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20 years ago, I moved back to my home city, with a recurrence of allergy symptoms, sinus and lung infections, and new trouble climbing stairs. A lung function and stress test revealed that I tire sooner than normal when exercising but there was no follow-up. In 2018, I fractured my ankle and was off work for 3 months. 4 days after I returned to work, at 3:30 pm, I started sneezing and had profuse nasal discharge, which subsided after an hour. I noticed my left eyelid was drooping a bit. Later that night, the double vision started. I saw my optometrist the next day, who suspected I might have MG but referred me to an ophthalmologist just in case it wasn’t MG, and advised me to see my doctor asap. After ruling out several possible conditions, my doctor also suspected MG, did the ice test and blood tests, and referred me to the rapid response neuromuscular clinic attached to a local university. Further blood and muscle stimulation tests confirmed I had generalized MG. It took only a month from onset to diagnosis. The neurologist felt I probably had MG lurking in the background for most or all of my life. I realized in hindsight that I eat slower than most, heat saps my energy and my family has a lot of autoimmune conditions.