i am 1 year into this journey. Last summer in August i could not hold my head up, i could not breathe! and could not lift my arms to feed myself without difficulty, had to watch my fingers type for all the missed letters in words and sentences if i didn't specifically order my hands to do the right letters ... took doctors at three different local hospital institutions 5 months, 4 ER visits (tell them you can't breathe and your heart keeps stopping and they don't leave you in the waiting room, which is nice), multiple catscans, MRI's; being told by one Dr. i had the same symptoms as any girl going through puberty... not a teen, not a girl - Finally, a blood test and EMG confirmed my problem. started Mestinon and prednisone, they wanted me up to 50mg of Pred., could not do it, cure way worse than disease, same with Mestinon. reading in these forums of others who have much better luck and wonder why it does nothing for me... next step is cellcept. i'm presently taking a break from all prescriptions for a time to see how i feel and make sure these prescriptions are doing some good. a little over a week now and i don't know yet. have not had a crisis or the same challenges as last year are muted. i always always have trouble breathing.