9-time grand slam champion Monica Seles reveals her diagnosis with myasthenia gravis
'I would be playing with some kids or family members, and I would miss a ball. I was like, 'Yeah, I see two balls.' These are obviously symptoms that you can't ignore,' Seles said. 'And, for me, this is when this journey started. And it took me quite some time to really absorb it, speak openly about it, because it's a difficult one. It affects my day-to-day life quite a lot.'
The 51-year-old Seles, who won her first major trophy at age 16 at the 1990 French Open and played her last match in 2003, said she was diagnosed with myasthenia gravis three years ago and is speaking publicly about it for the first time ahead of the US Open, which starts on August 24, to raise awareness about what is known as MG.
The National Institute of Neurological Disorders and Stroke calls it 'a chronic neuromuscular disease that causes weakness in the voluntary muscles' and 'most commonly impacts young adult women (under 40) and older men (over 60) but … can occur at any age, including childhood.'
Seles said she'd never heard of the condition until seeing a doctor and being referred to a neurologist after noticing symptoms such as double vision and weakness in her arms — 'just blowing my hair out … became very difficult,' she said — and legs.
'When I got diagnosed, I was like, 'What?!'' said Seles, who is partnering with argenx, an immunology company headquartered in the Netherlands, to promote their Go for Greater campaign. 'So this is where — I can't emphasize enough — I wish I had somebody like me speak up about it.'
It's been three decades since Seles returned to competition at the 1995 US Open, making it to the final, more than two years after she was attacked by a man with a knife at a tournament in Hamburg, Germany.
'The way they welcomed me … after my stabbing, I will never forget,' Seles said about the fans in New York. 'Those are the moments that stay with you.'
She talks about learning to live a 'new normal' nowadays and characterized her health as another in a series of life steps that required adapting.
'I had to, in tennis terms, I guess, reset — hard reset — a few times. I call my first hard reset when I came to the US as a young 13-year-old (from Yugoslavia). Didn't speak the language; left my family. It's a very tough time. Then, obviously, becoming a great player, it's a reset, too, because the fame, money, the attention, changes (everything), and it's hard as a 16-year-old to deal with all that. Then obviously my stabbing — I had to do a huge reset,' Seles said.
'And then, really, being diagnosed with myasthenia gravis: another reset. But one thing, as I tell kids that I mentor: 'You've got to always adjust. That ball is bouncing, and you've just got to adjust,'' she added. 'And that's what I'm doing now.'
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Tennis champion Monica Seles is speaking publicly for the first time about her battle with a rare, incurable muscle-weakening disease. Myasthenia gravis (MG) is a chronic neuromuscular disease that causes weakness in "voluntary muscles," according to the National Institute of Neurological Disorders and Strokes. Voluntary muscles are the ones that connect to the bones, face, throat and diaphragm. They contract to move the arms and legs and are essential for breathing, swallowing and facial movements. "My MG journey over the past five years has not been an easy one," Seles said in a press release announcing her collaboration with the immunology company argenx. "I felt isolated and defeated, as many of the activities I enjoyed were no longer physically possible for me." Seles' partnership with argenx aims to raise awareness and understanding of MG, and to connect those affected with available tools and resources. Myasthenia gravis is classified as an autoimmune disease, according to Dr. Earnest Lee Murray, a board-certified neurologist at Jackson-Madison County General Hospital in Jackson, Tennessee. This means the body's own defense system attacks the connection between the nerves and muscles. "I felt isolated and defeated, as many of the activities I enjoyed were no longer physically possible for me." "Myasthenia gravis is different from other neuromuscular diseases in that oftentimes, patients' symptoms fluctuate throughout the day," Murray told Fox News Digital. Overall symptoms range from very mild double vision and droopiness of the eyelids to difficulty walking, breathing and swallowing. "Some patients who start with only mild eye symptoms can progress to more severe symptoms in the first few years of their diagnosis," the doctor added. However, some patients only experience eye issues. Heat, such as from summer weather or hot showers, can make symptoms worse, according to experts. As physical exertion can also exacerbate symptoms, Murray noted that patients must pace themselves. Certain health conditions — like COVID-19, the flu or urinary tract infections — can trigger a serious worsening of symptoms, called a "myasthenic crisis," which often leads to hospitalization for closer respiratory monitoring. It's important for patients to let their physicians know they have myasthenia gravis before starting a new medication, Murray said, as some drugs, including antibiotics, can worsen symptoms. "If there is a question, patients can always check with their neurologist," he advised. Doctors typically manage MG in two ways. First, they may prescribe a medication like pyridostigmine, which can temporarily reduce muscle weakness, according to Mayo Clinic. They may also prescribe medications that calm the immune system to stop it from attacking the nerves and muscles. In the past, this immune suppression was done with steroids like prednisone. Now, there are newer medicines that target the disease more directly. These targeted treatments can work well and may cause fewer side effects, according to Murray. While MG can be serious, the doctor stressed that it's not the end of the road. "Most patients live a fairly normal life, both personally and professionally," he said. "With close management and a neurologist familiar with MG, treatments can be tailored to optimize patients' quality of life." For more Health articles, visit Anyone who experiences occasional double vision, eyelid drooping or weakness that gets worse with fatigue should talk to their doctor about getting tested, Murray recommends. Diagnosis usually involves blood tests, nerve tests and a neurological evaluation. Symptoms like trouble breathing, swallowing or holding the head up require immediate emergency care, Murray said.