I was fortunate to be diagnosed within 4 months. Initially, I was seen by a Washington DC neurologist, who did an array of tests trying to determine a diagnosis. Before she could finalize the diagnosis, I was unable to swallow, and she referred me immediately to Johns Hopkins in Baltimore, where I was hospitalized and prescribed IVIG, Firdapse, and rehabilitation. I transferred my care back to a neurologist at George Washington University hospital, who added Mestinon and Cellcept. I continue to be followed locally by him because of his expertise.