Jeff, How can you say that people who are at peace with ALS are a complete joke? De nial is a river in Egypt. My husband is 45 yrs old, and he has a disease that has no cure, but but he still has a very good life. We have ALS, but we also have today, and hopefully tomorrow. Does anyone have more than that? We believe in positive thoughts. Positive thoughts are helpful, I do not know what negative thoughts are, we do not go there. We are not in DE NIAL, we are living our lives with a positive outlook, and hoping for a positive return. HUGS Lori