Depends on so many things you didn't mention:
- How fast is your progression?
- What is your current level of capability? ( BiPAP, CO2 retention, still walking, etc)
- What were your last medical findings, anything new that requires monitoring?
- How frequent were your previous appointments?
Once a quarter is not unusual, but you should feel free to make an appointment whenever you think there is need -- more or less often based on the changes Greg mentioned.
And you aren't restricted to an ALS clinic. You can see any medical professional [in network, if you want reimbursement] any time, and many PALS get most or all of their care from a primary care doc.
My progression seems to be slow, and I am having clinic visits every 3-4 months right now. I was diagnosed same month as you, so I have only had 2 full clinic visits, but I had a "half visit" (just neuro, not breathing or rest of the clinic stuff) between my first and second clinics to just check in and discuss clinical trials.
3 months seems to be standard in my clinic but I have also been given 2 and 6 month intervals depending on what is happening with me. Whatever interval is stated the actual appointment is usually a little longer interval ( 4 months for the 3 month one) because of scheduling.
As Laurie said I know I can call in the interim with questions but also I can schedule appointments with the nurse practitioner usually for the next week if I want to be seen
I just go "as needed." My local neuro prescribed the Trilogy and wheelchair and I see him every other month. He is very open to alternative therapies and writes for any blood work I ask. I bought a spirometer and equipment that measures SNIP, MaxI and MaxE so I really see no need to go to clinic unless there is a clinical trial or something that I'm interested in. I can communicate with my clinic neuro via e-mail. My local doctors take good care of me.
Once I had my dx, and a second opinion, I was kind of left hanging with no more neurology appointments and no clinic visits. My GP (family doctor) is who I see for various things as needed, and our local regional health authority provides a Occupational Therapist who works with the provincial ALS society to provide me with equipment.