1-24 Before Tensilon

Identifier: 1-24 Title: Before Tensilon Subject: Myasthenia gravis; Tensilon Test; Description: Example of patient with myasthenia gravis. Demonstration of baseline examination, followed by administration of 2mg of tensilon, which is a test dose. Procedure for administration of tensilon test is described, including variations. Patient is then shown after being given 4mg of tensilon, with very little apparent response. Suggestion to rewatch in fast motion to see that the response is actually dramatic. Patient is then shown after being given an additional 4mg dose of tensilon, as first dose has begun to wear off. Discussion of need for objective endpoints, and methods for obtaining them.