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Old 12-28-2018, 01:09 PM #1
AnnieB3 AnnieB3 is offline
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Are you back on Mestinon? I hope so!

If you don't have an oximeter, that might be a good thing to have. You can then know your normal and what isn't. Just don't panic if you have one on the plane with you! O2 tanks in an airplane.

I'm glad that your doc finally wised up, and got you treatment you need.

I'm sure that Dr. Weiss will help you with whatever you need. He has years of experience with MG, and treating it. He is an amazing doctor and human being. Just make sure that you ask as many questions as you need to. He might be able to refer you to a neuro closer to where you will be in FL.

Be careful in that Florida heat. Yeah, I know, it's winter. But you really have to stay cool. And please nap after any activity. Don't overdo. To me, your MG doesn't sound stable.

Please let us know how you are doing! Trust your instincts. I hope you have a good time.


Annie
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Old 12-29-2018, 05:04 PM #2
penningtonedward1@g penningtonedward1@g is offline
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Quote:
Originally Posted by bchgrl View Post
Hi!
I’ve had a few updates since my last post.

I went for a follow up with my Neurologist here in Kansas City December 18th. He didn’t like what he saw. He thought I’d be stronger than I was since my last appointment and the thymectomy. He admitted me to the hospital for Plasmapheresis treatments. He said he may be going to an extreme, but he wanted me to gain strength before the holidays and trying to get to Florida. I was happy he took the more aggressive approach. I had 5 treatments and was released on the 6th day. My first day home I felt better than I had in months! I woke up the 2nd day, however, really bad. I missed all Christmas activities. But since then I’ve been better than before the treatments, just not as good as the first day. I’m just on that daily roller coaster we MG patients live on!

Annie, I wanted you to know I have an appointment with Dr. Weiss January 8th. I’m anxious to see what he says!

Happy New Year!
I am glad to here you are doing better!
Who is your Neurologist in Kansas City?
Mine is Dr Pasnoor!
I go back in March for my follow up appointment!
Happy New Year 2019 hope it’s a better year👏
Alton
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Old 11-13-2018, 07:29 PM #3
Mikanro Mikanro is offline
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Originally Posted by bchgrl View Post
Thanks for sharing Anna. I’m sorry about your diagnosis as well. That must be so hard with kids!

I have a few questions for you or anybody else who can answer them. You mentioned IVIG treatment. One of the things I’ve wondered about and have on my list of questions for the neuro, is how often they can do IVIG. Do they only do it if you are in crisis mode, or in my case, before a surgery? I’ve tried to research this, and I seem to find different answers which just confuse me more. (Not to mention I can only stay on the computer for so long before I get nauseous because of my eyes, ugh!) I mean do they ever do infusions as a standard treatment every few months or so to re-energize you?

Also, you mentioned an MG clinic, where is that and what do they do there?

You and Annie have definitely convinced me to ask my doctor about taking the pyridostigmine more often but maybe in smaller doses. He hasn’t mentioned any other medications to try yet, but I’m sure when I see him Thursday and he sees how I’m doing with current meds and dosages I’ll find out more.

Thank you again!
Kristi

I have set some “goals” for my husband and I to look forward to in up the upcoming coming months. First, we usually spend the winter in Florida. In fact, we would already be there if this hadn’t happened. My goal is to go after the first of the year. My neurologist already said I could get a neuro there, and maybe they could work together. I’ve planned other simple things like a concert in April, and big things like a cruise next summer. Of course everything is refundable. I’m happy you are able to do your photography again. (The photo is beautiful)
They generally try IVIG after other treatments fail to work. The number of failed treatments required will depend on insurance.
The standard for IVIG is once a month according to the providers I currently have. But for some people, it starts to wear off sooner and they go to every 3 weeks. I am in pretty bad shape today and I am due for another infusion in 5 days. However, they will want me to have a few more infusions to establish proof that I need them more often. (To show it is not a coincidence.)
My infusions take 4 hours, two days in a row. Most people only spend 3 hours there but they have to infuse me more slowly or my blood pressure drops.

I will write more later. My arms are getting floppy.

Sent from my SM-G955U using Tapatalk
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Old 11-14-2018, 06:24 PM #4
wbdolphin wbdolphin is offline
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There are Two other MG gurus in Florida, one in Jacksonville, one in Miami/Dade. Their names are escaping me now, of course. Also, wherever you will be in Florida, see if there are any local support support groups nearby, maybe to find out who others go to. (We have one here in Orlando).
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AnnieB3 (11-14-2018)
Old 11-14-2018, 07:58 PM #5
bchgrl bchgrl is offline
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Thank you! I will! We are in Fort Lauderdale, so Miami Dade isn’t very far from us!
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Old 11-20-2018, 08:09 AM #6
6thCranialNerve 6thCranialNerve is offline
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Quote:
Originally Posted by bchgrl View Post
Hi all! I just found this forum, and I'm hoping to find some answers and understanding of this rare disease I have been diagnosed with. Here is my story...

I was an active, healthy, 55 year old female. Seven weeks ago, my vision all of a sudden became jumpy and blurry. I thought something was wrong with my contacts. I went home and started messing with my contacts. The next day my eyelids were swollen and I thought it was because I had messed with my contacts. I realize now that was the "droopy eyelid". Two days later, my face felt numb and I could not raise my eyelids to put on my mascara. Ok, time to call the doctor!

She had three things she wanted to draw blood for, one being MG. Two days later it came back positive. I made an appointment with a neurologist and had a chest scan on my thymus, which showed a tumor. By the time I saw the neurologist a week later, my symptoms had rapidly progressed. I was having trouble chewing, words would get "stuck" in my mouth, my smile was askew, and I was constantly dizzy and nauseous from the triple/jumpy vision. At that point they scheduled me for a thymectomy. The thymectomy was scheduled for two weeks later. By the time I went in for the surgery, I could barely walk across the room or raise my arms. They decided I was too weak to do the surgery. They admitted me to the hospital and gave me IVIG infusions for two days.

The surgery went well, and the tumor was benign. I am now three weeks out of the thymectomy, but the MG is still awful! I am home now and have PT and OT 2-3 times a week. My arms and legs just don't want to work. After I do my PT (which is VERY minimal, like 5 minutes of leg and arm exercises with1 lb. weights) my whole body shakes and convulses for about a half hour. My symptoms seem to change daily and sometimes several times within a day. From eyes, to face, to arms, to legs, sometimes even needing a walker.

Right now I am on 80mg of steroids daily, and 120 mg of Pyridastigmine 4 times a day. I go back to my neurologist next week and I think they will start weening me off the steroid.

This MG has been very hard for me to wrap my head around. Two months ago I was on vacation in Rome climbing the Colosseum stairs with no problem! Now I can't even get down my stairs at home without having to rest when I get to the bottom. I used to swim a half mile or walk 4 miles a day, bicycle, kayak, etc., UGH!

So that's my story, now here are some of my questions...

1. Have any of you heard of anyone whose symptoms came on this quickly?
2. Will it get any better once they start weening me off the steroids?
3. I've heard it can take 2 years before you go into remission after a thymectomy, but do the symptoms lessen before remission?

I'm sure I will have more questions after I post this, but any insight into this "new normal" of mine from the MG Community would be greatly appreciated!
Thanks!
Hi!
I was diagnosed this past August. I started on Prostigmin and after I completed my CT of chest for Thymus I was started on Cellcept (I had steroids with my chemo and begged not to take them again!). He ordered IVIG (I asked for it too). I was an infusion nurse for over a decade and gave IVIG almost exclusively. It has worked for me; but then again I knew what I had. I had treated a lady with Ocular Myasthenia Gravis for over 7 years. I went to her neurologist appts. and studied her labs. I developed stacked double vision last January and knew what was wrong. It took me from Jan. to Aug. to get to a neurologist who would treat me! Who would listen to me!

IVIG provided by specialty pharmacies provide financial waivers to patients who cannot afford the copay. I know a company who may offer you one. You can PM me for more info.

IVIG is the drug that will control OMG. I would refuse the steroids on my past experience and knowing that they cause many side effects.
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AnnieB3 (11-28-2018)
Old 11-20-2018, 08:40 AM #7
bchgrl bchgrl is offline
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Hi! I’m sorry about your diagnosis as well. How sadly ironic that you gave IVIG treatments for a decade.

Thank you for the information.
Kristi
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AnnieB3 (11-28-2018)
Old 03-07-2019, 03:39 PM #8
Rojo Rojo is offline
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Hi Mikanro, et al: I'm new to this process and I am just learning about MG. However, I thought that I would toss into the discussion my situation since my Dr has started working on getting me on Soliris IV. As I understand it, the initial treatment requires Infusion for four consecutive weeks (1/wk) and then a higher does the fifth week -- then doses every other week forever. His main concern is to get me off of Prednisone. So far my problems have been mild and just related to my tongue and speech slurs -- this started "overnight" about 5 years ago. I am 84 years old now. Compared to many in this discussion, I have been very lucky. Wishing good luck to all.
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Old 03-10-2019, 09:19 AM #9
bchgrl bchgrl is offline
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Quote:
Originally Posted by Rojo View Post
Hi Mikanro, et al: I'm new to this process and I am just learning about MG. However, I thought that I would toss into the discussion my situation since my Dr has started working on getting me on Soliris IV. As I understand it, the initial treatment requires Infusion for four consecutive weeks (1/wk) and then a higher does the fifth week -- then doses every other week forever. His main concern is to get me off of Prednisone. So far my problems have been mild and just related to my tongue and speech slurs -- this started "overnight" about 5 years ago. I am 84 years old now. Compared to many in this discussion, I have been very lucky. Wishing good luck to all.
Good luck! I’m going to ask about Solaris next time I go to the doctor.
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Old 03-10-2019, 07:32 AM #10
penningtonedward1@g penningtonedward1@g is offline
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penningtonedward1@g penningtonedward1@g is offline
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Quote:
Originally Posted by bchgrl View Post
Hi all! I just found this forum, and I'm hoping to find some answers and understanding of this rare disease I have been diagnosed with. Here is my story...

I was an active, healthy, 55 year old female. Seven weeks ago, my vision all of a sudden became jumpy and blurry. I thought something was wrong with my contacts. I went home and started messing with my contacts. The next day my eyelids were swollen and I thought it was because I had messed with my contacts. I realize now that was the "droopy eyelid". Two days later, my face felt numb and I could not raise my eyelids to put on my mascara. Ok, time to call the doctor!

She had three things she wanted to draw blood for, one being MG. Two days later it came back positive. I made an appointment with a neurologist and had a chest scan on my thymus, which showed a tumor. By the time I saw the neurologist a week later, my symptoms had rapidly progressed. I was having trouble chewing, words would get "stuck" in my mouth, my smile was askew, and I was constantly dizzy and nauseous from the triple/jumpy vision. At that point they scheduled me for a thymectomy. The thymectomy was scheduled for two weeks later. By the time I went in for the surgery, I could barely walk across the room or raise my arms. They decided I was too weak to do the surgery. They admitted me to the hospital and gave me IVIG infusions for two days.

The surgery went well, and the tumor was benign. I am now three weeks out of the thymectomy, but the MG is still awful! I am home now and have PT and OT 2-3 times a week. My arms and legs just don't want to work. After I do my PT (which is VERY minimal, like 5 minutes of leg and arm exercises with1 lb. weights) my whole body shakes and convulses for about a half hour. My symptoms seem to change daily and sometimes several times within a day. From eyes, to face, to arms, to legs, sometimes even needing a walker.

Right now I am on 80mg of steroids daily, and 120 mg of Pyridastigmine 4 times a day. I go back to my neurologist next week and I think they will start weening me off the steroid.

This MG has been very hard for me to wrap my head around. Two months ago I was on vacation in Rome climbing the Colosseum stairs with no problem! Now I can't even get down my stairs at home without having to rest when I get to the bottom. I used to swim a half mile or walk 4 miles a day, bicycle, kayak, etc., UGH!

So that's my story, now here are some of my questions...

1. Have any of you heard of anyone whose symptoms came on this quickly?
2. Will it get any better once they start weening me off the steroids?
3. I've heard it can take 2 years before you go into remission after a thymectomy, but do the symptoms lessen before remission?

I'm sure I will have more questions after I post this, but any insight into this "new normal" of mine from the MG Community would be greatly appreciated!
Thanks!
Haven’t posted for a while MG can come on very suddenly mine started with double vision and weak legs !
Had a Thymectomy November of last year did not have a tumor
My Neurologist recommendation was a Thymectomy!
After surgery I am seeing improvements have cut my medicine in half !
Hoping for remission my take up to 2 to 3 years !
Everyone’s MG is different so stay positive
and prayers for yours to go into remission 🙏

Alton
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