I am all for changing the gloom and doom spouting of ignorant doctors who only know the out dated statistic of 3-5 years. And the doctors who discourage the use of a vent with tales of 24/7 nursing care and a dreadful quality of life need to spend some time with someone like me!
I agree that ALS isn't terminal if all available medical technology is used, but I can't go so far as to compare it to a high spinal cord injury. They have other additional problems to deal with but, although there is evidence that their level of cord damage can creep higher over time, they do not progress to level of cranial nerve involvement seen in ALS. While I believe that all out care can give years of good quality of life as I am experiencing, the majority of ALS patients reach a point where turning off the vent is their choice.
I need to correct the common notion about the need for 24/7 nurses and the resultant impossibly high cost of electing to live with ALS. If you have family and friends willing to provide care, you do not need a nurse (RN, LPN, or even a CNA) for so much as a minute a week! If family and friends can't handle it all, you can fill in the gaps by hiring hire anyone you want, train them your self, and pay a decent
wage that will cost far less than any professional nurse, far less than any agency staffing -- and your assistant will probably make as much as he or she would working for an agency. Your self trained assistant will be able to do suctioning and other so called skilled care that many agency nurses are not trained or legally allowed to do. Finding a good assistant isn't easy, you will probably fire many, but when you find a good one he or she can become a friend and even family.