I had my my quarterly exam yesterday. Grip strength in right hand/fingers about 50% less than last time. Left hand about the same and a slight improvement in left thumb/forefinger pinch strength (from 4 to 6 lbs).
Breathing has stayed the same for the last year.
Eating and speaking are declining, but swallowing has stayed about the same.
They did notice left foot ankle weakness and gave me a brace plus a cane to use. (cane isn't really needed yet but it gives...