Beyond the Limits of Myasthenia Gravis

Embed Size (px)

Citation preview

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    1/63

    Page 1 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    Beyond the LimitsA Self Portrait of

    Myasthenia GravisBy

    Clete Gress

    LF

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    2/63

    Page 2 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    From:Rev.CarolynS.BelsheTo:CGressSubject:Isthisit?Date:Tuesday,December28,199910:46PM

    FORWFORWFORWFORWARDARDARDARDGettingthegloriousnewsthatIhadbeenselectedtomanageahospitalinSoutheastAfricameantthatIwouldpassarigidphysicalexaminationwithlotsoflaboratorytestingandtobeginaseriesofinoculationstoenterforeigncountries.Theexcitementofforeignmissionaryworkhadbeenwithmesinceageseven.Nearingtheripeageoffiftymeantleavingbehindtwoadultsons,twograndchildren,ahostoffriendsandasuccessfulcareerinlong-termcareadministration.ProtectionconsistedofshotsandpillsandsuchforprotectionagainsteverythingfromYellowFevertoRabies.IwastostarttakingchlorquintabletstobuildupimmunityagainstMalaria.Ihadalwaysbeenonthemanagementendofhealthcareandleftallthosemedicaldebates

    anddecisionstothosesotrained.Mynursecolleaguemadearrangementsforourpilltakingamountsandtimesandfaithfulnesstothetask.Itookmyturnatotherdutiesmorerelatedtotrainingscheduledeparturedatesandthelike.WearrivedinupstateNewYorktoexperienceamonthofintenseforeignserviceorientation.Ithoughtmyrecentmid-lifeweightgainwasslowingmedown.Mycolleaguewascomprehendingthingsintrainingthatseemedtojustfloatovermyhead.Neverdaringtoquestionwhatwashappening,Icontinuedtoblametheweightgainandallthoseshotsthatcouldpossiblymakeusfeelbadlyafewdays.ArrivinginPortugalafewweekslater,Icollapseduponenteringourapartmentandsleptforeighthourswithoutmoving,whileshegotacquaintedwiththebeautifullivingarrangement,scoutedtheneighborhoodforgrocerystoresandbusstops.Twodayslateritwastimeforusto

    enterlanguagetraining.Ohsure,thereasonshewaslearningPortuguesesomucheasierwasherbackgroundinLatininnursingschool.Ohwell,therewillbeequalizationalongtheway,Ithought.Wecontinuedourdailyroutineofpills,thenmoreshots,thentimeforthatlonganticipatedflighttoAfrica.Ourworkbegan.SeveralweekspassedintomonthsandthecivilwarwascarryingonandourhospitalwasservingtheinjuredofbothsidesalongwithMalnourishedbeingtheprimarydiagnosisonalladmissionsandMalariabeingthesecondonalladmissions.Thencamethethirdandmaincausefortheirarrivalintheemergencyroom(usually)thatbeingwar-relatedatrocitiesofwhichmostAmericanscannotfathom.

    One,thentheotherofus,beganhavingepisodesofMalaria.Shewouldbedownadayortwoatthemostandspringback.Forme,noway.Fearformylifewouldflythroughthemissionstation,makingnewsintheChurchoffice500milesawaywherethatnewswouldbetransmitted10,000milesbackaroundtheworldtotheNewYorkoffice.Reservesoffourdifferenttreatmentswouldbeadministeredwiththelocalfolksprayingthattheirmissionaryfriendwouldnotdieontheirhands.PlanswouldbemadeandIwouldbeshippedstatesideformedicalleave,recoveryandreturntothemostinterestingandfulfillingjobofmylife.FiveyearsandeightdocumentedboutslikeIhavejustdescribedandIwasbroughttoAtlanta,GAforfurthertestingandseveralmonthsmedicalleave.Uponcompletingthatcourseofaction

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    3/63

    Page 2 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    IwassenttoNewYorktoworkinthefinanceofficeofourmissionagency.Icontactedaprivatephysiciantherewhohad35yearsexperienceinMalariawork,hopingthathewouldhaveaformulaforfreeingmeofwhatseemedtobepost-malariacomplications.HetestedandobservedmeforseveralmonthswithafinaldismissalofnotprovidingclearancetoevenleavetheStates.Supposedlytherewasaheartmurmurorsomesimilarminorreasonheprovided.

    Inordertoreturntofrontlinemissionswork,ItookanassignmentinNewMexicowithaK-12school.ThatpositionprovidedschoolingbenefitsformyadoptedchildrenwhowerestillinAfrica.IhadmanagedtoaccumulateenoughvacationandsicktimetostopoverinWestTexasforOrdinationandgallbladdersurgery.Bothprogramsweresuccessfullyaccomplished.Ireturnedforthepost-opcheckuptoreporttheinstantaneousrelieffromthegallstonesurgerybutIcontinuedwiththisdreadfulsensationoffatigue,particularlyinmybackmuscles.Ithenasked,"wouldtherebeanychanceofthisproblembeinglinkedtoMyastheniaGravissinceIhadhadathymectomyin1978---asaresultofchestpain?Anappointmentwassetwiththeneurologistandeightdaysintomynewassignment(andnewinsuranceplan)IwasgiventhediagnosisofMG.

    StartinganewmedicationcalledMestinon,Icontinuedtoworklonghours,thinkingthemedicationwouldmakethedifference.AswithmanynewassignmentsintheworldoffinancesIhadcomeuponaninterestingchallengeofbudgetproblemsthatnoonewantedtoclaim---meaninglongerhoursandmorestress.IttookeightmonthsofstressoverthescalebeforemybodysaidenoughandshutdownrightintoaMGcrisis.MostfolkswouldhavebeenwillingtostopbackuptheroadseveralyearsbutIwasoneofthosedie-hardsthatkeptgoing.IhadcutmyteethonManagementbyObjective,settingallsortsofrecordsforresolvingmanagementproblemsandmadelotsofmoneyforownershipasresults.WhywasIsodriven?WhydidIhavetoprovetofamily,co-workers,andtomethatmystrengthwasequaltomysizeextralarge?

    Ididnotknow.Ijustknewitmustbedone.AftertheMGcrisisIbeganrecuperationslowly.SomedaysIseemedtogobackwardsthentoregainalittleonlytoloosegroundagain.Ihaddecidedthatmaybeburiedinallthiswasapointortwoofangerthathadnotbeenprocessed.Isoughtoutourpastoralcounselorforourchurch.WhenweinventoriedafternotthreeorfoursessionsthatIthoughtwouldbesufficient,but18months'worth,wewereabletoidentifythirteenpointsofgrieving.Still,alotofquestionsremainedinmymindaboutthepersonalityandthediseaseandhowcouldtheyworktogethertobenefitsomeonehowcouldIusethosetwofactorstore-entermissionwork.

    Oneofthegreatblessingsofillnessisthatyoucanberecipienttomanycards,letters,phonecalls,visitsande-mails.SomewherealongthatpartofmyjourneyIcameincontactwithachildhoodfriend.Shebroughtherhusbandalongandtheycametovisitmeafterforty-twoyearsofnotseeingoneanother.Whatawonderfulvisit!Wehavecontinuedtostayinclosecontactthroughthewonderfuladvancesoftechnologycallede-mail.Theysentamagnetbelttotryonthemusclefatigue.ThenshefoundabookaboutMyastheniaGravisandaskedifIhadreadit.ThatlittlebookhasbeenamissinglinkinunderstandingMyastheniaGravisandthepersonalityinvolvement.WhenIbeganreadingCleteGress,BeyondtheLimits,Ibegan

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    4/63

    Page 3 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    writingnotesinthemargins,underlining,makingreferences,rememberingdatesandincidents.UltimatelyIbegangettingacquaintedwiththemanwhohaswrittenwordsinalgebraicequations,personalitytraits,andsequentialstepsofbehavior.HehasdonethisinasimplisticwaythatmakesthislittlebookmybestadvisortolivingwithMyastheniaGravis.

    CleteGressisamanwhohaslivedfortyyearswiththediseasebecausehehasfiguredoutlongagothatpersonalityisamajorpartofthegoverningofenteringtheworldofMGandlivingthereafteronehasentered.Icanonlysay"ThanksFriend."Ashebringstotheinternettheedition,IlookforwardtothefreshnessofbreathoftheHolySpirittoblesshimforthestrengthneededtoaccomplishthistasksothatmanyothersmayhavetheopportunitytofindsomePeaceinmountainstreamsandcontentmentintheforestsofonesSoul.Rev.CarolynS.Belshe,BSOE,MBA,MDiv.OrdainedMinisterandCommissionedMissionarywithGeneralBoardofGlobalMinistriesTheUnitedMethodistChurch.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    5/63

    Page 4 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    CHAPTERICHAPTERICHAPTERICHAPTERI

    IthinkIthinkIthinkIthinkyoumighthaveyoumighthaveyoumighthaveyoumighthaveMYASTHENIAGRAVISMYASTHENIAGRAVISMYASTHENIAGRAVISMYASTHENIAGRAVIS

    Theshowerwaswarmandgood,asharpcontrasttotherestofthisday'sevents.Asthewarmwatersoothedmybody,mymindreplayedscenesfromtoday'sTestHopofaT29.Aboutfifteenminutesintotheflight,stillclimbingfromtakeoffataboutfivethousandfeet,ourleft engine caught fire. Smoke rolled off the wing and when it thinned I could clearly seeflames. This wasserious trouble butno reason topanicas Ihad faith in the engineer ontoday'sflight.Ihadalwaysbeenabletofunctionduringemergencies,buttoday,lookingoutatourengineburning,onawingfullofexplosivefuel,Ibegantofeelastrongandterribleanxiety.

    Thefateofourplanerestedsquarelyonthejudgmentoftheflightengineer.Hewoulddecideatpreciselywhichmomenttotriggerthefireextinguishersthatwerebuiltintotheenginepods.Youhadonlyoneshotandtimingwaseverything.Whentheywereusedupitwouldbetimeforplan"B".Jump!TheFlightEngineer'shandwasraisedhigh,ashestaredattheburningengine.Frommyseat,behindhisposition,Icouldseethecopilotlookingaroundthebulkhead,waitingforthesignaltoactivatetheextinguishers.Ilookedoutthewindowattheflamingengine,thentotheengineer'shandpoisedintheair,thentothecopilotwithhishandontheswitch.Tenlifetimespassedbeforetheengineer'shandfinallysliceddownward.Ahugepuffofsmokebillowed

    fromtheengineandthen---nothing!Thenextthirtysecondswereexcruciatingaswewaitedtoseeifthefirewascompletelyextinguished.Ifitrekindledwewouldhavenochoicebuttoabandontheplane.Ilookedbehindmetotheescapedoorinthetail.AnumberoftimesIhadstoodatthatdoor,readytogo,buthadneverhadtojump.MybodytensedasIconsideredmychancesofexitingthehatchsafelyifthefirereignited.Asthetensionthickened,allofuswatchedfornewsignsofsmokeorflame.Realizingthatthefirewastrulyoutthepilotturnedtheplaneandweheadedforthebase.LaterIfiguredoutthatIhadearnedandextradollarfiftyforthattenminutesofhell.TheshowerwashedovermeandIhopeditwould,somehow,healtheshatteredemotionsoftodaystrauma.WeretheemergenciesbecomingmoresevereorwasIlosingmynerve?Theverythoughtofflyinganothertesthopfilledmewithdread.Flyinghadbeenfun,Irecalled,untilwhen?ShortlyafterfailingareviewboardandloosingmyTechniciansrating.Thedepressionthat

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    6/63

    Page 5 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    followedseemedtochangeeverything.Ishouldhavequitflyingatthattimebutwesimplyneededthemoneytoomuch.Theshowermixedwiththetearsthatstreameddownmyface.

    Whatwashappeningtome?LatelyThetearswouldflowfornoapparentreason.Notasingletearbutafloodoftears.AlwayswhenIwasalone.ThankGodforthatbut,Why?IhadneverbeenmuchofacrierandnowIfeltuneasyandalittleashamed.InadditiontoeverythingelseIdidn'tneedthis!Imovedthesoapywashclothtomychest.Nothing!Icouldn'tapplypressure!Icouldraiseitupbutcouldnotapplytheslightestbitofpressuretomychest.Whatwashappeningtome?ThenextdayIwentonsickcall.TheFlightSurgeongavemesometranquilizersandtoldmenottoflyforacoupleofweeksbuthedidn'ttakemeoffflightstatus,soIcontinuedtogetmypreciousfifty-fivedollars.

    ThetranquilizersprovedworthlessandinthenextfewweeksIexperienceddoublevision,weaklegs,weakarms,droopyeyelids,difficultyinbreathing,troublechewing,troublebrushingmyteeth,anddifficultycombingmyhairbutthedoctordidn'tknowwhatwaswrong.Thedreadofflyingwasgonenow,butithadbeenreplacedbynewandmoreterrifyingfears.IcouldnotcommandmybodytodoasIwished.ItjustwouldnotworkasIaskeditto!Finally,outofpuredesperationandfrustrationattheinabilityofthedoctorstodiagnosetheproblem,IpushedmyselfashardasIcouldtointensifythesymptoms,andwhentheywereallattheirpeakIstruggledintotheFlightSurgeonsoffice,pasttheothermenwaiting,andsaid,"Here!Lookatme!"MyspeechwasslurredandIcouldbarelykeepmyeyesopen.My

    breathingwasshallowandmylegswererubber.Alookofrecognitioncameoverthedoctor'sfaceandhedisappearedforafewminutes,returningwithamedicalbook."Hereitis,"Hesaid."IbelieveyoumighthaveMyastheniaGravis."

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    7/63

    Page 6 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    CHAPTERIICHAPTERIICHAPTERIICHAPTERII

    YOUREYOUREYOUREYOUREONYOUROWNONYOUROWNONYOUROWNONYOUROWN

    Myreliefathavinganameforwhatwashappeningtomewasindescribable.Therewasareasonformyweaknessandmyrecentfailuresandithadaname.MyastheniaGravis?HowdidIcatchthisdisease?Whatexactlyisit?Nobodyseemedtoknowmuchaboutit.MydoctortoldmetheyhadamedicationthatwouldcontrolMGandthatIwouldbeabletoleadaperfectlynormallife.Thisgoodnewsheldupforabouttwodaysoftakingthemedication,butthesideeffectsweresoseverethatIwonderedwhichwasmoredisabling,thediseaseorthecure.

    Thefollowingmonthswerefilledwithdoctors,hospitals,tests,medicinethatdidn'twork,moretests,moredoctors,medicinethatworkedandthendidn'tandthen,finallytheverdictthatIwas"stabilized."AtleastIcouldfunctionalittlebetter.Wordslike"Incurable,""Rare"and"Crisis"becameveryimportantandpersonaltome,anditwassoonclearthattheamountofrealknowledgeaboutthisdiseasewasminuscule.Sothatwassomethingnewtoworryabout.ThereliefofhavingidentifieditslowlyerodedasIcametorealize,moreandmore,thatIwasonmyown.Therewouldbenomagiccure.Nodoctorwasgoingtosolvemyproblem.Thisfeelingresultedinasenseofisolationthatwaswithmeforyears.Itriedbutcouldn'tshakeit.

    Ifeltverymuchalone.True,Iwasalonewithalovingandsupportivewifeandfivegreatkids,butinthisoneareaIfeltaneedtocommunicate,butcouldn't.ItriedfromtimetotimebutwasalwaysmisunderstooduntilIfeltitbesttokeepittomyself.Thefaultwasnottheirs,Iknew.Itwasmine.WhatexactlywasItryingtosay?WhydidIhurtsomuchinside?Whywouldn'ttheeventsatJamesConnallyAirForceBasenearWacoTexas,leavemealone,getoutofmymind?TheTears!Alwaysthetearsandwhywasitimpossibletoexpressanyofthis?Therewasnoshortageofquestionsbutveryfewanswers.MedicallyretiredfromtheAirForce,wereturnedtoourhometown,SanDiego.TheVAawardedmea100%disabilityratingandassignedmetoaDr.Brownwhowasinchargeofthepsychiatricdept.NormallyMGwouldfallunderneurologybutSanDiego'sVAdidn'thaveaneurologist.SinceIstillneededsomeonetowritemyprescriptions,Dr.Brownwasmyman.ComparedtotheAirForceHospitalwhereIhadbeenpokedineveryplacethatit'sfeasibletopokeapersonandstuckineveryotherplacetheVAwasaveryfriendlyplace.NoonewantedtestsbecausetheyadmittedthattheyknewverylittleaboutMGandapparentlyweren'ttheleastbitinterested.Thatwasfinewithme.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    8/63

    Page 7 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    Dr.Brownlookedupthemedicationandwrotemyprescriptions.HewouldaskifIwantedtotrysomethingandwouldgetitformeifIdid.Heknewenoughaboutthemedicinetokeepmeoutoftroubleand,atthesametime,gavemethefeelingthatIhadsomecontrol.Thisseemedveryimportant.Wealwaystalkedwhenwemetand,althoughIwantedto,InevermanagedtotalkaboutJamesConnallyorthepainandtears.

    Buildawall--Chinkthecracks--andgetonwithyourlife!Duringoneofourtalks,Dr.BrownmentionedthathehadreadaboutapsychiatristwhohadachievedsomesuccesswithnineortenMGpatients.Unfortunatelythedoctorhaddiedwithoutwritingabouthistreatment.AGoodNews-BadNewsjoke!Aninterestingpieceofinformationbutitjustraisedmorequestions.HowcouldaPsychiatristhelpsomeonewithMG?Wasn'tthisaphysicaldisability?Thenervecan'ttransmitthesignaltothemuscle.That'sphysical.Wellthenbacktothefirstquestion.HowcouldapsychiatristhelpsomeonewithMG?DuringanotherofourtalksDr.BrownmentionedanarticlethatsaidthatallMGpatients

    seemedtohaveverysimilarpersonalities.Ifthisweretrueitwouldseemfeasiblethatapsychiatristcouldplayaroleinthispuzzle.DidonespersonalityhavesomethingtodowithwhytheygotMG?Interesting.Ifiledallthisawayalongwiththenewquestions.AtthistimeIhadnohopeofevermakingprogresstowardrealunderstanding.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    9/63

    Page 8 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    CHAPTERIIICHAPTERIIICHAPTERIIICHAPTERIII

    PAINTAPICTURE&DIEPAINTAPICTURE&DIEPAINTAPICTURE&DIEPAINTAPICTURE&DIE

    Theyearwas1961andIhadbeenoutoftheAirForcefortwoyears.Mydisability,MyastheniaGravis,nowaffectedmylegs,arms,eyes,breathing,swallowing,speechandfacialexpression.WhenIsayaffectedImeantheseareashadvaryingdegreesofweaknessatdifferenttimesuptoandincludingtotalshutdown.Withoutthemedicine,Mestinon,alloftheabovemuscleswouldceasetofunctionandIwouldendupinthehospital.Thisiscalled"goingintocrisis"andissomethingthatoccupiedmymindquiteabitlately.CrisisissomethingthatI,verymuch,wantedtoavoid.TheMestinondosethathadstartedwithone60mgpilleverythreehourshadslowly,throughnecessity,beenraisedtosix60mgpillseverythreehours.Inaddition,two180mgTimeSpan

    capsuleshadbeenaddedtogetmethroughthenight.ATimeSpanisaslowreleasecapsulethatlaststwelvehours.WithoutthisTimeSpanIhad,onanumberofoccasions,stoppedbreathinginmysleep.Thishadalwaysresultedinmywakingwithagiantgasp.Theconfidenceofthatalwayshappeningwaswearingthin.ContinuingtoraisethelevelofMedication,asitbecamelesseffective,wasfinebutIknewthetimewouldsooncomewhereIcouldnottoleratetheincreaseddose.Thisworriedmealot.Iwouldendupinthehospitalon"Godknowswhat"kindofmachineuntilthemestinonbecameeffectiveagain.Mylifewasinaveryprecariousstate.IbelieveHowardCosselloncesaid"Perchedontheprecipiceofperil."ThatcertainlydescribedCleteGressin1961.JoanandIhadmanagedtobuyasmallhouseinthetownofEscondido,California.Iwasunabletoworkbut,stillneedingsomethingtodo,IsignedupforanArtClassinoilpainting.Onthefirstday,aftergettingourmaterialsandtoolstogether,apottedplantwaspositionedinthecenteroftheroomandweweretoldtopaintit.HavingneverpaintedbeforeIwassurprisedatthechallenge.Ilikedtheatmosphereandthepeopleandfeltgoodaboutthisnewdirection.Attheendofclasstheteachertoldustotakeourworkhomeandfinishitbeforeournextclass.Fine!Icoulddothat.GoodPlan.

    ThateveningJoanwenttobedshortlyaftergettingthekidsdownandIfoundmyselfwithpeaceandquietandthekitchentabletocontinuemypainting.Itwas9o'clockand,Iwasstillpumpedupfromtheafternoonsclass.Totallyimmersedinmywork,Ipaintedonwithoutregardtotimeorthewholeuniverse.Thisfeelingofexcitementandenthusiasmhadbeenabsentfrommylifeforseveralyearsanditfeltrealgoodtohaveitback.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    10/63

    Page 9 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    There-----itsfinished,Ithought,asIlookedattheclockforthefirsttime.6AM--LORD!Ishouldgetsomesleepbutcouldn'tresistsittingandadmiringwhatIhaddone.Marvelous,Grand------ItiswonderfulandIamwonderfulandAllisrightwiththeworld!!!!!Andthenathought----MEDICINE!

    Ihadn'ttakenanysince--------when?8o'clockyesterdayevening.OhGodtenhours!WithinsecondsMyastheniaGravisrushedatmefromeverydirection.WeakLEGS,ARMS,DOUBLEVISION!"Ihavetogetmypills,"Ithought.Panicsweptovermelikeablanketofink!Swallow,Icommanded,OhGodswallow!Butmythroatwouldnotobey.

    Underyourtongue--fool--putitunderyourtongue--Geezittastesbad.SlowlyIfeltIcouldswallowandIputfivepillsinmymouth,somewater,andwithasilent"Goddon'tletmeaspirate,"feltthemslidedownmythroat.Ilayonthecouch,breathingwithmystomachmusclesuntiltheMestinontookhold.Scared?Youbet.Probablymorescaredthaneverinmylife!Exhausted,Iwenttobed.

    IhadnotDied.

    Notthistime.

    Ihadwon.

    Barely.

    Iwenttosleep.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    11/63

    Page 10 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    CHAPTERIVCHAPTERIVCHAPTERIVCHAPTERIV

    INSEARCHOFCONTROL

    Inthefollowingweeksmythoughtsweretotallydominatedbytheeventsofthatnight.FromthetimeIawokeuntilIwenttobed,Iwouldlieawakehalfthenight,couldthinkofnothingelse.Everythingthathadhappened,Iknew,wasveryimportant.Itraisedmorequestions.HowhadIworkedsolongwithoutmedicine?Whywasthisdaydifferentthananyother?ButmoreexcitingwasthehintthatIcouldpossiblyfindsomeanswers.HadIbeenremindedofmypillsbecauseIhadfeltweak?No,IwasfeelinggreatuntilafterIrealizedIhadnottakenmedicineintenhours.Itwasfearthathadtriggeredthatcrisis.Thiswasnoordinaryfear.Thisfearcouldkillme!

    Buthowdidthisdayhappenanyway?Theartclasswasfun,yes,evenexciting.Wasthatit?Excitement?Ihadneverfeltsuchenthusiasm!Therealizationslowlycame.TheexcitementhadproducedAdrenalineandhadraisedmeuptoalevelwheretherewasnoMG.Myenthusiasmhadkeptmesuspendedthereuntilfear,anxiety,apprehensionslammedmetotheground.Enthusiasm,Excitement,Adrenaline!Fear,Anxiety,Apprehension!Theywereopposingforces.Onewasmyenemyandtheothermyfriend!Iconcentratedonanxietyforawhile.Iwasfascinatedbythepowerithadexertedovermeandwantedtounderstand.Convincedthattheanxietyhadcomefirstandhadmagnifiedthe

    weakness,IcameupwiththisviewofitsrollinanMGcrisis.

    Anxietycausedweaknessorweaknesscausesanxiety

    Whichleadstomoreweaknesscausing

    Anxietyandthenweakness

    EndinginCrisis

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    12/63

    Page 11 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    Inotherwordstherecouldbe,inthebeginning,anxietythatproducedweaknessorweaknessthatproducedanxietybutoncethechainstartedtheyfueledoneanother.Greateranxietyproducinggreaterweaknesswhichinturnproducedgreateranxietyetc.etc.Thisviewisdecidedlydifferentfromtheviewthatanxietyismerelyasideeffectofthediseaseasalldiseasewillproducemoreorlessanxiety.Thisanxietywasplayinganactiverollonthepath

    toCRISIS!Theotherviewofacrisiswasfrighteningindeed.Theimmunesystem,actingentirelyonitsown,wouldbeginattackingthebody,drivingitfurtherandfurtherintoastateofweakness,untilfinallythepatientwouldstopbreathingandcollapse.ThatswhatwouldhavehappenedthenightofthepaintingepisodehadInotbeenabletotakemymedicine.Butdidithavetobethatway?IfthenewviewoftheroleofanxietywascorrectIcouldhavesimplylaiddownandrelaxedandridmyselfofanxietywhichwouldhavestoppedthedownwardspiral.Iusetheword"simply"butIbelieveitisobviousthatcontrollinganxietyisnotsimple.Still,thishadtobeausefultool.

    Byunderstandingthisview,andbeingconvincedofitsvalidity,Ireceivedanunexpectedbonus.Inthefollowingmonthstheweaknessnolongerseemedtogeneratethefearasithaddonebefore.NolongerafraidofcrisesIbegantorelaxaboutmycondition.IhadeffectivelyneutralizedthenegativesideofMG.Anxietywasstillapartofmylifebutwhenitdidoccur,suchasinaroomfullofstrangersorpeoplethatIwasn'tateasewiththeresultingMGwouldbeminimal.Further,theMG,havingproducednoanxietyofitsown,wouldstopthere.

    Amajorvictory!Amajorvictory!Amajorvictory!Amajorvictory!IrealizedInolongerhadtofearthediseasebutthiswasnotenough.Oncehavingtasted

    victoryIwantedmore.Iwantedtoimprovemycondition,workmywaytoremission,ifpossible,andthekeyhadtobeonthepositiveside.ThepaintingepisodehadstronglysuggestedthatEnthusiasm--Excitement--Adrenalinewoulddothejob.Ihadalwaysspenttimedrinkingcoffeeandthinkinginthemorning.Averygoodtimetothink!Theseperiods,then,wereperfectandIdon'tknowifImadeadecisionorjustfellintoitbutslowlytheybecameperiodsofmeditationwiththegoalofproducinganticipation.Anticipationofthecomingdaysevents.EachjobthatIwantedorhadtodowouldbeputthroughthewringeruntilsomethingwasfoundthatwouldexciteme,somethingtolookforwardto.Somethinglikepainting.

    Somethingasmundaneastakingoutthetrashposedaspecialkindofproblem.(Itsreally,reallyhardtogetexcitedabouttakingoutthetrash.)ThistypeofjobIsimplysidestepped.Forinstance,Ihadplantedsomeflowersnearthetrashcan---Iwonderiftheyaredoingwell,evenblooming?Theanticipationoffindingoutwouldcarrymethroughthejobanditwasdone.AsachildIhadbeentheworld'sgreatestday-dreamerandinmyfantasiesIalwayswonthebattle,alwayscameoutontop,alwayswasthehero.Itriedusingthisasatoolwiththehope

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    13/63

    Page 12 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    ofproducingexcitementanddiscoveredsomething.Thefantasyblockedoutallanxiety,allworry.Isthisthereasonchildrenday-dream?Toblockoutaworldthathasalotofbumpsorroughspots.Couldbe.IhadbeensobusytryingtoproducethepositiveexperiencethatIhad

    neglectedthenegative.Ibeganthinkingofdifferentadventuresandplacedmyselfinthemasthemaincharacter.SoonIhadthreeorfourfantasiesrunningatthesametimeandIwouldflitinandoutasIpleased.WhenItiredofthemIconcentratedonthetasksaheadandfounditeasierandeasiertoproducethedesiredanticipationorexcitement.This,then,wasmydailyroutine.Havetwoorthreecupsofcoffee.Relax.Day-dreamalittleandmeditateonthedayaheaduntilexcitementwasgenerated.IdidnothingthatIwasn'tenthusedaboutdoing.Jobsthatgeneratednoexcitementhadtobeputoffuntiltheydid.IfIwasinthemiddleofsomethingandIlostinterestIswitchedtosomethingelse.AlotofthingswerehalfdonebutIusuallymanagedtocompletethematanothertime.

    Soonworkbecameeasier.MoreandmoremydayswerefreeofMyastheniaGravis.Iwaspleasedwiththeprogress.IwasstilltakingMestinoneverythreehoursbutitwasworkingbetter.Monthswentby.Ibegantoexperiencesignsofoverdose.Mouthwateringstomach--cramps--diarrhea--chestpains.Iloweredthedosefromsixtofiveeverythreehours.NomoreoverdosesymptomsandIdidjustaswellonthenewdosage.ThiswasthefirsttimethatIhadeverbeenabletoreducemymedicine.Always,inthepast,ithadtobeincreased.

    AmonthortwolaterIlowereditagaintofourandthentothree.Aftergettingdowntothreepillseverythreehourssomethingbegantohappen.MGweaknesswasshowingupmoreoftenanditwasgettingmoresevere.IincreasedtheMestinonbacktofourandthentofive.Acloudofdepressionsetin.Whatwashappening?Allofmyvictoriesweremeltingaway.Haditallbeenonebigcoincidence?Whatacrueljokethatwouldbe.Maybeallthatmeditationwassomuchhooie!Thediseasehadjustgottenbetteronit'sownandnowitwasgettingworseonit'sown.God,Icouldn'tacceptthat!

    CountlesshourswerespentgoingovereveryscrapofinformationIhad,inanefforttofindtheflaw.EverythinghasanexplanationandIwouldfindthisone.Slowlytherealizationthat,atsomepoint,Ihadincreasedmyworkdaytosixandsevenhours.ThelasttwoorthreehoursofthisperiodwouldbefilledwithMG.ApparentlyworkingintothatareathatproducedMGwipedoutanylongtermbenefitandactuallyreversedmyprogress.IwouldhavetocutbackonthehoursIwasphysicallyactive,buthow?Myenthusiasmwasstillhighafterfivehours.Thesolutionwasnotlongincoming.IhadnoticedthatifIhadacan

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    14/63

    Page 13 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    ofbeeroraglassofwinethatmyenthusiasmdiminished.This,then,wastheanswerIsettledon.MeditateanddomyworkbutafterfourorfivehoursoratthesmallesthintofMGhavesomethingtodrinkandrelax.Myworkdaywasover.Thealcoholeffectivelymellowedmeout,killingmydriveanditalsohelpedtoblockanxiety.

    LookingbackI'mnotsureifthiswasthebestpossiblesolutionbutforamanwhowasstumblingandgropingforanswersitwouldhavetodo.Itworkedandinthosedaysanythingthatworked,Idid!SincefirstwritingthisIhave,onceagain,developedtheneedtousealcoholinthismanner,forthispurpose.ThistimeIresistedasIhadstoppeddrinkingaltogetheranddidn'treallywanttostartagain.UnfortunatelyIcouldnotfindasatisfactorysubstitute.SofarI'vesucceededinlimitingthedrinkstotwoandthishasworkedtoshutdownexcessivebrainactivityintheevening.AtanyrateIhadtomodifymythinkingalittle.Ihadthoughtthatallworkinthepresenceofadrenalinewasbeneficialandwouldmovemetowardremission.Nowitwas:Allwork,inthe:Allwork,inthe:Allwork,inthe:Allwork,inthe

    presenceofEnthusiasmpresenceofEnthusiasmpresenceofEnthusiasmpresenceofEnthusiasm--------Adrenalineisbeneficial,pAdrenalineisbeneficial,pAdrenalineisbeneficial,pAdrenalineisbeneficial,providedyoustopworkingshortofrovidedyoustopworkingshortofrovidedyoustopworkingshortofrovidedyoustopworkingshortofexperiencingphysicalstresswiththeresultingMGweakness.experiencingphysicalstresswiththeresultingMGweakness.experiencingphysicalstresswiththeresultingMGweakness.experiencingphysicalstresswiththeresultingMGweakness.InthemonthsthatfollowedIonceagainexperiencedoverdoseandreducedmymedicine.Firsttofourandthenbacktothree.Ihadregainedagooddealofcontrolandnolongerfelthelpless.IapproachedtheVAforschoolingand,aftertesting,wassooninafulltimeartschool.Ireallyhadnochoicefor,bythistime,IwasasdependentonartasIwasonmypills.Artstillwasthemajorsourceofexcitementinmylife.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    15/63

    Page 14 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    CHAPTERVCHAPTERVCHAPTERVCHAPTERV

    STEVE

    In1964ouroldestson,Steve,camedownwithMyastheniaGravis.Stevewasnineyearsold.Wastheconditionhereditary?No.Iwastold,wewerethefirstfather-soncombinationtoevergetMG.Thishonorofbeingthefirstfather-sontohavethisdiseasefailedtothrillme.IfirstnoticedtheoddexpressiononStevesfaceandafewdayslater,whenhebeganwalkingbydragginghistoes,IknewwhatIwouldhavegivenmylifenottoknow.OurfearswereconfirmedatCampPendeltonwithaTinsalonTest.Stevewentinto"Crisis"andasaresultspentthenextsixyearsonarespiratorandgastrictube.NothingthatIhadlearned,todate,helpedusimprovehiscondition.Atonepoint,usingExcitement,wedidmanagetogethimwalking.Afterseveralweeksof

    slowlyincreasingthedistanceeachday,hewastakingthirtyorfortysteps.ThendisasterstruckintheformofPneumonia!Steve,onceagain,wasflatonhisbackandthetimespentfightingthePneumonialefthisbodyevenmorewastedthanwhenwebegan.Itisdifficulttocontrolone'sownemotionsandIfounditimpossibletocontrolorinfluenceSteve's.EmotionsweretheonlytoolsIhadtoworkwithatthistime.I'vegivenStevealotofthoughtoverthepasttwentyfiveyearsandI'mleftwithmorequestionsthananswers.Togointodetailherewouldonlymuddythewatersofmyownstory.OnepointthatmightbeworthmentioningistheideathattheremightbemorethanoneTYPE

    ofMG.BothtypesbeingMyastheniaGravis,butarrivedatfromdifferentdirectionsorbydifferentmeans.WhenStevedied,in1970,wewerealldevastated.Loosingthisbattlewas,Ithink,inevitable.JoanandIhadtaken12hourshiftsforthepastsixyearsandwewerebothtiredbeyonddescription.Steve'syoungerbrothersandsistersalsohelpedwhentheycouldhavebeenplayinglikeotherkids,andthiswentalongwayinmakingourjobbearable.ForthefirsttimeinmylifeIacceptedfailure.Therejustwasnothingthatwecouldhavedone.Welackedtheknowledgejustasthedoctorslackedtheknowledge.ItwasnotmyfailureorJoan'sfailureorthedoctorsfailure.Itwasafailureofcircumstancesandafailureofknowledge.

    WiththeburdenofSteve'scaregonemyconditionimproved.SoonInolongerneededMestinonona"everythreehour"basis.Istilluseditonoccasionbutnevermorethanoneortwopillsaday.ThiswasalongwayfromthethirtysixpluspillsadayIwastakingin1962.IowedSteveadebtashiscarehadforcedmetoworkharderthanIwouldhaveandtheendofthosesixyearsfoundmeinprettygoodshape.PhysicalconditioningfortheMGpersonisvitalandhehadgivenmethatgift.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    16/63

    Page 15 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    Inthedarkaftermathofburyingoursonandbrotherthefamilydidwhatitdidbest.Wewentcamping.Ipaintedapicture,whichhangsonourlivingroomwall,andIcomposedaversetosendtoourfriendsandrelatives.

    OUR SON DIED!

    We bought a grave.We went to church.

    Then people came that

    Steve had touched.

    WE CAUGHT A GLIMPSE OF GOD.

    Mostofourfriendsandrelativesunderstoodourfeelingsbut,Iguess,weleftafewpeopleconfusedandworriedaboutourmentalhealth.Theyneedn'thaveworried.TodayIdon' tthinkofSteveasbeingdeadashelivesineachmemberofhisfamily.He'sinme

    andJoanandinDave,Phil,LindaandBrenda.Wegavehim ourtimeandwecaredforhimwhenhewassick.Silently,secretly,hegaveusafinergift.Onethatweweren'tawareofatthetime.Steve'scareforcedusoutofourselvesinto am ore generousworld. A worldwherewe couldseebeyondour own self interests. Amorepreciousgifthasneverbeengiven.WecouldnotsaveSteve'slifebuthemayverywellhavesavedours.

    ThanksSteve.ThanksSteve.ThanksSteve.ThanksSteve.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    17/63

    Page 16 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    CHAPTERVICHAPTERVICHAPTERVICHAPTERVI

    ACORNMUSHThebenefitsofSolitude.

    Throughtheyearsfromabout1964,Ihavegonecampingbymyself.IdiscoveredthatwhenMyastheniaGravisstartedtobecomeaproblemandthingsbecameconfusedinthewayIwasmanagingthecondition,afourorfivedaytripwouldironoutthewrinkles.IthinkmostMGpeoplewillagreethatsocialpressureshaveadirectandusuallyanegativeeffectresultinginMGweakness.CampingbymyselfeliminatedthesepressuresandifIdidn'timposepressuresofmyown,IcouldhavefivedaysoftotalfreedomfromMG.Thesecondpart,ofnotcreatingmyownpressures,doesn'tjusthappenandneedssomepracticebutitcanbeachieved.Imadenoplans.NoguidelinesortimetablethatIwouldhavetoworryaboutortrytoadhereto.Everythingwassimplified.Thesupermarketprovidedalotoffreshvegetables,cheese,summersausage,driedfruitandcoffee.AspecialstopatMamaLina'sforsixsmallloavesofbreadwiththatdelicioushardcrustandIwasonmyway.Ialwaysforgotsomething,butveggiespackedinclayandthrownintotheembers,areeverybitasgoodasveggiesbakedinfoil.Withintwentyfourhoursallconfusion,anxiety,cobwebsorwhatever,dissolvedlikethemorningmist.Whathappenstothemindandbodyoverthenextfourorfivedaysissowonderful,sostartling,thatIwouldlikeeveryhumanonthefaceoftheearthtoexperienceit.Ishouldemphasizethatthisisfivedaysofzerocontactwithotherpeople.IfImetsomeonebyaccidentIsimplywavedbutdidnotspeak.Thehealingprocessofmindandemotionsundertheseconditionsisswiftandsure.

    Ididmanythingsonthesetrips.SometimesIdreworpainted.AtothertimesIjusthikedandexploredmysurroundings.IdidthingsthatreinforcedthefantasiesthatIusedinthemornings.Once,whilehiking,Idiscoveredasmallspringinaplacewherenohumanhadsetfootinajillianyears.Inamedit"ChetusuSprings"anditbecamemine.(Thename"Chetusu"isanotherstory).IcouldreturntoChetusuSpringsanytimeIwished,inmymind,whilehavingmorningcoffee.OnetimeIspentthefirstdaygatheringacorns,splittingthemandspreadingtheminthesun.WhentheyweredryIusedanativegrindingholeinanearbyrocktoreducethemtopowder.Afterwinnowingthemeal,toeliminateanychunks,Imadeasandfilterinthestreambelowmy

    campsite.EighthoursofleachingthebitternessfrommyacornflourandIhopedIwouldhavemysupper.IhadintentionallyrefrainedfromeatingalldayinordertomorefullyappreciatetheexperienceofsurvivingonwhatGodhadstrewnallovertheforestfloor.ItwaseightintheeveningwhenIwasreadytocookmydayswork.Iwashungry.Ididuseoneofmymetalpansbutdidn'tputthepaninthefire.Justasthenativeshaddonewiththeirclaypots,Iheatedsmallstonesanddroppedthemintotheflourandwater,stirringwithastick.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    18/63

    Page 17 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    Themixturethickenedintoacreamcoloredmush.Iplungedtwofingersintothepotand,puttingtheminmymouth,Iatemuchthesamewaythatthenativeshaddone.Themushhadlittleornoflavorandjustahintofbitterness.Theleachinghadnotremoved100%ofthetanninbutitwasenjoyableconsideringtheextentofmyhungerafteratwentyfour

    hourfast.Iresistedthetemptationtocapoffthisfeastwithahunkofsummersausageandsomebread.Iwantedthemealofacornmushtostandonitsownandremainfixedinmymemoryforever.Ithas.Howverydifferentthisdaywasfromourcivilizeddaysinthecitywithourcarsandjobs.Iwastiredbutemotionallyrefreshed.Everything,atmycampsite,hadbeenreducedtoaverysimple,easilyunderstood,equation.NothingexistedexceptMe,mycampandGod.Asyouwillsee,inthisbook,Ihaveavisualmind.EverythingthatIthinkoforlearnImustvisualizeinsomeway.ThatnightIsawourlivesinmathematicalequations.Inmymindseyemodernman'sdailylifelookedsomethinglikethis:

    Ontheotherhand,atthismoment,mylifewasmorelike2+2=4.2+2=4.2+2=4.2+2=4.Noanxieties,nouncertainties,everything,easilyunderstood.2+2=4.Ithasoccurredtomethatthisexperience,unfortunately,mightbelimitedtothosefewwhohavetheskilltocampandarenotafraidtodosobythemselves.Thisobstaclecouldbeovercomeinanumberofways.Ahusbandandwifeorafatheranddaughter,brotherandsisteretc.,couldsetupcampswithineasyearshotandagreetonothavecontactforfivedaysunlessabsolutelynecessary.Agreeaheadoftimetoleavenoteswhenleavingetc.Idon'tknowifthiswouldbethesamebutcertainlyitwouldbebetterthannothing.Theuseofasmallhuttoreflect,meditate,andrestorethespirithas,Iunderstand,beenusedforcenturies.Thepersonlivesinthehutwithnooutsidecontact.Mealsareleftontheirdoorstep.Idon'tbelievethemeanstoachievethisgoalofsolitudeisimportant.Itsvalueistriedandtrue

    and,althoughIdidstumbleuponthebenefit,asitrelatestoMG,byaccident,ithasbeenaroundforaslongaspeoplehavebecomestressed.EachtimeIwentcampingIcamebackwithnewwaystoenhancemyfantasies.Nowtheywerenotjustdaydreamsbutweresolidlyanchoredinrealityandmyexperiencescamping.Theynowhadthesameeffect,onasmallerscale,asthecampingtripsthemselves.Myfantasiesweremademoreeffectivethantheywerein1964.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    19/63

    Page 18 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    AnunexpectedvisitorItwasthemiddleofwinterand,asfarasIwasaware,IwastheonlyoneinthecampgroundatBlackCanyoninSouthernCalifornia.

    Busywithapainting,Icaughtaglimpseofmovementcominginmydirection.Icontinuedwithmywork.AsitgrewnearerIrecognizedthestoopofanoldman,flannelshirt,baggypants,astockingcapandwellwornboots.Nopacksohehadn'tcomefarbutIwonderedwherehehadbeenhidingthesepastthreedays.Heneverhesitated,butwalkeddirectlyintomycampandsaid"DoyoumindifIrestonyourbench?"Ididn'tspeak,whichwasmyhabitwhencampingalone,butIsmiledand,withmypaintbrush,pointedtothepicnictable.Hesmiledbackandsatdown.Inthenexttwentyminutesnotawordwasspoken.Ipaintedandhewatchedandthen,rising,hewalkedtomycanvas,benttogetabetterlook,pointedhiswalkingstickatitand,turning,smiled.Heraisedhishandslightly,inagestureofgoodbye,walkedoutofmycampanddowntheroad.

    Thatnight,sittingbeforemycampfire,Ireflectedonthedayandmylittleoldman.Iwonderedwhohewas.Oldmenareimmediatelysuspicious.Everynight,onTV,someoldmanhasdonesomething.Molestedsomeone.Drunks,bums,homelesspeople,itseemsthelisthasnoend.AsIwatchedtheflamesofmycampfireafeelingofpeacecameoverme.Iwasbeingafool.Thinkaboutthisoldman.Hadhebeenthreateninginanyway?Didhedoanythingtomakemethinkallthosethoughts?HehadaskafavorandIhadgranteditwithasmile.Hehadreturnedthekindnesswitha

    gestureandasmileofhisown.Ihadgivenhimloveandhehadgivenmeloveinreturn.Cananythinginourlivesbemoresimpleormorebeautiful?WasIreadingmoreintothishappeningthanitdeserved?Thatnight,forthefirsttimeIunderstoodthatonesperceptionoflifeis,byfar,moreimportantthanlife'srealities.Isleptverywellthatnight.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    20/63

    Page 19 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    21/63

    Page 20 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    CHAPTERVIICHAPTERVIICHAPTERVIICHAPTERVII

    ASEARCHFORANSWERS

    In1978JoanandI,withoursonDave,tookatriptoEngland.Davehadbeenstationedthere,intheAirForce,andhadmadefriendswhoinvitedustostaywiththem.Thiswasamarvelousopportunityforus.EnglandiswhereJoanandIhadbegunourmarriedlifeandweenjoyedeveryminuteofourrevisit.OnourreturntoourhomeinsouthernCalifornia,IreceivedaletterfromamaninLondon,I'llcallhimDan,whohadMyastheniaGravis.Throughamutualfriendhehadheardaboutmyuseofmeditationandaskfordetails.Now,upuntilthistimeIhadgivenlittlethoughttowritinganythingdownmuchlesscommunicatingthethingsthathadbeenworkingforme.Dan'sletterforcedmetotryandIsoondiscoveredthatmyunderstandingofMGwasveryincomplete.MyfirstmistakewasnotsimplywritinghimwhatIhaddone.Thethingsthatworkedforme.Justgivehimthefacts.Lethimfigureoutwhy.Unfortunatelyitsjustnotinmetobesimple.JoansaysifyouaskmethetimeI'llbuildyouaclock.True!IsettledintofindthereasonsandmythoughtsledbacktoDr.Brown.FromthecontactsthatIhadmade,sofar,allMGpeopledidseemtohavesimilarpersonalitytraits.Theonethatstuckoutthefarthestwastheirdrive.Theydidn'tgiveup.Manyhadovercomehugeobstaclesintheirlives.Yes,theirpersonalitieswereverymuchalikebutwhatexactlywastheelementthatrelatedtoMG?Theconclusion?PriortotheonsetofMGtherehadalwaysbeenastrongpressuretoperform.Thispressuredidn'talwayscomefromoutsidei.e.parents,coaches,teachersetc.Manytimesitwasinternallybroughtonbylove,loyaltyorastrongsenseofduty.Theseareallgoodthingstohavebut,likeallgoodthings,Isensedthattheycouldturn

    onuswithdisastrousresults.Whatwouldbethecircumstances?Depressionand/orAnxietyhadtoplayarole.IcameupwithatheoryandsentitofftoDan.Putsimply:Whatwouldhappenifthisguywitha"Neversaydie"personalitymetareallydevastatingemotionaltrauma?Theirresistibleforcemeetingtheimmovableobject?Somethingwouldhavetogive.

    Danwasnotimpressed.ThousandsofpeopleeverydaymetthiscriteriawithoutgettingMG.Theyhadnervousbreakdownsorbecameillbutdidn'tgetMG.Infact,ifthiswasallittook,MGwouldbeverycommoninsteadofrare.Andwhy,Danasked,wouldheonlyhaveMGinhiseyesandotherpeoplehaditintheirlegs,arms,throatetc.DanwasintheprocessofearninghisMastersDegreeandIwasn'tgoingtoslipsomethingoveronhim.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    22/63

    Page 21 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    IknewDanwasrightandhisrejectiononlymademetryharder.Mytheorywasincomplete---Somethingwasmissing.TryingtogetinformationfromotherMGpeopleprovedimpossible.Thetimejustbeforethey

    contractedtheconditionwasespeciallydifficultandmymindreturnedtotheideaofapsychiatrist.IftheirsecretswereburiedsodeepthatitrequiredanalysisIdidn'tstandachanceofuncoveringsomethingthatwouldbeofhelp.Theanswerhadtoliewithinmyownlife.EverycellinmybodyandmindresistedthinkingaboutJamesConnallyAirForceBase,butthat'stheplacewheretheanswerswere,andbackIknewImustgo.JusttryingtothinkofthisperiodinmylifewasveryhardbutIknewwhenIwasgettingclosetosomethingofimportance.Thetearswouldcome.Ihadlearnedthatthiswasasurefireindicatorofsomethingthatmymindwastryingtoprotectmefrom.

    Ithadallstartedinthesummerof1957.IhadjustbeenassignedtoJamesConnallyAirForcebase.IwasaStaffSergeantandmyjobwasrepairingairborneradarsets.Mywife,Joan,ourtwosonsandmyselfhadrecentlyreturnedfromathreeyeartourinEngland.Noonehadpreparedusforthedifferencesinpayandlivingexpenses.Badjudgmentonmypartfounduswithanewcar,newfurniture,andmorebillsthanwecouldhandle.Theburdenofprovidingforourfamilywasbecomingheaviereachday.Ihadfouryearsin-gradeasaStaffSergeantandwasoverdueforapromotionsothathopewasthere.InthemeantimeIsignedupforflyingstatustoaddfifty-fivedollarstoourpaycheck.

    SoonourthirdsonwasbornandayearlaterJoandeliveredtwingirlsandstillnopromotion.TheAirForcepickedthistimetohaveareviewboard.Theyaskmequestionsandattheend,decidedthat,basedontheopinionoftheirexpert,Inolongerwasqualifiedtoholdasevenlevelortechniciansrating.IneededthatsevenlevelratinginordertobeeligibleforpromotiontoTech.Sergeant.ADeathsentencewouldnothavebeenmoredevastatingunderthecircumstances.IsimplyamnotgoodenoughwithwordstocommunicatetheseverityofdepressionthatIfeltatthattime.Addthedepressiontotheanxietyofthetesthops,testhopsthatIwastrappedintoflyingbyourfinancialdilemma,andtheoutcomespelleddisaster.

    Itwasnotthedepressionthatdidmein,ortheanxiety,itwastheoverblownsenseofdutyandapersonalitythatrefusedtoacceptdefeatthatfinallydidthejob.Iknew,atthispoint,inmycontinuinginvestigation,thatIhadtwoofthethingsthatledtoMGbutIdidn'treallyknowanythingmorethanwhenIfirstwroteDanwiththeimmovableobjectandtheirresistibleforceidea.AllIhadreallydonewasnailitdown,sotospeak.OnthesunnysideIwasnowfreetogoonandlookforathirdelement.AnelementthatIknewhadtobethereorMGwouldbeverycommon.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    23/63

    Page 22 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    It'samazinghowapersonbelievesthateverythingthattheydoisnormal.Findingafacetofoneslifethatisnotnormal,throughselfexamination,provedtobeverydifficult.AftermonthsofeffortIslowlycametothefollowingconclusions:Itseemsmy"DoorDie"personalitywasformedveryearlyasaresultofmysmallsizeandbirthorder.Beingthefourth

    childoffiveIhadtotryhardertoachievethesameresultsasmybrothersandsisters.Examples:BetweentheageoffiveandabouttenIrecalltryingtokeepupwiththeneighborhoodgangofkidsallolderandbiggerthanmyself.ThisiswhenIrememberplayingbymyselfalotandindulginginfrequentdaydreaming.Ibelieve,now,thatthisbehaviorprovidedrelieffromallthat"keepingup"AttheageoftwelveIjoinedtheboyscouts.TheydidnotbelieveanyonethatsmallcouldpossiblybetwelveuntilIshowedthemmybirthcertificate.Iwentonmanyhikes,keepingupwiththetroop,andalwaysmadethetopofthemountain.It'strueIusuallybarfedwhenwe

    arrivedbutImadeit.WhenIwastwentyIappliedforajobinaLumbermillinOregon.Theyneededsomeonetopulllumberonthe"GreenChain".Thiswasoneoftheharderjobsinthemillandtheownerlookedmeupanddownandproclaimed,"Sorry,yourjusttoosmalltodothejob."IhadbeentoldthatIwastoosmallallofmylifesohisstatementwasn'texactlybignewstome.Ilookedthemanintheeyeandsaid,"Youletmeworkfortwoweeksandifyoudon'tlikewhatyousee,thendon'tpayme."Well,hedidn'thaveawholelottolooseso,withabiggrin,hegavemethejob.Iknowhefullyexpectedmetofallflatonmyfacewithinafewdays,butIhadotherplansandcollectedmypaywhenthetwoweekswerethrough.WhenIlefttojointheAirForcethissamemantoldmethatIhadajobwithhimanytimeIwantedit.Greatreinforcementforanattitude

    thatsaid,"IcandoanythinganyoneelsecandoandIcandoitbetter."Theredidn'tseemtobealimittowhatIcouldachieve,ifItried,andIconsideredthisapreciousasset.FurtherreviewofmyliferevealednumerousoccasionswhenIexperiencedwhatisusuallyreferredtoas"SuperStrength".WasthisabilitytopushmyselfbeyondnormallimitsapreconditiontotheonsetofMyastheniaGravis?Ithoughtso,andwithexcitement,wroteitalltoDan.

    DanrejectedtheSuperStrengthideaandInevergotthechancetoarguethepointashemoved,leavingnoforwardingaddress.Iwouldcertainlyhatetothinkmytheoryhadanythingtodowithhissuddendisappearance.AtanyrateIowehimathanksforgettingmestartedonthisbook.ItismybeliefthatDan'sreactionwasbasedonhisbeingascholarwithMGonlyinhiseyelids.Heavoidedphysicalworkandmusthavelaughedattheideaofhimselfandsuperstrength.Theideaisn'tsoridiculousifyoupicturethisscholarworkinglonghours,pastthetimewhenheshouldsleepandforcinghiseyestostayopenwhentheydemandedtoclose.Itisfeasiblethat

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    24/63

    Page 23 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    hecoulddeveloporexperienceSuperStrengthinhiseyesonly.AsIsaid,DanwasgoneandInolongerhadasoundingboard.Iwouldhavetogoitalone.IcalledthetraitthatshowedupintheformofSuperStrengthandcamefroma"NeversayDie"personality,anEnhancedabilitytocommunicateMindtomuscle.

    This,then,wasthethirdelement.TheonethatmadeMGsorare.WithoutthisabilityapersonwouldnotgetMG.Howmanypeoplepossessedit?Outofthisnumberhowmanywouldcomeupagainsttheothertwoelementsattherighttimeandwiththeneededintensity?Notmany,Ithink,sohereyouhadthemakingofararedisease!Pleasedwiththeprogress,Ifeltclosetobeingabletoformulateatheorybutstillneededtheanswertothequestion,How?Howdidthesethreethingswork?Iputtogetheranumberofpossibilitiesandtheyallfellapartinshortorder.Itwastimetorest.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    25/63

    Page 24 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    CHAPTERVIIICHAPTERVIIICHAPTERVIIICHAPTERVIII

    WHYDIDN'THEFLY?

    WithouttheneedtowritetoDantheprojectsortofpeteredout.SeveralyearswentbybeforemymindcamebacktoreviewwhatIhadwritten.

    MEDITATIONMEDITATIONMEDITATIONMEDITATION----RELAXATIONRELAXATIONRELAXATIONRELAXATION----ADRENALINADRENALINADRENALINADRENALIN------------POSITIVEPOSITIVEPOSITIVEPOSITIVE

    ANXIETYANXIETYANXIETYANXIETY----DEPRESSIONDEPRESSIONDEPRESSIONDEPRESSION----STRESSSTRESSSTRESSSTRESS------------------------------------NEGATIVENEGATIVENEGATIVENEGATIVETheenhancedabilitytocommunicatemindtomuscleideawasstillimportant.Meditationandfantasyworkedandhadputmeinprettygoodshape.ThesethingsworkedwithoutfailbutIdidn'tknowwhy.Itwouldbenicetoknowwhy.

    Thekeyhadtobeinmyabilitytosendtoomanysignalsfrommybrain.Theenhancedabilitytocommunicate.ThisabilityshouldbeagoodthingbutIwasconvinceditwasworkingagainstme.EachtimeItriedtoforceanactivityIbecameweakandfailed.Themostprogresswasmadebyrelaxing.That'sbackwards.Somethingisdefinitelybackwards.WherecouldIgofromhere?CouldI,indeed,goanywhere?Whatwasmynextmove?Iwasdoingwellbuttheholesinmyunderstandingwere,orseemedtobehuge.HowcouldIgetoffthisplateauandontothenextone.Therehadtobeahigherone.Itdidn'ttakeSherlockHolmestoarriveatthatconclusionbuthowcouldIgetthere?Thethoughtthatmedicalresearchers,allovertheworld,wereprobablyworkingonthesequestionswiththeirmillionsofdollarsinresearchgrantsanddozensofstraight"A"technicians,wasadepressingthought.

    WhothehellwasI,anyway,tothinkthatIcouldhaveachancetounravelthisenoughtoreallyunderstand.Iwantedtogiveupbutmy"neversaydie"wasworkingovertime.PartoftheproblemwasSteve.HehaddiedandIwasstillaliveand,tryasImighttonotthinkintheseterms,thethoughtleftmefeelingguilty.IcouldgetridofthisfeelingifIcouldgainenoughunderstandingtohelpother"Steves".Ihadnothingtograbholdof.Notacluethatwouldstartmymindgoingintherightdirection."It'sfinetohaveananalyticalmind,"Ithought,"but,withnothingtoanalyzeIwasnowhere."Thiswholeprojectwasanegotrip!Vanity!Stupidity!Stopit,Clete,andgetonwithyourpainting!Apaintershouldpaintandresearchersshouldresearchandbrainsurgeonsshould

    surgeandbarbersshouldbarb.Iwasfinallybacktoreality.Asmallbirdflewintoourwindowandlaymotionlessonthegrass.Itseyeswereopenanditblinkedbutitdidn'tmoveamuscle.Ipickeditupandplaceditonitsfeet.Itjuststoodthereandblinked,nevermovingforatleasttwohours.Why?Didn'titknowitwasindanger?AcatcouldhavewalkedupandeatenitandIdon'tthinkitwouldhavetriedtofly.Why?Acatwashitbyacaranddraggeditselfundertheneighborshouse.Itdidn'tmoveforfourdays.ItwasaliveasIcouldseeitseyes,butitdidn' tmove.Finallyitcameoutandlookedforfood.Itsinjurieswerehealed.Whatdidthismean?

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    26/63

    Page 25 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    WerethebirdandcatstotalimmobilizationtheoppositeofSuperStrength?Ifthisweretrueitopenedawholenewavenuetoexplore.Thebirdandcatwerebothinjuredandapparentlytheirbodiesshutdowncompletelytogivethemachancetoheal.Aquestionofsurvival.Inthecarcrashthemanwasallowedtolifttwothousandpoundstosavehiswife.Alsoaquestionof

    survival.Inbothcasesthelimitsweredifferent.Limits.Yes.Alimitingfactor.Ithadtobe.IreasonedthatAdrenalinewouldraiseitbutitsurelydidn'tlowerit.IfitwasconnectedtohealingitmustbeconnectedtotheImmuneSystem.PossiblytheImmuneSystemplayedarollinbothraisingandloweringit.FinallyIhadsomethingtovisualize.Aline.AlimitthatcouldbemovedupwithEnthusiasm--Excitement--AdrenalineandalimitthatcouldbeloweredwithAnxiety--Depression--Stress.Alimitthathadbeenloweredtoalmostthebottomwhenboththebirdandcatwereinjured.Survival!Survivalattheexpenseofsafety!

    IdIdIdIdrewgraphs.rewgraphs.rewgraphs.rewgraphs.100%90%80% Carcrash70%60%50%40% normal30&20% headcold10%

    0 Injuredbird andcatTheLimitingfactorwentupanddownandlimitedouractivityanditwasallregulatedbyourimmunesystem.Itkeptussafeandhelpedussurvive.IfitkeptussafethenwhydidIhaveMG?Whywasitnotworkingright?WhydidIhavetospendtwohourseachmorningmeditatingsothatIcoulddoevensimplejobs?Maybe----------andmythoughtswentbacktotheEnhancedAbilitytoCommunicate,maybe

    nowIcouldfigureoutwhathappenedwhenthe"irresistibleforce"camefacetofacewiththe"immovableobject".WhatifIwerehurtandmyImmuneSystemloweredtheLimitingFactorinanattempttoprotectmeandwhatifIthenappliedsignalsfromthebraininaquantityandamplitudethatmysystemwasneverdesignedfor.Whatwouldhappen?CouldthesignalsbreakthroughtheLimitingFactor(LF)?Iftheydidwhatwouldhappen?WouldtheImmuneSystemperceivetheviolationoftheLFasanotherthreatandlowertheLFfurther?Ifallthishappenedwouldn'titbecallMyastheniaGravis?

    LFLFLFLF

    LLLL imitingFFFFactorhereafterreferredtoas

    LFLFLFLF

    Percentageofstrengthavailableatanygiventime.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    27/63

    Page 26 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    AtJamesConnallyAFBmyinjurywasemotional.IwasalreadystressedoutwhentheReviewBoardfailedme.Addthedepressionwiththestressandthentheanxietyfromthetesthops.Goodold"Neversaydie"didagoodjobhidingallthisfromtheworld,evenfrommyself,butIcouldn'thideitfrommyImmuneSystem.Itknewthatallthiswasathreattomysurvivalanditdidwhatitwasdesignedtodo.ItloweredmyLF.Whenthingsgotworseitlowereditagain

    andthisshouldhaveslowedmedowntoalevelthatwouldprotectme.Itwouldhave,Ibelieve,ifIhadhadanormalabilitytosendsignalsfrommybraintomymuscles.Myenhancedabilityoverwhelmedthesafetysystemandthreatenedmyveryexistence.Allthisseemedtofitand,asIhadalwaysdone,whensomethingfitIwouldassumeitsvalidityuntilexperienceprovedotherwise.

    Mydailyroutinelookedlikethisonagraph:

    100%

    90%

    80%

    70%

    60%

    50%

    40%

    30%

    20%

    10%

    0%

    Inthemorning,whentheLFisat20%,startingworkimmediatelywouldresultinMG.TheLFmustberaisedwhiletheamplitudeofsignalarestilllow.Onethingstillbotheredme.WhywastheLFsolowwhenIgotup?WhatwassuppressingtheLF?

    Have drinkTo lower

    Signals

    from brain

    Signals from brain violate

    LF and if signals are notlowered will result in MG

    weakness.

    LF

    Meditate, Fantasize,& generate

    enthusiasm for 1 hourto raise LF before

    starting day.

    Percent of available strength as controlled by the LF. The flu

    will lower LF and result in weakness and save energy tofacili tate healing. An Emergency will raise LF resulting in

    Super Strength to increase chances of survival.

    The blue lines represent the signals from the brain to

    the muscles. Normally they cannot go above the LF.With an enhanced ability to communicate Mind to

    Muscle the MG person can send signals above the

    LF(pink). Lowering the signals (in this case withAlcohol) will prevent MG weakness enabling theperson to start the following day a little higher and

    day by day get closer to remission.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    28/63

    Page 27 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    IbelievetheanswerliesinthehurtthatIfeltfrommyAirForceexperience.ThethingsthatIwantedtotalkaboutandcouldn't.ThepainwasallstillthereevenifIhadbuiltawalltokeepitoutofmylife.MyImm uneSystemknewitstillhurtevenifmymindhadforgotten.MyImmuneSystemwasstilltryingtoprotectme.

    Inthepastthirtyyears,asI'vewrittenthisbook,therehavebeenperiodsofuncontrolledtears.EachtimeIapproachedthehiddenhurt,waterwouldfillmyeyesandflooddownmycheeks.Thefeelingofcalmandpeacethatfollowedtoldmethatthiswasagoodthing.Slowly,overtheyears,myLFhasbeenhigherwhenIgetupinthemorningmakingfantasyandmeditationlessessential.Ibelieve,verystrongly,thatwritingofmyexperienceshasservedasexcellenttherapy.Iwouldstronglyrecommendit.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    29/63

    Page 28 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    CHAPTERIXCHAPTERIXCHAPTERIXCHAPTERIX

    THEROADTOMG

    AtheoryofMindAtheoryofMindAtheoryofMindAtheoryofMind----MuscleMuscleMuscleMuscle

    CommunicationasitrelatestoCommunicationasitrelatestoCommunicationasitrelatestoCommunicationasitrelatestoMyastheniaGravisMyastheniaGravisMyastheniaGravisMyastheniaGravis

    Ourmusclesworkbycontractionduetoelectricalstimulation.Thebraincontrolsthissystemanditisveryselective.Whenelectricsignalsaregeneratedtheydon'tgotothewholebodybutaresenttooneormoreselectedsitesbythebrainscontrol.Inadditiontowheretheelectricimpulsesgo,thebraincontrolstheamountandamplitudeoftheimpulses.Bythiscomplexsystemwecanmovethetipofourlittlefingerandleavethehand,thearm,andtherestofthebodyverystill.Thisistheselectivepart.Theamountthatwemoveourmuscleiscontrolledbytheamplitudeofthesignalssenttoit.Wecanholdababybirdgentlyinonehandandpickupafiftypoundweightwiththeother,andwecandothisatthesametime.Theotherfactortobeconsideredisthesizeofourmuscles.Weallknowthatasmallpersoncannotliftasmuchasalargeperson.Ifa200lb.personpicksupa50lb.weightanda100lb.personpicksupthesameweight--whathashappened?Theybothpickuptheweightbutthelargepersondidn'thavetoexerthimselftothesamedegreeasthesmallperson.Inotherwords,inordertodothesameamountofworkthesmallpersonhadtosendmoreandgreatersignalstohismuscles.Ifviewedonanoscilloscopethesignalswouldlooklikethis:Ifviewedonanoscilloscopethesignalswouldlooklikethis:Ifviewedonanoscilloscopethesignalswouldlooklikethis:Ifviewedonanoscilloscopethesignalswouldlooklikethis:

    125 lbs.

    70%

    60% 200 lbs.

    50%

    50 lbs.

    40%

    30%

    50 lbs.

    20%

    10%

    0%

    LargepersonSmallpersonLargepersonSmallpersonItappearsthatthesmallpersoncancompensateforhissizebygeneratingmoreandhighersignalsbutwhathappenswhentheybothtrytolift200lbs.?Thelargepersongeneratesgreaterimpulsesandsucceedswhilethesmallpersondoesnot.HehasreachedhisLIMIT.Hecannotliftmorethan,say,125lbs..ThisthenistheLIMITofhisStrength.

    The blue lines represent signals from the brain to

    the muscles. The higher the Column the strongerthe signal. Since the large person has more

    muscles he can to send smaller (weaker) signals tomore muscles to achieve the same work. The small

    person must send stronger signals to fewer musclesto achieve the same work.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    30/63

    Page 29 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    Itisobviousthatwearelimitedbythesizeofourmusclesandourabilitytogenerateelectricalimpulses.Thesmallpersonwouldconcluded,atthispointthat,"Itistoheavy,Icannotliftit."Thereisanotherfactortobeconsidered.Thereisevidencethatwearecapableofusingonlyafractionofourpotentialstrength.Thisconclusionwasreached,inpart,bythephenomena

    knownasSuperStrength.Undercertainconditions,suchasacarcrash,peoplelikeyouandme,havebeenknowntoliftacaroffalovedone.Severalthousandpoundswhennormallytheywouldbelimitedtoseveralhundred.ThisshowsthatundernormaldaytodayactivitytheremustbeaLIMITINGFACTOR,ANLFthatsetsthemaximumthatwecanstimulateourmusclestowork.Why,ifwecanlift2000lbs.underextremeconditions,shouldwebelimitedtoonly200?IbelieveourLimitingFactoristhebody'swayofprotectingus.Withnolimitswewouldliterallytearourselvesapart.Wewouldstimulatethemusclesuntiltheywouldrip.Thedamagewouldthreatenourlives.ThisLimitingFactor(LF)isamatterofsafety.

    ForthepurposeofvisualizingthesystemtheLFcanberepresentedonthegraphasanimaginaryline.70%

    60%

    50%

    40%

    30%

    20%

    10%

    0%

    Largeperson Smallperson

    LF

    Small person has

    reached his limit

    (LF) at 125lbs.

    Large person has

    reached his limit

    (LF) at 200 lbs.

    Both the Large

    person and the

    Small person

    are using 40%

    of their st rength

    The normal person, sending normalsignals cannot go beyond (violate)

    the LF. The LF, in this manner, iskeeping the person from harming

    himself. The LF goes up and down

    as safety, survival and need dictates.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    31/63

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    32/63

    Page 31 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    InadditiontothisgeneralloweringoftheLFthereisalocalloweringoftheLF.InthecaseofinfectionortraumaintherightarmtheLFisloweredatthatpointwithacorrespondingbutlesserloweringintheentirebody.TheelementthatlowerstheLFIcall:

    ANXIETY-DEPRESSION-STRESSWehavenowestablishedaLIMITINGFACTOR(LF)andtheabilitytoraisetheLFbyExcitementExcitementExcitementExcitement----AnticipationAnticipationAnticipationAnticipation----AdrenalineAdrenalineAdrenalineAdrenalineandtheabilitytolowertheLFbyAnxietyAnxietyAnxietyAnxiety----DepressionDepressionDepressionDepression----Stress.Stress.Stress.Stress.ThelastculpritinthecastofcharactersleadingtoMGIcallPressuretoperform.Pressuretoperform.Pressuretoperform.Pressuretoperform.Thisisnecessarilyaverygeneraltermbecauseitdependsoneachperson'slife.Inonepersonitcouldbethepressuretosupportone'sfamily.Inayoungpersonitcouldbethedesiretopleaseparentsorteacher.Putsimplyitistheelementinaperson'slifethatputspressureonthatpersontoperformnomatterwhatobstacleisputinhisway.Whiletherearepressuresin

    everyone'slifetoperformIrefer,here,toanoverdevelopedsenseofduty.Thekindthatsimplywillnotallowfailure.WiththislastpieceinplaceIcannowmakethefollowingstatement.AstrongPressuretoperform,inthepresenceofSevereAnxietyAstrongPressuretoperform,inthepresenceofSevereAnxietyAstrongPressuretoperform,inthepresenceofSevereAnxietyAstrongPressuretoperform,inthepresenceofSevereAnxiety----DepressionDepressionDepressionDepression----StresswillleadtoStresswillleadtoStresswillleadtoStresswillleadtoMYASTHENIAGRAVIS,providedthepersonMYASTHENIAGRAVIS,providedthepersonMYASTHENIAGRAVIS,providedthepersonMYASTHENIAGRAVIS,providedthepersonispredisposedbythedevelopmentofanispredisposedbythedevelopmentofanispredisposedbythedevelopmentofanispredisposedbythedevelopmentofanEnhancedabilityEnhancedabilityEnhancedabilityEnhancedabilitytocommunicatemindtomuscle.tocommunicatemindtomuscle.tocommunicatemindtomuscle.tocommunicatemindtomuscle.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    33/63

    Page 32 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    CHAPTERXCHAPTERXCHAPTERXCHAPTERX

    SALLY

    Sally,ayounggirlofsixteen,whoisahighachieverinschool,hastheleadingroleintheschoolplay.Thereisthenormalamountofanxietyandstressbutshehandlesthatperfectly.Aroundnoononthedayoftheperformanceherboyfriendbreaksupwithher.TheresultingDEPRESSIONandEMOTIONALSTRESSisdevastatingandSallyfindsithardtothinkmuchlessfunction.Shehasalwaysbeendependableandsheknowstheplaydependsheavilyonherperformance.Shewouldwouldwouldwouldnotletthemdown.SheCOULDCOULDCOULDCOULDnotletthemdown.Shewouldgoonandsucceedasshehadalwaysdone.Shewasagirlwithresolve.Shewasagirlwithguts.Shecoulddowhateversheputhermindto.

    Sallytripsonthestairsleadingtothestage.Hertoesaredraggingandshehasastrangeexpressiononherface.Shehastroublefixinghereyesononespotandisvaguelyawarethatsomethingisnotrightbutthissimplystrengthensherresolvetopush-on.Thereistheeverpresentpressuretosucceed.Asherpathbecomesmoredifficultthispressuregrowsinawaythatisnotanchoredinreality.Sheisloosingherabilitytojudgeandrightnowthisplayhasbecomefarmoreimportantthanitdeserves.FiveminutesintothefirstactSally'slegswillnolongersupportherandshefallstothestage.Shecanbarelytalkandrealityhasslippedaway.Sheisrushedtothehospitalandtestedfordrugoverdose.Whathappensnextismostlyuptoluck.VeryfewdoctorswillbeabletodiagnoseMGfromtheconfusedandfragmentedaccountthatSallycangive.Sheisfrightenedandhasneverexperiencedanythinglikethis.Shehasfailedforthefirsttimeinherlife.Shestillhasthedetermination,however,anditisherdeterminationtoovercomethatwillLOCKherintoMYASTHENIAGRAVIS.OnthefollowingpageisagraphshowinghowSallygotintothismess.ItallhappenedtoSallyinasingledaybuttheeventsleadingtoMGcouldjustaseasilytakeplaceoverthecoarseofaweekoramonthorayear.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    34/63

    Page 33 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    100%

    90%

    80%

    70%

    60%

    50%

    40%

    30%

    20%

    10%

    0%

    IbelieveifitwerepossibletodiagnoseSallyimmediatelyafterherfirstMGexperienceandif

    thecorrectcoarsewerefollowed,basedonanunderstandingoftheLFandherenhancedabilitytocommunicatemindtomuscle,itwouldbepossibletostabilizeorreversehercondition.ItseemslogicalbutIcannotprove,thatthelongerapersonfunctionsundertheconditioncalledMG,thelongeritmaytaketoachieveremissionorcontrol.Iftheoriginalcauseofthisattack,i.e.theboyfriend,wouldwalkintothehospitalandgiveSallyakissandtellherhelovesher,itwouldremovethedepressionthatispullingSally'sLFdown.ThenifthehospitalwithitsequipmentandDoctorsandNurseswouldinspireenoughconfidencetonegatetheanxietythatisgeneratedbythedisease,SallycouldprobablywalkoutofthehospitalwithnooneevenknowingshehadMyastheniaGravis.Itwouldbewrittenoffasacaseofnervesandstress.

    Whatarethechancesofthishappening?Zerotononefortheboyfriendbutthere'salittlebetterchancethatthehospitalwillrelievetheanxietythat'scausedbytheMG.HowdidSallygetintothismessanyway?EarlierIsaidthatittakesthreethings,comingtogetherattherighttime,toproducetheconditioncalledMyastheniaGravis.SevereAnxietyAnxietyAnxietyAnxietyDepressionDepressionDepressionDepression--------StressStressStressStress,astrongPressuretoPerformPressuretoPerformPressuretoPerformPressuretoPerformtogetherwithanEnhancedAbilitytoEnhancedAbilitytoEnhancedAbilitytoEnhancedAbilitytoCommunicateMindtoMuscle.CommunicateMindtoMuscle.CommunicateMindtoMuscle.CommunicateMindtoMuscle.Sally'senhancedAbilitywasdevelopedatageninewhenshewashitbyacar.Themonthsofrecuperating,hoursandhoursofsuperhumaneffortintherapy,alwaysdeterminedtodowhattheysaidprobablycouldn'tbedoneledtothisability.It

    LF

    1. Sally wakes upin a good mood,feels strong and

    looks forward totodays events. i.e.

    Boyfriend Bill and

    the Play.

    2. With no advancewarning Bill breaks

    off their relationship.

    The Depression thatFollows causes theImmune Systems to

    Lowers Sallys LF.

    3. Sally forcesherself to finish school

    but feels sluggish.Depression lowers LF

    further.

    4. The signals that violate the LF are totallyineffective and cause the Immune System to see

    it as an attack. It counter-attacks by lowering theLF. At this point if Sally would back off and

    relax, the LF would be free to rise. She would notgo into crisis. When faced with a challenge she

    has never backed off but has always appliedmore pressure. This personality trait is essential

    to the onset of MG. It must be reversed if

    remission is to be achieved.

    5. Because of thecontinued violation of the

    LF, Sally is now in Crises.Sally must completely

    RELAX. Stop violatingthe LF and allow it to rise.

    Good Luck, Sally.

    The blue lines represent the signals fromthe brain to the muscles. Normally they

    cannot go above the LF. With anenhanced ability to communicate Mind

    to Muscle the MG prone person can do

    this (pink) resulting in MG weakness.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    35/63

    Page 34 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    alsoproducedamind-setthatsaid,"IcandoanythingIputmymindto."Theword"FAILURE"waseliminatedfromherthinking.Herintense"PressuretoPerform"wasmostlyselfgeneratedanditalsocamefromthesupportshehadreceivedduringherrecuperation.Hertiestoherfamilyhadbeengreatlystrengthened

    andshewouldnotthinkofdisappointingthem.Onthesurfacethe"SevereAnxiety-Depression-Stress"doesn'tseemtoholdupbutSally'sleftarmhadneverfullyrecoveredandwasalittlemisshapen.ToSallythishadmeantthatshewasnotasattractiveastheothergirlsandwhenBillhadcomealongshewasoncloudNine!Theintensityofjoyathavingattractedaboyfriendwasmatchedonlybyherdepressionwhenshewasdumped.ThedepressionwasmorethanintenseenoughtolowerherLF.AtthismomentSallyislayinginahospitalbed,herinsideseatenupbythelossofBill.Itdoesn'tmatterhowgreatorseriousthecausesofthehurt.ItshowseriousitisperceivedperceivedperceivedperceivedandtoSallythishurtissomonstrous,sobig,thatshecannottalktoanyoneaboutit.

    Theywouldn'tunderstand.TheywouldsaystupidthingslikeHe'sjustaboy.Thereismorethanonefishintheoceanetc.etc.Iwouldjustendupagreeingtogetthemtoshutupsowhytry.Shethought.Theywouldn'tunderstand!Ijustdon'twanttohavetoexplain.Infact,Sallywasn'tcapableofexplainingsinceshedidn'tunderstandanyofthis.Itjustwas,that'sall!ThedepressionandrealhurtisholdingherLFdownandwhenshetriestofunctionandfails,theanxietythat'sgenerated,furthersuppressestheLF.Whenshegivesitherall,reallytries,asshehasalwaysdone,sheviolatestheLFandtheimmunesystemlowerstheLFfurther,

    tryingtoprotecther.Theimmune-LFsystemisreallyaverygoodsystemthatwasdesignedtokeepSallysafebuthasbeenturnedbackonitself.SallymustRELAX.Shemustdomanythingsthatarecontrarytohernature.ShemustnottryanythingbeyondthepointwhereMGweaknessisexperienced.Aboveall,andthisisthehardpart,Sallymustridherselfofanxietyandthatmonsterthatisdestroyingherfromwithin.Thechancesaregoodthatshewon'tgetridofthehurtthatbeingdumpedbyBillcaused.ThechancesarerealgoodthatSallywilldojustasIdid!Blockitout!-------Buildawall-chinkthe

    cracks-getonwithyourlife!IfonlySallyhadnotdevelopedherEnhancedabilitytoCommunicateMindtoMuscle.WhenBilldumpedher,shewouldhavebeendepressed,but,withouttheabilitytoviolatetheLF,shewouldnothavedevelopedMG.Shewouldnothavecollapsedonstage.Shewouldsimplyhaveturnedinaverypoorperformance.Ofcoarse,ifSallyhadnotdevelopedherEnhancedAbilityshewouldprobablybeinawheelchairtoday.ShewouldnothavebeenabletoovercometheveryseriousdamagestoherbodyfromtheAutoAccident.Itwasatradeoff.Onceagainsurvivalhadwonoutoversafety.YoumightsaythatSallywaspayingthePiper.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    36/63

    Page 35 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    IncaseyourewonderingifSallyisarealgirl,she'snot.She'sacompositeofmyself,agirlinIllinois,anotherinEnglandandahalfadozenmenandwomen.IfounditmucheasiertodiscussSallythantoconstantlytalkaboutmyself.

    ThequestionhascometomymindmanytimeswhyisMGsoselective?Whyinonepersondoesitaffectthelegsandnotthearmsandinanotherthearmsmorethanthelegs?Whydosomehavetroubleopeningtheireyelidsandothersdon't?Thereisevidence,frommyownexperienceandfromtalkingtoothers,thatleadsmetoconcludethattheseareasarepreconditionedtothedisorderbysubsequentoccurrencesofoverridingtheLFinthatarea.Anexamplewouldbearunnerinthelastfivesecondsofarace.TheextremepressuretoperformwouldstimulatetheproductionofexcessivemindtomusclesignalsthatcouldoverridetheLF.Theresultingweakness,aftertheraceisover,duetoanysuppressionoftheLFbytheImmuneSystem,wouldbeacceptedasanormalreactiontoagreateffort.SinceSevere

    Anxiety-Depression-StressisnotpresentitwouldnotresultinMG.ThemomenttheracewasoverthepersonwouldstopoverridingtheLFand,withnothingelsetokeepitdown,itwouldreturntonormal.IBELIEVEWHENTHELFISOVERRIDDEN,EVENFORASHORTTIME,ITISWEAKENEDANDBECOMESINCREASINGLYSUSCEPTIBLETOFUTUREVIOLATIONS.TherunnerispreconditionedtoMGinhislegs.KeepinmindthesimplefactthatheviolateshisLFfromtimetotimedoesnotinitselfputhimindanger.TheotherelementsthatmakeuptheMGpersonmustalsobepresent.

    InmyowncaseIrecallmanytimesdoingthingswithmyhandsandarmsthatothershadtriedandfailed.Ididseemtobeabletocontinuetoapplypressureuntilthejobwasaccomplished.Simplejobslikeremovingalidfromajar.Twoorthreepeoplewouldtry,somebiggerandstronger,andwouldgiveup.Onremovingthelidtheywouldusuallysay,"Ilooseneditforyou."Maybetheydid,onceortwice,butIfindithardtoaccepteverytime.Thistypeofoccurrencehashappenedallofmylife.WhenIfirstencounteredMGmyarmswerethefirsttobeaffected.Nextdoublevisionandthen,toalesserdegree,mylegs.AtthistimeIthoughtthatIcouldcontinuetoinsistthattheyworkandtheyhadtoobey.Ihadalottolearn.Iwasmyownworstenemy.ThedeterminationthathadservedmesowellnowinsuredthatIwouldlockmyselfintoMG.

    IntheabsenceofMG,determinationledtobetterperformance.OncetheLFissuppressedbysevereAnxiety-Depression-Stressandthisismetwithadeterminedeffortitleadstolessorzeroperformance.TheMGpersonmustunderstandthisandreversehisapproach.ThecontinuationoftheoldpatternofbehaviorleadstoMGcrises.Determinationisstillusefulas,Iwouldhatetoseeanyonegiveup,buttheapproachmustchange.Insteadofthedirectapplymoreimpulsesfullsteamaheadapproach,theMGpersonmustlearntogobackwardsinordertogoforward.Inmanycasesrelaxingandapplyingfewerimpulseswillachieveagreaterresult.ThisseemingcontradictionmayexplainwhysofewMGpeoplefindtheirownwayoutofthiscondition.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    37/63

    Page 36 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    AutomaticTransmissionorFouronthefloor?

    Mostofusdon'thavetothinkaboutshiftinggearswhenitcomestoourbodies.Ashealthypeoplewewerebornwithautomatictransmissionsthatdoallthethinkingforus.It'sbuiltinto

    ourdesignandit'saverygooddesign.IdoubtifanyoneinDetroitcouldimproveonit.Sally,however,hasjustbeenbetrayedbyherautomatictrans-mission.Shewantedtogofullspeedaheadduringtheplaybut,instead,foundherselfatadeadstandstillonthestage.UntilSallyimprovesagreatdealshecanlookforwardtothesameresultseverytimeshereliesonherautomatictransmission.(Withouthelpittookme,aleast,twentyyears.)Sally'sbestbetistostartthinkingintermsofaStickShift.Whenshegetsup,inthemorning,ShemustnotputherbodyintogearuntilherLFhasachancetoriseabovethelevelthatshewillbeapplyingsignals.Shecan,frommyexperience,helpthisprocessagreatdealbytheuseofmeditationandfantasy.Ithinkofthisasopeningthegaragedoor.Obviouslyifweputitintogearbeforeweopenthedoortheresultwillbelessthanwedesire.

    Sallynowhasthedooropen.Whatnext?SheputsitintoLowandthenintoSecondandnowshe'sinHighGear.Canshegotherestoftheday,justdrivingaroundlikeapersonwithanautomatictransmission?As"Al"on"HomeImprovement"wouldsay"Idon'tthinkso,Tim."HowfarSallycangoisdeterminedbytheamountoffuelinhertank.Afterthirty-sixyearsIhavealmostafulltankandcangetthroughaprettyfulldaybutSally,atthispoint,hasonlyacoupleofgallons.AllthismustbecalculatedbySally.Howfarcanshegobeforeshehasgonetoofarandcan'tgetbackagain.Ifhergaswillrunout(MGWeakness)at,say,60mile,thenitwouldbefoolish

    togopastthe30milemarkbeforeturningaroundandcominghome.Keepinmind,againfrommyownexperience,thatifshegoesbeyondthe60milelimitatthispointinherrecovery,shewilldamageherconditionfurtherandtomorrowwillonlybeabletogo30miles.Hergoalshouldbetostaywithinherlimits.Beactive,yes,butstopshortofMGweakness.SallyisaminorsoIcan'tsuggestthatshetakeupdrinking.AlcoholisthewayIfoundtolimitmydaybuttheremustbeothersolutionstothisproblemandI'mconfidentthatassoonasthemedicalprofessionisawareoftheneed,adozensolutionswillbefound.

    FromtheaboveitisapparentthatSallyfacesadifficultfuture.Thegoodnewsisthat,whiledifficult,Sallycanmastertheskillsneededtogaincontrolofherbodyandherlife.Itis,afterall,notimpossibletolearntodrivewithaStickShift!

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    38/63

    Page 37 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    CHAPTERXICHAPTERXICHAPTERXICHAPTERXI

    WOODCUTTING

    THEMGEXPERIENCEASTRIGGERED

    BYAPURELYPHYSICALACTIVITY

    ItwasthelastweekinOctoberinadroughtyear.Theforesthadbeenclosedbecauseofthelowhumidity.Thefiredangerwashighand,untilnow,JoanandIhadn'tbeenabletogetoutandbringinourwinterssupplyofwood.Thefirstsnow,thatusuallycameinSeptember,couldcomeatanytime,makingitimpossibletodriveonthedirtroads.ThesituationwaslookingurgentandIwasanxioustogetoutandcut.

    ThefactthatIhadn'tusedachainsawinoverayeardidn'tseemallthatimportant.IhardlygaveitathoughtasIhadbeenveryactive,oflate,andwasfeelinggood.Thislateintheyeartherewouldbenotimeforthewoodtodrybeforeweuseditsowemustbringindrywood.Thismeantmostlylimbwood.Thelimbsthatwereleftbehindbytheloggerswhentheyharvestedthebigpines.Thiscouldbeaproblem.Whencuttingwood12inchesindiameterorgreatertheweightofthesawisonthelogmostofthetime.Theoperatorsjobistoguideitbutnotbearitsweight.Limbwoodisdifferentinthatyoumustbeartheweightofthesawallthetime.Apparentlythemusclesneededforthisactivityhadn'tbeenusedinawhileandwerenotuptothetask,for,aftertwohoursofcutting,theywereleftinaverydamagedcondition.Proofofthiscamethenextmorningintheformofnumerousachesandpains.Iwasnot,atthispoint,experiencinganyMG.Iwouldnormallyhavewaitedadayortwo,untiltheachesdisappeared,beforegoingoutagainbutthepressuretogetinthewoodwasgreat.NowI'vepreached(I'vetriedhardnottobutIknowI'vepreached)allthroughthisbookabouttheMGpersonsneedforpatienceetc.Howhemustignoreoutsidepressuresandbackoffinordertomakerealprogress.Howhemustlistentohisbodyandpayattentiontothesigns.Mybodywassaying"Rest"andthesignsofsoremuscleswerecrystalclearandwhatwasIgoingtodo?WouldIpracticewhatIpreached?

    Intothewoodswewentandafterseveralhourswehadanothertruckloadofwood.Myarmmusclescomplainedandgaveoutbut,cleverme,Ihadshiftedmostoftheliftingtomyshouldersandback.Mygriponthesawwasstillverygoodasmyhandsarestrongandingoodshape.WhendoinganyactivitythatleadstoMG,themuscleswiththepoorestconditioningwillshowMGfirst.ThebettertheconditioningoftheMGpronepersonthefartherheisawayfromtheMGsymptom.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    39/63

    Page 38 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    OnthethirddayItoldJoanthatwemustgoforbiggerwoodsoIcouldrestthesawonthelogsmostofthetime.Thisworked,toadegree,butIwasstillusingdamagedmuscleswhenIshouldhavebeenrestingthemandallowingthemtorebuild.Thisdemonstrateshoweasyitistofallintoatrap.Circumstancescan,anddo,pushusintosituationsthataredestructiveanddangerous.

    AttheendofthethirddaymyarmswerehurtingbadandIwasexperiencingdefinitesignsofMG.GoingagainstmyownrulesofgoodsenseandeverythingthatIhadlearnedoverthepasttwenty-fiveyearshadproducedverypredictableresults.Ifeltstupid.Wasitworthit?ThenIhadathought.IhadalreadydonethedeedandmaybeIcouldlearnsomething.Turnanegativeintoapositive.CouldIfindoutifMGthatwasbroughtonbyphysicaltraumastaylocalorwoulditspillintootherareas.OnemoredaywouldintensifytheMGtothepointthat,ifitweregoingtodoanytraveling,itwould.IwouldnothavetriedthisifIweren'tabsolutelysurethatIcouldcontrolmyemotionsinthepresentsofMG.IknewthatIwouldnotbecomeapprehensivebecauseIcouldn'tusemy

    arms.ItwastheeveningofthethirddayandIwashavingdifficultyfeedingmyself.Icouldnotgetthefoodtomymouth.ItseemedthatwhenIstimulatedthemusclesthatheldmyforkIthencouldnotmovemyarm.Thetwoactionsseemedrelated.IfIrelaxedmyhandandarmIcouldthenraisemyarmbutassoonasIheldtheforkwithfood,myarmwouldnotwork.Ifinishedeatingbyloweringmyheadtomyplate.Notaprettysightbutwedowhatwemustdo.DressingwasverydifficultonthefourthmorningandIhadtroublebrushingmyteethandcombingmyhair.ThesymptomswereclearcutMG.Ifoundthatbylettingmyarmshanglimpfor15secondsIcould,inonemotion,getthemovermyheadandcombmyhair.Theyquickly

    becameheavyandIhadtorepeattheprocessfourorfivetimebeforethejobwascomplete.TheLeftArm,theweakeronenormallyasIamRighthanded,wasnowshowingmoreMGweakness.IwashedfairlywellwithmyrightarmbutwhenItriedtowashmyrightarmwithmyleftitbecameimpossible.WiththewashclothinmylefthandIcouldn'traisemyarmabovemywaist.OnimpulseIturnedmyhandoverandplacedtheclothonthebackofmyhand.NowIcouldraisemyarm.Byturningmyhandoverthejobofraisingitupwasshiftedtoadifferentsetofmuscles.TheMGwasnotinmywholearmbutonlyinthosespecificmusclesthatwerestressedbythewoodcutting.FromthisIconcludedthatMGthatistheresultofphysicalstressortraumawillnotspilloverintootherareas.Ifithadnotaffectedneighboringmusclesitisveryunlikelythatitwouldaffect

    other,moredistantpartsofthebodywithoutthehelpofemotionalstressoranxiety.Ididgoandcutwoodonthefourthdaywhichwasratherstupid.MymusclesscreamedforreliefandtheMGgotworse.Ihadalreadydeterminedtheanswertomyquestionandthisaddednothingtomyknowledgeexcept,possibly,thatIwasmorethanalittlecrazy.Theremustbeaguardianangelofstupidityorhalfthehumanracewouldnotsurvive.Ihadthefeelingmyangelwasearninghispay.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    40/63

    Page 39 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    Theonequestionremainingwas:WilltheMGdisappearatthesamerateasthemusclesrecoverorwilltherebearesidualeffect?WillIexperienceMGinmyarmsforaperiodafterthemusclesaremended?ProbablynottooimportantbutIwascurious.AftertwentyfourhoursoflittleormildactivitytheMGwasgreatlydiminished.Thiswasmuch

    fasterthanIhadanticipated.TheMGwasgoingawayatthesamerateasthesoremuscleswerehealing.WithoutfearoranxietytoprolongtheMGexperiencetherewouldbenoresidualeffect.Cool!Cool!Cool!Cool!Afterfourdaysofrestwe,onceagain,wentintothewoodstofinishourjob.Thesorenesswasgoneand,withanewsmallerchainsaw,Imanagedtodothejob.TherewassomeMGnoticeableintheeveningsbutitwasmildandnottooinconvenient.ThedayafterwecompletedourwoodpileIexperiencedarealletdown.Ihadnoenergyandlittlestrength.ThisweaknesswasmoreliketheweaknessexperiencedwiththefluthanMGweakness.

    IbelievethisletdownistobeexpectedafteranyprolongedperiodofraisingtheLFbymeditationandexcitement.Itcanbecomparedtotheletdownafteranemergencyhasbeenhandled.TheLFhadbeenproppedupfortenortwelvedaysandwhenthereasonandmotivationwasremoveditcamedowntoalevelbelowitsoriginallevel.Mybodywassaying,"Itstimetorest.Youcan'tabusemeforever."Interestingly,whileIexperiencedthisweakeningovermyentirebody,IonlyhadMGinmyarms.IbelievethissupportsanearlierconclusionthatoncetheLFisviolateditisdamagedandcanbeviolatedeasierthesecondtime.Themorethemusclesarepushed,inthepresenceofMG,thefarthertheyaredrivenfromastateofremission.

    Myjob,then,wastoreturnthemtoastateofremissionbyavoidingMGasmuchaspossible,allowingtheLFtorebuild.IbelievethatIcandothisbycombingmyhairandresting---brushingmyteethandresting---washingmyfaceandrestingetc.IfIdoexperienceMGIwillimmediatelyrestmyarmsuntilIcancontinue.Byproceedinginthismannermyarmsshouldreturntonormal.PastexperiencesaysthatitwilltaketwoorthreetimeslongertoreturnmyarmtoremissionthanittooktogettoMG.Thatmeansaboutamonth.Patience.

    "Ah!thebestlaidplansetc."TwodaysafterIwrotetheaboveIwenttomystudioandbegansiftingthrougholddrawingsandpapers.IranacrossashortstorythatIhadstartedwritingtwelveyearsearlier.Ithada

    goodbeginningandagoodendingbutitseemsmycreativejuiceshaddriedupwhenitcametothemiddle.Isatbeforethefireplaceandreadit."Itwasn'tbad",Itoldmyselfandthensomethoughtscametomindthatmight,justpossibly,fitthemiddle.BeforeIrealizeditIwasmakingnotesandtheaforementioneddriedupjuicesoncemorebegantoflow.IcouldfeeltheadrenalineandinthethreeweeksthatfollowedIwastotallyfreeofanyMGweakness.Thehealingpowersofthistypeofexperienceshouldnotbeunderestimated.NomatterhowmanytimesIhavelivedthisphenomena,relativetoMG,ithasalwaysleftmeamazed.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    41/63

    Page 40 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    CHAPTERXIICHAPTERXIICHAPTERXIICHAPTERXII

    MOUNTST.HELEN

    Ourson,Dave,hadfinishedcollegeandhadtakenajobwiththeForestryinMissouri.HisheartwasstillontheWestCoastsowhenasummeropeningatMountSt.Helenpresenteditselfhejumpedatthechance.Daveinvitedusup,whilehewouldbethere.Astatecampgroundwasacrosstheroadfromwherehewouldbeworkingandwecouldallexploretheparkinhisoffhours.JoanandIstillliketotentcamp.We'regoodatitandIimaginethat'swhyweenjoyit.Actually,ifthetruthwereknown,JoanwouldprobablypreferagoodmotelbutshehasalwaysbeenwillingtobendalittleandIloveherforit.

    MountSt.HelenhaderuptedonMay,181980,changingthelandarounditforever.Thefirstreactionistomournthelossoflifeandthedestructionofsomuchforest.Summercabinsandcampgrounds,allgone.Fiftysevenpeopleandmillionsoftreesandanimalsceasedtoexistinamatterofsecondsbecauseofthismonumentalactofnature.Peoplewhohadlivedintheareaorcampedandhikedandenjoyedthelakesandstreamscouldbeforgivenforaskingwhy?Whyhadsuchbeautybeendestroyed?WhydidGodallowsuchawaste?Iimaginetheirwishwouldbetoputitallback,butthiscouldneverbe.Whenwearrivedinthesummerof1988ourfirstimpressionwasoneoftotaldestruction.Aswestudiedthearea,readthereportsfromthemanyscientistsonthemountain,andlookedatthebeautifuldisplaysatthevisitorcenteroureyeswereopenedtothelifearoundus.Thiswasnotjustlifebutanewvigorouslifethat,withasmallstretchoftheimagination,couldbeseensurpassingallthathadbeendestroyed.Itookitallinandunderstoodthatlifeisisisischange.Thecloserwegettoastaticcondition,thecloserwearetodeath.Allofnaturemustbethesame.AlloftheUniverse.Alloftheextinctspeciesarenowgonebecausetheyfailedtochange.Failedtoadapt.Tobereallyalivewemuststayflexibleandyielding,stayopentochange.ItwastobigtocomprehendduringourshortstaybutIwouldthinkandmeditateonthisexperienceformonthsandyearstocome.

    Allofmysensesweresharpenedandtheyfueledadesiretogetcloser,lookintothevolcano,beapartofthismarvel.JoanandDavediscoveredahelicopterservicethat,forafee,wouldflythemup-in-andaroundtheLavaDomethathadformedinthecrater.ThisdomewasbusysmokingandrumblinganddoingwhatlavadomesaremeanttodoandI'msureflyingarounditinahelicopterwouldbeathrill.JoanandDavesawitthatway.TestHopClete,ontheotherhand,washavingtroubleseeingitasanythingbutadeathwishandchosetostayontheground.

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    42/63

    Page 41 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    IwouldliketomakeitclearthatIdon'thavearealphobiaaboutflyingbut,aftermyAirForceexperiences,itjusttriggersthewrongsetofjuices.IhaveflownsinceleavingtheservicebutneverdosoifIhaveanoptionand,IsoondiscoveredanoptionatMountSt.Helen.Ahikingtrailhadbeencutintoonesideofthemountainand,afterregisteringatalocal

    restaurant,alimitednumberofheartysoulswereallowedtomaketheascenteachday.Ihavealwayswantedtobea"HeartySoul"andifyouputthatdesirewiththeexcitementandeagernesstoseemore---well---Ijustcouldn'thelpmyself.DaveagreedtogowithmeandJoanwouldremainatthebasecampandreadabook.Davetookcareofgettingusontherightlistandwearrivedattherestaurantearlyonthedayofthehike.Afteragoodbreakfastwesignedinandheadedforthebasecampwherewewouldleaveourcar,andJoan,andbeginouradventure.Onourreturnwewouldstopagainattherestaurantandsignout.Thisprovedthatwewerenolongeronthemountainandtherescuecrewscouldgohomeandhaveabeer.IfwefailedtosignoutIguessedtheywouldhavetogoupandcheckallthecrackstoseewhichonewehad

    falleninto.Isupposetheywouldmarkitandthengohomeandhaveabeer.Ireallydidn'twanttogivethisanyseriousthoughtasyoucansee.Theideaofsomeonewithaseriousdisabilityclimbingamountainmight,onthesurface,seemalittleoverlyambitious.In1984myotherson,Phil,hiscousinJackCrockerandmyselfhadattemptedtoclimbMt.LasseninnorthernCalifornia.Joanhadchosentostayintheparkinglotjustasshewasgoingtodothismorning.Joanhadpromiseduseachapinthatstated"IclimbedMt.Lassen"ifwesucceeded.This

    timeJoanhadnointentionofreadingabookand,unknowntothethreeofus,hadpositionedherself,withapairofbinoculars,toverifyourprogress.Wehadn'tgonehalfthedistancewhenJacksuggestedthatwehideinagroveoftreesforacouplehoursandthentriumphantlyreturnandclaimourprize.LuckilytwoGressescanoutvoteoneCrockerandhewasoverruled.(Joanwouldhavenailedus!Howdidsheknow?)Wecontinuedtheclimbwithagreatmanymoansandgroansandeachofustookturnsinwantingtosurrender.Eachtimetheothertwowouldoverrulethepleads.Finally,stillshortof

    thetop,wewereallstretchedacrossthetrail,blearyeyedwithsweatdrippingandtonguesdragging.Threemorepitifulexamplesofhumanityhaveneveroccupiedthisplanet.Suddenly,fromsomewherebelowourposition,women'svoicesclearlyreachedourpatheticears.Wesatup,notwantingtobelieve.Aswewatched,twowomenwalkedbrisklyaroundthebend,talkingandlaughing,pastourgravesanddisappearedupthemountain,theirlunchpacksbobbingontheirseventyyearoldlittlefannies.Oh,Lord,howcouldyoubesocruel?

  • 8/8/2019 Beyond the Limits of Myasthenia Gravis

    43/63

    Page 42 of 63 Beyond the LimitCopyright 1994 by Clete Gress Revised January 2000 & Reformatted December, 2005

    Thusfortifiedbythismassiveinfusionofegowecontinueduntilthetopwasreached.Iwasfiftyoneyearsoldatthetimeandprobablywouldhavesurvivedbeingbestedbytwoseventyyearoldwomen.IcouldhaveblameditonMyastheniaGravis.(Convenient?)PhilandJackwerebothhealthyandstillintheirtwentiesand,Iknow,wouldhavediedbeforegivingupafterthewomen'sblatantexhibition.AllinallIfeltarealsenseofaccomplishment.

    ThethoughtoftheMt.LassenclimbgavemeencouragementandIsensedanothervictoryontodayshike.Onthewaytothebasecampwestoppedandpickedupsomegoodwalkingsticks.Webothhaddaypackswithalittlefoodandofcoursewater.Icarriedapackstovewithacoffeepotandcoffee.Themorningwasperfect.Cool,crispairthatfeltchillyifonestoodstillbutwasaperfectwalkingtemperature.Brokencloudsoverheadmovedfastenoughtogivelongperiodsofsunshine.Thefirsttwoorthreemileswerealmostflat,throughtreesthathad,somehow,survivedtheblastofthevolcano.

    ExcitementproppedupmyLFandIfeltstrong.Thetrailbecamesteeperaswenearedthemountain.Strangerockformationswereeverywhere.Fallentreesandash,everywheretherewasash.Wewalkedon.Aheadwecouldseewhatappearedtobeaglacierandthetrailseemedtobeheadingstraightforthefoot.ItwasaboutherethatIfeltthefirst,verysmall,sensationofMGweakness.Wehadgone,maybethreemiles,anditwastoosoon.Therealchallengeofthemountainstilllayahead.Itwasjusttoodamnedsoonand,inspiteofmyself,Ibegantofeeldisappointmentreplacethe