is it possible to begin treatment today? With the upcoming holidays and Dr. Ngo busy schedule, it might be some time before he can see me. If this current episode is like the other two episodes when the symptoms passed in 7 to 10 days, waiting might not be a problem. If this current episode follows a similar trajectory, I may be symptoms free in a few days, followed by a symptom free period of two to three weeks.

But if it takes longer for this episode to pass, it will start to have a very negative impact on my life. I’m not getting enough sleep, as I am awakened every hour to clear the mucus out of my throat. I’m also unable to eat any solid food now, but I am getting proper nutrition with a product called The Ultimate Meal.