Karen, yes ... except for the twitching. My bulbar symptoms started with slurred speech, and also gasping for breath when I tried to speak.
It's good you are seeing a specialist. One thing to hang on to is that there numerous other conditions that have these same symptoms, and
ALS is very rare. It will take a lot of testing to narrow it down to
ALS, so don't throw in the towel.
Hang in there. I'll keep you in my prayers.