Hi Fogey-
I omitted a couple of facts from my post that may better explain the source of my concern.
First, at some point in the examination, he said that he wanted to be clear that he was "...relying on the fact that a number of ALS specialists had already determined that I don't have ALS". He didn't make clear the precise scope of that disclaimer (i.e. he didn't specify whether he based his decision not to seek a bulbar emg in large, small or no part on my having previously received an all clear from ALS specialists). I responded that those specialists had largely focused on my legs and, to a lesser extent, the lump. They hadn't focused on my complaints about general lack of motor coordination including tongue biting. He didn't respond.
Second, in the course of discussing the tongue biting, he also stated that the tongue biting "may be symptomatic of a neurological problem, but since you've already seen several neurologists, I won't refer you to another".
My question to the forum is whether, given the ENT's findings, I should press for a bulbar EMG. His election not to request one doesn't reassure me as much as it would if he relied exclusively on his own judgment in doing so.
Does that make more sense?