My hubby's big fear was that people would pity him and treat him differently! Vincent and Star are right on! Have the same conversations you would normally have and if she wants to talk about the elephant in the room, she will. Invite her to lunch, the movies- whatever things you would normally do. Two of my hubby's friends took him out each week- one for lunch, and one for breakfast- and never said a word about it when he had to be picked up because he could no longer drive (or eat regular food for that matter!). What mattered was they teased him, harassed him and relived every golf stroke they had ever taken. In other words, it was life as usual. They will always be earthly angels in my book and despite the pain he endured sitting on hard restaurant chairs, and only drinking a cup of coffee while they ate, those outings were the high point of his week. He was"normal" during those times and knew he was loved! If you can't do outing, silly thinking of you cards are always great. He looked forward to mail time, and the occasional book or movie that was sent to him. Words are not as important as showing you care in a million small ways. Take her a pint of her favorite ice cream or her favorite chocolates ( all calories are encouraged with ALS! A free pass for us girls!). Offer to pick up anything she might need at the grocery store or if she has kids offer to drive them to whatever. Terri'cs, the fact that you are here shows what a loving friend you are. Your presence in her life is so important now. Keep us posted and encourage your friend to come here where she can rant, rave, get advice from the experts who are living it. Donna