Vandy called me back and I now have appt Aug 3. My ALS onset was limb...right ankle around Oct 2010. I thought I was just spraining it alot and thats why is was weak. I did notice NO pain & thought that was strange. Went to doctor and would get referred to another doctor, etc. Even went to a chiropractor. Wasted $$$ on that. Twitching for me started about Oct 2011. Finally got appt with a local neuro & he mentioned ALS after EMG. Said he wasn't sure so got me an appt at Vandy. Dr D was sure after his exam & EMG. Now my whole right leg is weak. Right hand next. And now left ankle. I wear AFO's & they help ALOT. This forum is fantastic. I don't would be frantic without it since ALS is not a common disease. We all help each other! I pray EVERY day to GOD to heal me and to heal all of us! I know it will happen in HIS time!