Hi Desi,
Doing ok, thanks. Mine started bulbar plus hand. Good advice to have your brother look into getting a G-tube. I got mine in Nov, can still eat soft foods, use tube for about half my calories. Keeping weight on is so important! At this point I have no voice or use of hands, rely on my iPad with a cool headstick my husb and I rigged up, I look like a woodpecker but get by. So glad you're there for your brother, my 3 siblings make a huge difference in how I live with this disease. Attitude is everything! Hang in there,
Sue
P.s. I was born in DC, lived there until 15 (NW, near MD line)