Monthly Recap from Group Leader
(Arranged chronologically, newest on top.)
2024
February 2024
MYASTHENIA GRAVIS SO CAL SUPPORT GROUP
HELPFUL ARTICLES & LINKS FROM SUPPORT GROUP MEMBERS
Clinical Trials
Biotech company working on CAR-T treatments for MG (https://kyvernatx.com/). Here is a link to all the clinical trials going on right now: https://myasthenia.org/Research/Clinical-Trials
Myasthenia Gravis: The Musical!
Fellow support group member, Jane Robbins, has written a book! Check it out with the link below:
IVIg
Webinar on Fatigue
https://www.youtube.com/watch?v=cpQbG7bEOMU
Webinar on Stress Management
https://www.youtube.com/watch?v=LCwnqlw_bcY
Southern CA Support Group Meeting
Date: Saturday, March 9 from 9:00 to 11:00 AM PT
Speaker and Topic: Dr. Muppidi, Improve MG symptom tracking app
Contact: Connie, mgsocalgroup@gmail.com
Website: mgsocalgroup.com or https://sites.google.com/view/mgsocalgroup/home-page
MGFA 2024 National Patient Conference
The annual MGFA National Patient Conference is the largest and most completegathering of the MG Community. The conference features MG research information and updates, informative discussions with patients and community members in the MG space, news about MG treatments and discoveries, and many exciting educational topics to help you and your family better manage your MG journey. Registration is free this year!
Date: April 28-30, 2024
Location: Westin Tampa Waterside, Tampa, FL
More Information and Registration:
https://myasthenia.org/Events/2024-national-
2024 MGFA Orange County / Los Angeles Area Community Health Fair
MGFA’s free Community Health Fairs are designed to help you or your loved one navigate MG. Hear from and talk with medical professionals, access educational and wellness resources, and meet others in the MG community. Connect with each other, share stories and guidance, and learn more about managing this disease.
When: Saturday, June 08, 2024 10:00 AM - 2:00 PM PT
Where: Irvine Marriott; 18000 Von Karman Ave. Irvine, CA 92612
Registration is Free: https://myasthenia.givevirtuous.org/Event/2024-orange-county--los-angeles-area-community-health-fair/Tickets
Join Support Groups Across the US
Many support groups are still meeting virtually and you can attend their meetings regardless of where you live! Please use the link below for a full list of support group
meeting dates.
https://myasthenia.org/MG-Community/Find-MG-Support-Groups
Methotrexate
Methotrexate in generalized myasthenia gravis: a systematic review - PubMed (nih.gov)
Myasthenia Gravis Therapy Methotrexate Reins in Harmful Autoantibodies (myastheniagravisnews.com)
Pain and MG?
Pain & MG: Exploring the Connection (myasthenia-gravis.com)
Links to Alexion and Argenx's patient sites with great info...
Here are links to the One Source Site from Alexion (manufacturer of Solaris and
Ultomiris) that provides resources for us:
Ultomiris: Alexion OneSourceTM
Solaris: Alexion OneSourceTM
Argenx also has great support tools, their site resource link is here: Myasthenia Gravis
Farm Fresh Food - California Patients only
Myasthenia Gravis Foundation of America > MG Community > Farm Fresh to You
Ocular MG
MGFA Webinar Series: Ocular Myasthenia Gravis (youtube.com)
Drugs to Avoid
Cautionary Drugs (myasthenia.org)
Bipap Machine and MG
Ask your doctor, the MGFA site has BiPap information listed on the following pages:
Emergency Management for First Responders (myasthenia.org)
December 2023/January 2024
MYASTHENIA GRAVIS SO CAL SUPPORT GROUP
mgsocalgroup.com
MG SoCal Group Website - mgsocalgroup.com
Check out the website that Mike Stabile manages for the SoCal support group! There's a lot of great resources and information on the site.
2024 SoCal MG Support Group Virtual Meeting Dates:
Saturday, March 9, 2024 from 9:00 AM to 11:00 AM PST/PDT
Saturday, June 8, 2024 from 9:00 AM to 11:00 AM PST/PDT
Saturday, September 14, 2024 from 9:00 AM to 11:00 AM PST/PDT
Saturday, December 14, 2024 from 9:00 AM to 11:00 AM PST/PDT
Zoom links will be sent a month before our meetings. The meeting information is also posted to our website at www.mgsocalgroup.com and posted to Facebook MG Support Group page. Contact: mgsocalgroup@gmail.com
MGFA on social media
Be sure you're also following MGFA on social media to be up on the latest news:
Facebook: @MyastheniaGravisFoundation
Instagram: @MyastheniaOrg
Twitter: @MyastheniaOrg
LinkedIn: @myastheniagravisfoundationofamericainc
YouTube: @myastheniagravisfoundation8053
MG ADL and Tracking Your Symptoms
- MG ADL: a great way to put a number to your degree of weakness; often used by neurologists. Download form: https://myasthenia.org/Portals/0/ADL.pdf. Information page.
- MyMG app: track your symptoms and access resources https://myasthenia.org/Newly-Diagnosed/MyMG-Mobile-App
- Improve MG App: created by Dr. Muppidi at Stanford; an easy app to track your symptoms including video and audio functions. Available at Google Play and App Store.
Bay Area Regional Conference and Community Health Fair
Hear from two guest speakers at the regional conference in the morning. Talk with medical professionals, access educational and wellness resources, and meet others in the MG community at the community health fair.
Date: Saturday, March 2, 10:00 AM to 2:00 PM
Location: San Mateo Marriott San Francisco Airport, 1770 S. Amphlett Blvd, San Mateo, CA 94402
Conference Speaker (1/2): Dr. Muppidi of Stanford
More Information and Registration: https://myasthenia.org/Events/Community-Health-Fairs
MGFA 2024 National Patient Conference
The annual MGFA National Patient Conference is the largest and most complete
gathering of the MG Community. Every year, attendees include amazing and resilient
MG patients, generous caregivers, and MG experts including researchers, clinicians,
and medical professionals. The conference features MG research information and
updates, informative discussions with patients and community members in the MG
space, news about MG treatments and discoveries, and many exciting educational
topics to help you and your family better manage your MG journey. Registration is free
this year!
Date: April 28-30
Location: Westin Tampa Waterside, Tampa, FL
More Information and Registration: https://myasthenia.org/Events/2024-national-
Seronegative Support Group
When: Saturday, Feb 3 from 2:00 to 3:30 PM ET
Meeting Link: https://us06web.zoom.us/j/7686539760?omn=82466206130
Contact: snmggroup@gmail.com
Facebook: https://www.facebook.com/groups/899235894572163
Join Support Groups Across the US
Many support groups are still meeting virtually and you can attend their meetings regardless of where you live! Please use the link below for a full list of support group meeting dates.
2023
November
MYASTHENIA GRAVIS SO CAL SUPPORT GROUP
mgsocalgroup.com
MONTHLY SUMMARY OF EMAILS
HELPFUL ARTICLES & LINKS FROM SUPPORT GROUP MEMBERS
Southern CA MG Support Group Website - mgsocalgroup.com
2024 SoCal MG Support Group Virtual Meeting Dates:
Saturday, March 9, 2024 from 9:00 AM to 11:00 AM PST/PDT
Saturday, June 8, 2024 from 9:00 AM to 11:00 AM PST/PDT
Saturday, September 14, 2024 from 9:00 AM to 11:00 AM PST/PDT
Saturday, December 14, 2024 from 9:00 AM to 11:00 AM PST/PDT
Zoom links will be sent a month before our meetings.
Meeting information will also be posted to our website at www.mgsocalgroup.com and posted to Facebook MG Support Group page.
Contact: Connie DiPasqua, mgsocalgroup@gmail.com
MGFA on Social Media
Be sure you're also following MGFA on social media to be up on the latest news:
Facebook: @MyastheniaGravisFoundation
Instagram: @MyastheniaOrg
Twitter: @MyastheniaOrg
LinkedIn: @myastheniagravisfoundationofamericainc
YouTube: @myastheniagravisfoundation8053
MuSK Myasthenia study
Opportunity for people with MuSK myasthenia gravis to be part of a research study that could change our understanding of this form of the disease! This MuSK Myasthenia 1000 study seeks to collect a one time saliva sample from MuSK myasthenia gravis patients to help researchers identify genetic risk factors that cause this disease with hope to develop better treatments for patients. This study is funded by the National Institutes of Health's, Rare Disease Clinical Research Network for Myasthenia Gravis. This study is run at the George Washington University under the supervision of Henry Kaminski, MD, lead investigator of this project.
Email: musk1000@mfa.gwu.edu OR call: 202-677-6205 for more information and to participate.
Povetacicept found superior to current MG treatments: Early study
https://myastheniagravisnews.com/news/povetacicept-found-superior- current-treatments-early-study/
Medications to Avoid: https://myasthenia.org/Newly-Diagnosed/Cautionary-Drugs-for-MG-Patients
October
Coping with MG Book https://myasthenia.org/MG-Community/Blog/new-book-by-a-leading-doctor-will-help-you-cope-with-myasthenia
Disability Services Service Locator: Great resource, covers all counties in CA and many different types of services https://aging.ca.gov/Find_Services_in_My_County/
At Home Fall Prevention Program https://aging.ca.gov/Programs_and_Services/Dignity_At_Home_Fall_Prevention_Program
Improve MG App - Dr. Muppidi's app is a great way to help track your symptoms and even has an audio and video option! Dr. Muppidi at Stanford released an app that helps patients track their symptoms, ADL scores, and more The app is great because you can record audio and video to show to your doctors. The app is called "Improve MG" and it's available in the app store for both Apple and Android. You can track your symptoms and record audio and video clips to easily email to whomever you'd like. You can also find this information on the MG SoCal Group website @ www.mgsocalgroup.com
UCB announces U.S. FDA approval of ZILBRYSQ(R) (zilucoplan) For the treatment of adults with gMG and AChR antibody positive. To learn more, visit www.ZILBRYSQ.com and see the ZILBRYSQ Medication Guide
Medications to Avoid https://myasthenia.org/Newly-Diagnosed/Cautionary-Drugs-for-MG-Patients
Prednisone Information - https://myasthenia.org/MG-Education/Learn-More-About-MG-Treatments/MG-Brochures/prednisone
Stanford Support Group- MDA Engage Symposium
When: Saturday, November 11 from 9:00 AM to 4:30 PM
Where: Paul and Mildred Berg Conference Center, 291 Campus Drive, Stanford, CA 94305
Register: There is no cost to attend, but registration is required. Breakfast and lunch will be provided.
https://www.mda.org/care/community-ed/engage-symposiums/2023/california
Join us for this one-day educational event for people living with a neuromuscular disease (NMD) and their loved ones. Each symposium is focused on increasing disease understanding, navigating critical life transitions, and supporting access to independence.
Stanford Support Group Meeting When: Tuesday, November 14 at 6:30 PM
Topic and Speaker: Updates from AANEM and MGFA Scientific Session, Dr. Neelam Goyal
Meeting Link: https://www.onlineregistrationcenter.com/MG14NOV2023
Meeting Dates: https://stanfordhealthcare.org/events/myasthenia-gravis-support-group.html
PNW Support Group - When: Saturday, November 18 at 11:00 AM - Topic, Host: TBA, Pierre Clement
NEW Seronegative Support Group - When: Saturday, November 18 from 2:00 to 3:30 PM ET
Meeting Link: https://us06web.zoom.us/j/7686539760 - Contact: snmggroup@gmail.com
Facebook: https://www.facebook.com/groups/899235894572163
Spanish Language MG Support Group - When: Saturday, November 18 at 2:00 to 3:30 PM ET
Contact: Leah Gaitan-Diaz lamgchampions@gmail.com
MGFA Wellness Webinar - When: Thursday, December 7 at 1:00 PM
Topic and Speaker: Know Your Antibody, Dr. Srikanth Muppidi of Stanford
Register at: https://us06web.zoom.us/webinar/register/WN_f4k29GiiTmS65Otds9uMsw#/registration
Southern CA Support Group - When: Saturday, December 9 from 9:00 AM to 11:00 AM
Topic and Speaker: Nutrition, Mike Glawe, Patient Educator Manager with Alexion
Meeting Link: https://alexion.zoom.us/j/98478736206?pwd=dGQ3eGNXekVnNTE0V2NZdGpobmpMQT09
Contact: Connie DiPasqua mgsocalgroup@gmail.com
Caregivers Support Group - When: Wednesdays and Saturdays, Dec 9 and 13 - Contact: Toni Gitles tonigitles@gmail.com
Join Support Groups Across the US - Many support groups are still meeting virtually and you can attend their meetings regardless of where you live! Please use the link below for a full list of support group meeting dates.
https://myasthenia.org/MG-Community/Find-MG-Support-Groups
gMG ADULT TREATMENT APPROVAL - Great news for the MG community. We have more choices in regards to MG treatments. Read, educate and ask your doctor. UCB announces U.S. FDA approval of ZILBRYSQ® (zilucoplan) for the treatment of adults with generalized myasthenia gravis: https://www.ucb-usa.com/stories-media/UCB-U-S-News/detail/article/ucb-announces-us-fda-approval-of-zilbrysq-zilucoplan-for-the-treatment-of-adults-with-generalized-myasthenia-gravis
MYASTHENIA GRAVIS NEWSLETTER - Myasthenia Gravis Newsletter covers recent MG forums, postings that maybe of interest to you, announces major drug research advances in MG along with other helpful information. The newsletter comes out weekly. Check out the site and maybe subscribe to the available newsletters at https://myastheniagravisnews.com/
TO FIND A MG SUPPORT GROUP NEAR YOU - Go to MYASTHENIA GRAVIS FOUNDATION OF AMERICA > MG Community > Find MG Support Groups: https://myasthenia.org/MG-Community/Find-MG-Support-Groups
MG RELATED MERCHANDISE - Amazon: https://www.amazon.com/s?k=myasthenia+gravis
MEDICATIONS - List of drug interactions and meds not to take are on our website under Resources;.
link is: https://sites.google.com/view/mgsocalgroup/resources/drug-cautions
RESTING When you are resting, it is because the body is worn out. REMEMBER: Resting is NOT wasting time or the day doing nothing ... you are doing exactly what you needed - YOU ARE RECOVERING!!!
MG DOCTORS AND PROFESSIONALS RECOMMENDED BY MEMBERS: https://sites.google.com/view/mgsocalgroup/resources/neuromuscular-neurologists-and-other-mds-recommended-by-group-members
MG SO CAL SUPPORT GROUP WEBSITE - Check out our website: mgsocalgroup.com. You will find lots of interesting and useful MG information along with dozens of links to MG websites and articles. Announcements and meeting schedules are kept updated as well. A section is devoted to members like you if you'd like to write articles about your MG experiences, things that you have found to help you manage your symptoms, relevant stories, helpful tips, which will help other MGers. Send your questions, comments, suggestions and articles to our group mailbox, mgsocalgroup@gmail.com
EMERGENCY MANAGEMENT - Very useful guide to give to first responders (paramedics) and the Emergency Room or other caregivers when you have a severe MG exacerbation (i.e., MG Crisis).
The link is: https://myasthenia.org/Portals/0/Emergency%20Management%20for%20First%20Responders.pdf
Emergency Binder - Suggestion to create and keep by front door an emergency binder. Some items to include in the emergency binder are: the MGFA alert card, list of medications and all pertinent MG information you have on hand. The Emergency Alert Card is from MGFA website at myasthenia.org:
https://myasthenia.org/MG-Education/Learn-More-About-MG-Treatments/MG-Brochures/emergency-alert-card. This can also be put in patients' and caregivers' wallets, purses, and glove boxes. Also keep the list of cautionary drugs and the emergency preparation list, both are helpful to have. We suggest a binder with all info by the front door to grab on the way out if an EMT needs to assist. I have also attached the brochure for emergency medical techs so patients can add that to their packet or binder. This page on the MGFA website has some good information about emergency
preparedness as well: MG Emergencies This page on our MGFA site shows all kinds of brochures and information available for download. About halfway down the page, there are also great tips on emergency management of a crisis, tips before going to the hospital, and more: https://myasthenia.org/MG-Education/Learn-More-About-MG-Treatments/MG-Brochures
Povetacicept found superior to current MG treatments: Early study
https://myastheniagravisnews.com/news/povetacicept-found-superior- current-treatments-early-study/
September
MYASTHENIA GRAVIS NEWSLETTER:
Myasthenia Gravis Newsletter covers the latest postings to the MG forums that you may be interested in subscribing to. More importantly, it announces major drug research advances in MG along with other helpful information. The newsletter comes out weekly. The below also has information regarding the FDA approval of rozanolixizumab, known as Rystiggo, to treat gMG. Check out the site and maybe subscribe to the available newsletters at https://myastheniagravisnews.com/ You may find that it is one of the better MG sites
TO FIND AN MG SUPPORT GROUP NEAR YOU
Go to MYASTHENIA GRAVIS FOUNDATION OF AMERICA > MG Community > Find MG Support Groups: https://myasthenia.org/MG-Community/Find-MG-Support-Groups
MG EMERGING TREATMENTS VIDEO
Excellent YouTube Video on MG Emerging treatments. https://youtu.be/ip0MxGi4x3U
EMERGENCY MANAGEMENT: Very useful and thorough guide to give to first responders (paramedics) and the Emergency Room or other caregivers when you have a severe MG exacerbation (i.e., MG Crisis). The link is: https://myasthenia.org/Portals/0/Emergency%20Management%20for%20First%20Responders.pdf
Print and give copies to those (family members, friends, caregivers) you would likely ask for help at a difficult time. Often during an MG crisis that includes breathing difficulties, one is unable to speak adequately enough to communicate potentially life-saving information like this. If you have a caregiver then be sure they always have
a copy on hand, and when you're not home carry a copy on your person or at least in your car, and also when traveling away from home.
MG RELATED MERCHANDISE: Amazon: https://www.amazon.com/s?k=myasthenia+gravis
Medical bracelet: https://www.amazon.com/Dolceoro-Medical-Alert-Bracelet-Stainless/dp/B09QPC66PY/ref=sr_1_29
MEDICATIONS: List of drug interactions and meds not to take are on our website under "Resources"; link is: https://sites.google.com/view/mgsocalgroup/resources/drug-cautions-interactions
RESTING: When you are resting, it is because the body is worn out. REMEMBER: Resting is NOT wasting time or the day doing nothing ... you are doing exactly what is needed - YOU ARE RECOVERING!!!
DOUBLE VISION: Mestinon, prism glasses, sleep/rest, take your medicine, clean eating
TIPS FOR OCULAR MG: Blue beaded freezer eye mask, cold mask helps relieve eye twitching and
tired eyelids. Wearing eye patch for an hour then switch to other eye. Do not wear more than 1 hour to avoid hurting eye. Prism glasses, opaque tape over one eyeglass lens, or business card placed under one eyeglass lens.
ADL APPLICATION & MG DOCTOR VISITS: When meeting with current MD or new MD, bring copy of ADL form (Activity of Daily Living) with you to give to the doctor. Complete the form over the month not just the day before your visit. Also ask the doctor how many MG patients they are treating; It’s good for you or your advocate to know how many MG patients the doctor treats.
IVs: Rystiggo recently approved by FDA July 2023. Vyvgard is administered through IV or injection.
MG DOCTORS AND PROFESSIONALS RECOMMENDED BY OUR GROUP MEMBERS:
MG SO CAL SUPPORT GROUP WEBSITE
Check out our new group website: mgsocalgroup.com. You will find lots of interesting and useful MG information along with dozens of links to MG websites and articles. Announcements and meeting schedules are kept updated as well A section is devoted to members like you if you'd like to write articles about your MG experiences, things that you have found to help you manage your symptoms, relevant stories, helpful tips, etc.
Send your questions, comments, suggestions and articles to our group mailbox, mgsocalgroup@gmail.com
MGFA: The MGFA site https://myasthenia.org/ is packed with info, if you are interested in a certain topic or need help let me know, I'm happy to point you in the right direction. They also have a YouTube Channel with a lot of great webinars you may be interested in: https://www.youtube.com/results?search_query=mgfa
Caregiver Support Groups-MGFA Options: Myasthenia Gravis Foundation of America > MG Community
> Find MG Support Groups
A MG member Jim Monroe shared this group that they’ve gone to in the past: Home - Heart of Caregiving to empower and educate caregivers.
Emergency Binder: Suggestion to create and keep by front door an emergency binder. Some items to include in the emergency binder are: the MGFA alert card, list of medications and all pertinent MG information you have on hand.
The Emergency Alert Card is from MGFA website at myasthenia.org > MG-Education/Learn-More-About-MG-Treatments/MG-Brochures/emergency-alert-card. This can also be put in patients' and caregivers' wallets, purses, and glove boxes. Also keep the list of cautionary drugs and the emergency preparation list, both are helpful to have. We suggest a binder with all info by the front door to grab on the way out if an EMT needs to assist. I have also attached the brochure for emergency medical techs so patients can add that to their packet or binder. This page on the MGFA website has some good information about emergency preparedness as well: MG Emergencies.
This page on our MGFA site shows all kinds of brochures and information available for download. About halfway down the page, there are also great tips on emergency management of a crisis, tips before going to the hospital, and more: https://myasthenia.org/MG-Education/Learn-More-About-MG-Treatments/MG-Brochures
Dentistry and MG: Here's Dr. Gene Casagrande's presentation that was mentioned on a support group call:
MGFA Wellness Series: Dentistry and MG - YouTube
Financial Assistance:
• NRD-1061 Cystinosis_ERF_FAQ Program_3 (rarediseases.org)
• The Assistance Fund (tafcares.org) Accepting New Patients TAF is currently accepting new patient enrollments for this program.
• Medicine Assistance Tool
• Myasthenia Gravis External Assistance Programs | MGFA
The Fatigue Tracker also comes in handy, hope this helps some of you and your members. I’s located on MGFA site Track Fatigue Note Activities Chart > https://myasthenia.org/Portals/0/Track%20Fatigue%20Chart.pdf
August
EMERGENCY MANAGEMENT
Very useful and thorough guide to give to first responders (paramedics) and the Emergency Room or other caregivers when you have a severe MG exacerbation (i.e., MG Crisis). The link is:
Print and give copies to those (family members, friends, caregivers) you would likely ask for help at a difficult time. Often during an MG crisis that includes breathing difficulties, one is unable to speak adequately enough to communicate potentially life-saving information like this. If you have a caregiver then be sure they always have a copy on hand, and when you're not home carry a copy on your person or at least in your car, and also when traveling away from home.
MEAL PREPARATION
The Family Freezer meal prep program; the link is: https://thefamilyfreezer.com/log-in-freezer-meal-pro-member-login/
To access the site, click on above link and scroll down to the bottom and select “Home Page”. From there you can watch a video and sometimes sign up for a free class.
VITAMINS & MINERALS GUIDE
Terrific article from Harvard University which has a 14 page summary you can print (7pages double-sided) and use it as a reference when you consider adding vitamin/mineral supplements to your diet. Link:
https://www.helpguide.org/harvard/vitamins-and-minerals.htm
MG RELATED MERCHANDISE
Amazon: https://www.amazon.com/s?k=myasthenia+gravis
Medical bracelet:
MYASTHENIA GRAVIS NEWSLETTER
Myasthenia Gravis Newsletter covers the latest postings to the MG forums that you may be interested in subscribing to. More importantly, it announces major drug research advances in MG along with other helpful information. The newsletter comes out weekly. The below also has information regarding the FDA approval of
rozanolixizumab, known as Rystiggo, to treat gMG. Check out the site and maybe subscribe to the available newsletters at https://myastheniagravisnews.com/. You may find that it is one of the better MG sites
BEATING THE HEAT
3 tips to help you beat the heat, even with myasthenia gravis | Myasthenia Gravis News
The Chill Towel, Pet Mat, and Collar Fan are all recommended by our attendees:
Frogg Toggs iCOOL® Cooling Towel: Size 26" X 17" - Walmart.com
Dog Cooling Mat Summer Breathable Ice Pads For Dogs Cat(Blue) - Walmart.com
Hanging neck USB charging fan lazy portable small fan student white-collar sports leapless hanging neck fan - Walmart.com
DIET
Some of us have seen tremendous improvement by either cutting out sugar, processed foods, meat, and the Keto diet. The overall consensus was to listen to your body and track how you feel after you eat. If you feel horrible, maybe don't eat that again. :)
SALT SUBSTITUTE: NoSalt Original Sodium-Free Salt Alternative, 11 oz - Walmart.com
* Make sure to consult your physician if you make any major diet change.
DOCUMENTARIES THAT MAY BE OF INTEREST
Game Changers
The Magic Pill
Cowspiracy 4K - Planet Climate Change - BEST Vegan Documentary Film [Complete Full Version] [2023] - YouTube
INSURANCE DENIAL
Make sure if you get a denial that you appeal the denial. Ask for the information on who denied your claim-are they qualified to deny. Ask your physician to request a Peer to Peer discussion. If you have Medicare, ask to have it run through both Medicare D and Medicare B for approval.
NATIONAL LIBRARY OF MEDICINE (AKA) PUB MED FOR ARTICLES ABOUT MYASTHENIA GRAVIS
myasthenia gravis - Search Results - PubMed (NIH.gov)
ASSISTANCE FOR MEDICARE COVERAGE
The Assistance Fund (tafcares.org)