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I should mention one other thing – although I have been diagnosed with generalized myasthenia, my worst symptoms are what they call “bulbar”, meaning when things get bad for me, it is my eyes, swallowing, chewing, all facial muscles, plus chest that are most affected. My legs and arms are only mildly affected. My symptoms were bad before the surgery so from a timing perspective my neurologist thought I would get more immediate relief from surgery rather than the months it takes for the medicines to build up sufficiently.