Hi everybody, ill try to keep this as short as possible.

The past three days have not been the best for me and I'm concerned I might be headed for another hospital stay.. I'm trying not to worry about it because stress has proven to be a major trigger for my symptoms but its hard not to be shaken by a few rough days.

For about a month I've been going everyday with mild weakness in my legs (on occasion need assistance going up stairs), moderate weakness in arms (need assistance with laundry and washing hair), and moderate weakness in the face (difficulty talking for any significant amount of time and on occasion trouble moving food around my mouth).

For the past three days my legs have stayed about the same maybe a tad worse but my arms have gotten considerably weaker, I had difficulty with most of my meals and had slurred speech all day long, and some mild but noticeable weakness in my neck (I've been hunched over a puzzle all week so perhaps that's to blame). And then today I had trouble getting out of bed because my core was weak, and although I had no trouble swallowing it felt uncomfortable to swallow almost like I had to make a conscious effort to make sure I swallowed properly. Today I also had a droopy eyelid for the majority of the day. Now these are subtle changes and I could just be having a couple off days but its been awhile since I've felt this way for multiple days in a row.

Do you think I could be having/ on the path to getting an exacerbation in symptoms?

I have been hospitalized four times since February for flare ups. The first was due to breathing difficulties, the next two were back to back stays for not being able to swallow my meds along with increased general weakness, and the fourth was because of a steroid cut that effected mainly my legs but also my arms.

I currently take mestinon (50mg five times a day), 60mg of prednisone, 1000mg of cellcept twice a day, plasmapheresis once a week, and I got a thymectomy in early June. I think it's also important to note that this week I got my plasmapheresis on Tuesday instead of Monday so I ended up going eight days rather than my usual seven days.

I would also like to say that I am not in any way trying to complain about my condition because there are some of you out there who deal with far worse on a daily basis. I am grateful to be doing far better than I was in the spring although i still experience symptoms daily and I did think I would be a bit farther along in my steroid taper. This is strictly a concern for me because it seems I've gotten the slightest bit worse this week and was wondering if you guys think it could be the early stages of a flare.

Thanks for all your help. Hope this wasn't too long
-Annie