6/3/16
Things have not improved much. I have increased my preonisone  to 40mg yesterday and also taking 180 mestinon four times a day an hour before meals and at bed time. Still having trouble chewing and swallowing at meals. Today I am going in for plasmapharesis. Five treatments every other day.
Still have fatigue easily. Nap in the afternoon helps.
After reading other cases I feel pretty lucky so far. I have a good support group in my friends and family.