How I got here
June 2015 total right knee replacement
October 2015 completed therapy and discharged medically from recovery of knee replacement
December 2015 noticed unable to lift right foot without assistance started using cane
December 25 and 26th had first two falls, fell forwards catching foot on carpet
January 2016 return to orthopedic doctor and started physical therapy
Physical therapy referred me for orthotic saw foot and ankle specialist who then referred me to a neurologist
Foot and ankle specialist diagnosed drop foot on right foot
February 2016 neurologist conducted first EMG on right leg only, determined there was nerve loss on exterior right knee on the perineal nerve
March 2016 had surgery on the right exterior leg to release perineal nerve, surgery showed scar tissue along approximately 5 inches of the perineal nerve
April 2016 fell down six steps from upstairs no significant damage to knee surgeries but sustained significant lump on back of head and significant muscle soreness
May 2016 returned to the neurologist due to additional falls neurologist recommended MRI of Brain, cervical and thoracic and performed nerve study and EMG of all limbs
Late May 2016 sustained concussion after another fall; all MRIs were negative
June 15, 2016 noticed minimal periodic twitching in some extremities
June 16th 2016 was diagnosed with ALS and referred to GWU hospital ALS clinic
July 6 GW ALS clinic performed another nerve study and EMG and confirmed diagnosis of ALS
July 15, 2016 first visit to ALS clinic
In my opinion my progression has been rapid, as of today I have very little use of upper limbs, can pivot only when transferring and regularly have to use bedside commode or bedpan. Am unable to feed self or assist in any daily care