Step 1. Explaining MG for the First Time

MG can be difficult to put into words.

When talking to a friend or loved one, explain what’s going on medically, all the different symptoms, how much they can fluctuate ... It’s a lot for anyone to learn. Plus, their minds may be racing with questions. Give them a minute. Remember that these are the people who care about you. You want to take them with you on your MG journey. It took you a while to understand what you were dealing with; it may take them time to process as well.

Start with the basics and talk simply. Don’t get too detailed or clinical. You could say, “MG is a muscle weakness. Muscles are controlled by nerves. If the nerves can’t send signals to the muscles, they can’t work properly. MG symptoms vary from person to person, from day to day, and even from hour to hour.”

You could also try an analogy. Here’s one to consider:

When you have MG, using your muscles is like ringing a doorbell with faulty wiring. Sometimes the bell rings just fine. Sometimes it doesn’t ring correctly. And sometimes it doesn’t ring at all. MG creates the same kind of unpredictable communication between the nerves and muscles. It’s why a person with MG can look fine but not feel fine. Or feel okay one minute and not the next. People with MG are a lot like that normal-looking doorbell that sometimes can’t ring.

That’s just one analogy. You can probably come up with a better one yourself. After all, when it comes to your experience with MG, you are the expert.

Step 2. Getting the Conversation Started

Think back to when you first got diagnosed.

You may have wondered, “What’s going to happen to me?” It’s really no different for family or friends. When they first hear the news, they also wonder what’s going to happen to you. Will you have to move in with them? Will you still be “you”? Are you going to die? Your loved ones may have a hard time absorbing any other details about your MG until they’ve gotten those initial questions answered. So, start the conversation there. And keep in mind that “I don’t know” is a perfectly appropriate answer to any of these questions. You can consider it their first lesson in the unpredictable nature of MG.

Step 3. Keeping the Conversation Going

As your energy allows, provide honest, ongoing updates.

MG symptoms, and how they make you feel, can ebb and flow constantly. Your current condition is not always apparent. No matter how you are feeling, try to let others know. It can help them understand what’s going on in the moment, if they should consider changing plans or if they need to help you in any way.

Be as descriptive and literal as possible. For example, don’t just say you’re having a bad day; say that you are unable to push an empty shopping cart or chew food because your muscles are tired. Or you are having difficulty taking a shower. These specifics make the realities of MG much more real for the people in your life.

You can also use metaphors. Tell them that doing errands today felt like running a marathon and you’re completely wiped out. Tell them that hiking on a hot summer day feels like jogging in quicksand. Tell them that sitting on the couch all afternoon feels like captivity and you’d rather be out and about.

Step 4. Be Realistic—with Yourself and Others

There may be times when you make plans and those plans have to change.

Go ahead and make them anyway. Just be honest and manage expectations. Let your friends and family know that you would love to spend time with them, but there is a chance that you may have to bow out at the last moment. You truly want to be part of their lives, but it will take some adjustments. Unpredictability is the nature of MG.