The Myasthenia Gravis Foundation Begins

by
Patricia Ellsworth Wilson

When my mother, Jane Ellsworth, died on August 30, 1991, I unearthed from my files the following account of how she came to start the Myasthenia Gravis Foundation, a national medical organization that has saved many lives. This account first appeared in the newsletter of the Foundation's greater Chicago area chapter in 1988.

Diagnosis

I was diagnosed as having myasthenia gravis in October 1947, when I had just turned 16.

My journey to diagnosis lasted only eight months, but those eight months were terrible. Gradually and mysteriously I was losing the strength in my muscles. I could not even speak clearly or smile. "Why do you look so sad?" someone once asked me at a moment when I actually felt quite happy. "How long Pat's face has gotten. She looks strange!" remarked a tactless friend of my grandmother's.

The period following my diagnosis seemed a triumph, for I learned the name of my condition and, more important, that I was not having neurotic symptoms. And my strength seemed restored by the Prostigmin I was given every three hours. But my myasthenia kept progressing, and it became clear that though the medicine helped, it was far from a cure. I could barely climb stairs, nor dance longer than a couple of minutes, and my face still often looked blank and my eyelids droopy. Of course, my family and I felt terribly alone.

Something to Help

Characteristically, my mother wanted to do something to help me, but she was stymied because there was no organization in which she could work. My mother's only career had been acting - on the Broadway stage and briefly in Hollywood, where she played small parts in five Paramount pictures.

My mother heard there was a multiple-sclerosis group in our hometown of Greenwich, Connecticut, and she joined this group, thinking that advances in multiple sclerosis might help MG. But it was very clear to us, as we came to know more about both MG and MS, that the two illnesses were not related, except that both were disabling. (It is now known that both are autoimmune disorders.)

My Disease

I said to my mother, "Why don't you start an organization for myasthenia gravis, my disease?" She had already thought of doing that, but had not known how to go about it.

Then when I was 19, my mother had to be operated on for cancer. The news after the surgery was good. Her surgeon believed he had got the small tumor in time.

Now my mother decided she must go ahead and start a myasthenia-gravis organization. She knew it had to be done, she knew that she was the one to do it, and, at that stage of her recovery, she was not certain how much time she had. My mother founded the Myasthenia Gravis Foundation by learning how to do it step by step and then simply doing it!

Letters

I remember the first big step was a batch of letters to doctors who headed MG clinics in different parts of the country, asking each if he or she thought there was a need for a lay organization to help fight MG. Every single doctor enthusiastically backed my mother's plan and offered to help.

My mother began work, and this she did every day, sitting at the family typewriter in the study of our house. My mother typed with one finger, occasionally two. But she kept at it - all the time. And in 1952 the Myasthenia Gravis Foundation came into being.

I remember from the early days all the letters we received from patients and doctors in many parts of the United States and abroad. There were thousands of people who had been living and working in isolation, in extreme need of the Foundation as a place to exchange ideas, information, and experiences. Suddenly we were no longer alone!

Personal Benefits

Did my mother's effort to start the Foundation help me personally in any way? You bet it did. I began to meet other people with MG, and that ended the feelings of isolation and inferiority. I recall that when I first met Elaine Pogany, who'd also gotten MG in her teens, it was a big step forward for me in coping with my illness. Elaine was a beautiful woman, full of feistiness and pride, even though she had MG. Knowing her gave me the first hope I'd had that I could go on and live an interesting life even with MG.

Equally important for me was a trip Mother took to Massachusetts General Hospital in Boston to the MG clinic there. Mother saw many patients who had had the thymectomy operation (removal of the thymus gland), a treatment sometimes used in MG. These patients looked quite perky compared to me, as I was becoming weaker each year. Mother returned to Greenwich and reported what she'd seen, and the following summer I had a thymectomy.

That surgery was the biggest positive turning point of my life. My facial muscles improved dramatically and my speaking voice returned. The strength in my arms and legs also improved. In a sense the operation gave me back myself because now my face could express my personality. The improvement in my general strength also made it possible for me to continue in college, take a full-time job as an editor, and live on my own in New York City for many years. In 1980 I even married and moved to Michigan.

Andrew Wilson

Another blessing that came from the Foundation was our friendship with Professor Andrew Wilson and his wife, Margaret, of Liverpool, England. Professor Wilson, who held a post in pharmacology at the University of Liverpool, was a dedicated specialist in MG. In 1955 I traveled to England and spent several weeks with the Wilsons (though I now have the same name, my husband is no relation to the Andrew Wilsons). They taught me all about both England and Scotland, their homeland. In return, I gave Andrew the chance to observe a myasthenic hour by hour in his own home. I didn't mind at all his standing at the bottom of the stairs watching me as I descended so that he could understand the peculiar way my muscles behaved.

Dr. Mary Walker

A footnote about Andrew Wilson. Knowing him gave my mother and me a link to the early days in the 1930's when Dr. Mary Walker of London first discovered the use of Physostigmine (later refined to Prostigmin) in treating MG. Surmising that, since MG had symptoms like curare poisoning, the curare antidote Physostigmine might help it, she injected some into her very droopy patients. Then, with utter drama, like Lazarus rising from the grave, they rose and walked across the room. Dr. Mary Walker had made one of those great medical discoveries of a "specific" medicine for a specific disease (like a key turning in a lock). And Andrew saw her struggle and even weep for two years while she beseeched the Royal Society of Medicine to let her demonstrate her discovery. Patients died during the wait -- victims to medical conservatism. But at last the Royal Society witnessed her results and approved her discovery.

Gratitude

To this day I am one of the patients who awaits the cure. But my gratitude is great to my mother and all the lay and medical workers who have striven to bring improvements, both in research and in treatment, and to give us hope while we live with a chronic illness.


Patricia Ellsworth Wilson is a writer living in Holland, Michigan.


DISCLAIMER: All information is for educational purposes only. Contact your physician to make medical decisions


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