A thought provoking question. Having lived with MG for 34 (since I was 18), let me just say that with every decade with MG, living meant something different. When I was 18 it was devastating to have a 6” thymectomy scar and no life skills to explain that to a cute guy. It did not help to find out that once I explained it to a cute guy, he looked at me with indifference and the silent answer that I read on his face was “deal me out.” For the next ten years living meant that I was a “package” and that it would take a special life partner to handle it all. My twenties were filled with fatigue, insecurity and finding my place in the world. It was not for lack of trying to understand how to live with MG but just that everyone around me was in denial about my illness. I attended a MG support group meeting, accompanied by my mom, in the big city of Durban, South Africa but was not prepared to see how ill some MG patients were. As a 20 year-old I made the choice to not be involved in the support group because it just plain scared me…I was in denial as well. With little coping skills and no therapy I was drowning in my worries about how life would turn out for me. The very thing I was afraid of, a support group, ended up being the star that led me to my future husband and to a new country. I met my husband on the international MG list-serv and even though that was the beginning of something new and wonderful, it also took years more to really figure out where I fit into my world dominated by MG. Therapy did teach me the coping skills I needed for not only my MG life, but for life in general. It sounds melodramatic to say MG prevented me from “seeing” and living to the full, but it did. People love to say that an illness does not define them. Let me tell you truthfully: MG defined who I was, and how I changed into the person I am today. MG does define me and that’s okay.