• MG Progress Setback

    Posted by DocTim on July 19, 2021 at 1:58 am

    I was diagnosed with generalized MG Sep ’20. Within 3 weeks of first symptoms, I couldn’t speak, eat solid food or breath deeply. I began Pyrodistigmine, then later IVIG treatments, and in December ’20 immunesuppression Rx. I have had a slow but steady improvement to maybe 80% normalcy until one week ago.  I am now experiencing a setback of symptoms of about 3 months progress.  I do not know the reason for this, but am researching and searching my mind for behavioral clues, etc.

    I was given a muscle relaxer by my Pri-care for back spasms and used them regularly for a month or so. I have also been active outside with golf, yardwork, etc, in the nice weather.  My upbeat pace and the muscle relaxer combined is my best guess for the backward bounce.  Still working on a theory so as to avoid a repeat.

    I’m fighting my way back with increased Pyrodistigmine & a more relaxed schedule. ‘Gotta find my new ‘me’.

    Kenneth Berg replied 3 years, 2 months ago 4 Members · 10 Replies
  • 10 Replies
  • Ari Maayan

    Member
    July 19, 2021 at 4:49 am

    Hi Tim,

    I am sorry to hear about your difficulties with your MG. I hope that you will soon be on the upswing.  I have read that it is not a good idea for folks like us to take muscle relaxers. The way our autoimmune disease works is similar to what muscle relaxers do. Maybe someone has more complete or different information than what I just wrote. If so I welcome any information.  I have 2 doctoral degrees in the biological sciences but what I got out of all that education was the enlightenment that there was a hell of a lot that I didn’t know. And every day I seem to know less.

  • DocTim

    Member
    July 19, 2021 at 6:40 pm

    Ari, thanks for your response. I also read some warnings against muscle relaxers, but my neurologist and pharmacist both say any bad effects on MG would be minimal. I still don’t think I’ll use them, but I’m glad I did some research and reached out to them. I’m being very careful about every medicine and supplement I take, to try to ensure they aren’t arguing with each other or affecting me negatively.

    I have had a setback in my progress with MG, so I’m evaluating my lifestyle, etc, to prevent them in the future if possible. I had been on an upward trend, and would like that to continue.

    I also appreciate your comment about advanced education. I too have given institutions a lot of money to remind me how much I have to learn.

  • Ari Maayan

    Member
    July 19, 2021 at 11:21 pm

    Good thinking Tim.  Glad to hear that you are on an upswing. Hang in there Buddy!!!!

  • DocTim

    Member
    July 28, 2021 at 1:27 pm

    I wanted to post that I have fully recovered from my recent MG setback. I am back on an upward trend toward minimal manifestations of symptoms.  What I have learned is that I cannot behave as I did before MG took hold. Just last summer, I was on the golf course in any weather 3 or 4 times a week. Now, the weather report and last night’s sleep have to help dictate. Likewise with yardwork etc..

    An increase in my Pyrodistigmine & an IVIG treatment pulled me out of my slide, and I am grateful again for a caring neurologist & for God’s healing.

  • Ari Maayan

    Member
    July 28, 2021 at 2:20 pm

    Hey Tim,

    Great to read about your recovery. May you get better and better every day!!!

  • Kenneth Berg

    Member
    July 28, 2021 at 7:51 pm

    I, too, had a setback, more like an exacerbation, that lead to worse symptoms than when I started. Including the ones you mentioned, I couldn’t walk but for short distances, little strength and ended up using a wheel chair on a cruise! The culprit was ALCOHOL, liquor. I no longer drink and I’m as good as ever. I do 5 ~ Pyridostigmine, 5 CellCept and 5 mg of prednisone a day. The only thing that still drains me is hot weather so I try to minimize direct Texas sun.

  • Ari Maayan

    Member
    July 28, 2021 at 9:03 pm

    Kenneth,

    As you may know, excessive heat, excessive cold….and of course alcohol can trigger a myasthenic crisis.

    Best wishes,

    Ari

  • Thomas Lee Clark

    Member
    July 28, 2021 at 10:35 pm

    Kenneth, I don’t smoke, chew or drink liquor. Most of the recent and newer meds I have never taken. Sunlight, especially if I wear dark clothing, saps me. A shower too hot does the same. I rest until I recover enough to go ahead with activity. This seems to be the only residual I have after my thymo about 20 years back. Stay the course.

  • DocTim

    Member
    July 30, 2021 at 3:15 pm

    Kenneth…  glad you found the culprit & took care of it.  MG is so personal and requires a lot of time & study.

    Hang in there!

    • Kenneth Berg

      Member
      July 30, 2021 at 3:44 pm

      Funny, I was drinking moderately no problem. Then one evening before a cruise, went out to celebrate, had a margarita and by next morning, was very weak on way to airport, used wheelchair, etc. Not realizing it was the alcohol, because I had been drinking moderately, I drank a little on the cruise and it really got worse. Couldn’t swallow, lift, walk much. Then it snapped it must have been the alcohol. Haven’t had a drink since and doing very well. Stay healthy!!

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