Hi
I'm not sure where Lutz is, but the ALSA here in FL is just great. They found me my neuro and ALS clinic in Tampa, and called to get me in very quickly.
Their nurse will come to your home and answer any questions you and your wife have. They are absolutely wonderful people. I speak with a woman named Kathy. Not sure who is in your area.
If you are near Tampa, I'd highly recommend USF ALS clinic and Dr. Katzin. She's just awesome. Very sweet, and very professional at the same time. She's always taken time to answer my emails to her, even if it takes her a day or two to do so.
I'm so sorry you had to find us.
As to what's next...that's complicated. There are so many things to think about. If you're a veteran, you'll want to contact the VA, as ALS is service related and covered. If not, contact SSDI, as it's an auto approval, and after the five month mandatory wait for everyone, there is no wait after that for medicare. It starts when the checks do.
You don't mention where you are at symptom-wise, but I do suggest learning to use any adaptive devices before you actually can't get by without them. Many items will be available from the ALS loan closet, so don't spend money you may not need to.
You'll want a neuro clinic that is multi-disciplinary and can deal with all areas, such as respiratory, occupational, speech and whatever else comes up.
This site is a great place for friendship, ,oral support and some great advice on the questions you'll ultimately have.
It takes time to adjust, but there is one thing I can say without doubt. You did not cause this. You have nothing at all to feel guilty for. Absolutely nothing.
Welcome to the site.