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      "body": "Thanx  I  just sign up for that course! If it wasn't for you I wouldn't be here",
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      "body": "Cheers. Thanks for the well wishes. Have a great weekend. Stephen",
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      "body": "Happy bday for tomorrow thanx for that very good news",
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      "permlink": "re-tessam-re-trafalgar-3-months-1000-followers-and-usd1-million-later-20170609t054906041z",
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      "body": "ya i think steem has a chance of getting mainstream adoption, in which case it's still a great buy\nif it goes south, well you can always laugh at people like me lol",
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      "title": "Myasthenia Gravis(muscle weakness) June awareness Month",
      "body": "@@ -1145,16 +1145,44 @@\n ank you.\n+ Upvote and steem again plz!\n %0A%0AWhat i\n",
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      "author": "tessam",
      "permlink": "myasthenia-gravis-muscle-weakness-june-awareness-month",
      "title": "Myasthenia Gravis(muscle weakness) June awareness Month",
      "body": "Myasthenia gravis, my spouse and her brother been suffering with this illness  for more then 10 years  now. Two very intelligent  talented people robbed of they life's and dreams. My spouse and artist her brother a qualified fashion designer. One minute they fine the next everything changes without warning.  I totally give my all to looking after my spouse not easy at all. As the only breadwinner you can imagine what am going thru. Not to mention my daughter that is now 4 years old.Every six months she due to see specialists and under going various tests looking for other autoimmune deceases and cancer. She's due for tests again Ct scans blood test etc. all I can hope is for the best. To see someone you love suffering like this isn't nice at all and many people not aware of this chronic illness. Please read someone you know could be having  the decease and most doctors not familiar with it. Watch Brain on fire!! Am so thankful for crypto currency atleast we can have a bit of financial aid and  hope. Hospital bills killing me as am the only bread winner along with my inlaws. Your vote on this will be highly appreciated!!! 😊 thank you.\n\nWhat is Myasthenia Gravis also called MG\nMyasthenia gravis is a chronic autoimmune neuromuscular disease that causes weakness in the skeletal muscles, which are responsible for breathing and moving parts of the body, including the arms and legs.  The name myasthenia gravis, which is Latin and Greek in origin, means \"grave, or serious, muscle weakness.\"\n\nThe hallmark of myasthenia gravis is muscle weakness that worsens after periods of activity and improves after periods of rest.  Certain muscles such as those that control eye and eyelid movement, facial expression, chewing, talking, and swallowing are often (but not always) involved in the disorder.  The muscles that control breathing and neck and limb movements may also be affected.\n\nThere is no known cure but with current therapies most cases of myasthenia gravis are not as \"grave\" as the name implies.  Available treatments can control symptoms and often allow people to have a relatively high quality of life.  Most individuals with the condition have a normal life expectancy.\n\nWhat causes myasthenia gravis?\n\nMyasthenia gravis is caused by an error in the transmission of nerve impulses to muscles.  It occurs when normal communication between the nerve and muscle is interrupted at the neuromuscular junction—the place where nerve cells connect with the muscles they control.\nThe thymus gland plays a role in myasthenia gravis, but its function is not fully understood.  Scientists believe that the thymus gland may give incorrect instructions to developing immune cells, ultimately causing the immune system to attack its own cells and tissues and produce acetylcholine receptor antibodies—setting the stage for the attack on neuromuscular transmission.\n\nNeurotransmitters are chemicals that neurons, or brain cells, use to communicate information.  Normally when electrical signals or impulses travel down a motor nerve, the nerve endings release a neurotransmitter called acetylcholine.  Acetylcholine travels from the nerve ending and binds to acetylcholine receptors on the muscle.  The binding of acetylcholine to its receptor activates the muscle and causes a muscle contraction.\n\nIn myasthenia gravis, antibodies (immune proteins) block, alter, or destroy the receptors for acetylcholine at the neuromuscular junction, which prevents the muscle from contracting.  In most individuals with myasthenia gravis, this is caused by antibodies to the acetylcholine receptor itself.  However, antibodies to other proteins, such as MuSK (Muscle-Specific Kinase) protein, can also lead to impaired transmission at the neuromuscular junction. \n\nWhat are the symptoms of myasthenia gravis?\n\nAlthough myasthenia gravis may affect any skeletal muscle, muscles that control eye and eyelid movement, facial expression, and swallowing are most frequently affected.  The onset of the disorder may be sudden and symptoms often are not immediately recognized as myasthenia gravis.\n\nIn most cases, the first noticeable symptom is weakness of the eye muscles.  In others, difficulty swallowing and slurred speech may be the first signs.  The degree of muscle weakness involved in myasthenia gravis varies greatly among individuals, ranging from a localized form limited to eye muscles (ocular myasthenia), to a severe or generalized form in which many muscles—sometimes including those that control breathing—are affected.\n\nSymptoms may include:\n\ndrooping of one or both eyelids (ptosis)\nblurred or double vision (diplopia) due to weakness of the muscles that control eye movements\na change in facial expression\ndifficulty swallowing\nshortness of breath\nimpaired speech (dysarthria)\nweakness in the arms, hands, fingers, legs, and neck.\n\nWho gets myasthenia gravis?\n\nMyasthenia gravis affects both men and women and occurs across all racial and ethnic groups.  It most commonly impacts young adult women (under 40) and older men (over 60), but it can occur at any age, including childhood.  Myasthenia gravis is not inherited nor is it contagious.  Occasionally, the disease may occur in more than one member of the same family.\n\nAlthough myasthenia gravis is rarely seen in infants, the fetus may acquire antibodies from a mother affected with myasthenia gravis—a condition called neonatal myasthenia.  Generally, neonatal myasthenia gravis is temporary and the child's symptoms usually disappear within two to three months after birth.  Rarely, children of a healthy mother may develop congenital myasthenia.  This is not an autoimmune disorder (it is caused by defective genes that produce abnormal proteins in the neuromuscular junction) and can cause similar symptoms to myasthenia gravis.\n\nWhat is a myasthenic crisis?\n\nA myasthenic crisis is a medical emergency that occurs when the muscles that control breathing weaken to the point where individuals require a ventilator to help them breathe.\n\nApproximately 15 to 20 percent of people with myasthenia gravis experience at least one myasthenic crisis.  This condition usually requires immediate medical attention and may be triggered by infection, stress, surgery, or an adverse reaction to medication.  However, up to one-half of people may have no obvious cause for their myasthenic crisis.  Certain medications have been shown to cause myasthenia gravis. However, sometimes these medications may still be used if it is more important to treat an underlying condition.\n\nHow is myasthenia gravis treated?\n\nToday, myasthenia gravis can generally be controlled.  There are several therapies available to help reduce and improve muscle weakness.\n\nThymectomy.  This operation to remove the thymus gland (which often is abnormal in individuals with myasthenia gravis) can reduce symptoms and may cure some people, possibly by rebalancing the immune system. A recent NINDS-funded study found that thymectomy is beneficial both for people with thymoma and those with no evidence of the tumors. The clinical trial followed 126 people with myasthenia gravis and no visible thymoma and found that the surgery reduced muscle weakness and the need for immunosuppressive drugs.\nAnticholinesterase medications.  Medications to treat the disorder include anticholinesterase agents such as mestinon or pyridostigmine, which slow the breakdown of acetylcholine at the neuromuscular junction and thereby improve neuromuscular transmission and increase muscle strength.  \nImmunosuppressive drugs.  These drugs improve muscle strength by suppressing the production of abnormal antibodies.  They include prednisone, azathioprine, mycophenolate mofetil, tacrolimus, and rituximab.  The drugs can cause significant side effects and must be carefully monitored by a physician.\nPlasmapheresis and intravenous immunoglobulin.  These therapies may be options in severe cases of myasthenia gravis.  Individuals can have antibodies in their plasma (a liquid component in blood) that attack the neuromuscular junction. These treatments remove the destructive antibodies, although their effectiveness usually only lasts for a few weeks to months.\nPlasmapheresis is a procedure using a machine to remove harmful antibodies in plasma and replace them with good plasma or a plasma substitute.\nIntravenous immunoglobulin is a highly concentrated injection of antibodies pooled from many healthy donors that temporarily changes the way the immune system operates.  It works by binding to the antibodies that cause myasthenia gravis and removing them from circulation.",
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