My speech and swallowing is rapidly deteriorating. No issue whatsoever with my limbs. Now, a little over two months later, I'm finding that my crying is increasing, my energy level is nil and none, and my speech and swallowing is progressing weekly. I understand that PBP is a fairly fast progressing disease and that the prognosis to live with it is significantly less than with a standard ALS. I am just moving from bed to chair it seems. I have not be sent for physical therapy or had any tests for breathing issues. I do have an appointment at the ALS clinic in San Francisco in early April and am trying to get my concerns in line. Since my personality has always be positive, this is something very new for me. I don't know whether to go in armed asking for something that no one can provide? Or if there is a drug or something that may slow down progression. I just can't bear being one of those 1 year to 18 months from diagnosis = death patients!