Greetings, my husband was diagnosed in Canada on May 1 of 2012 after 14 months of searching for an answer to his symptoms. We live in the Carribean and ALS is mostly unknown, because of the lack of facilities, the main help from medical dr's etc is to write prescriptions. Many of the drugs available in 1st world countries are not available, luckily morphine is. T (my husband) suffers from severe muscle cramping from his groin to his toes, he can only pivot and take tiny steps, his arms and hands are weak and he has little grasp in one hand. Now I find his voice is changing and the neuro said one side of his throat is getting weak. I write all this to you because I hope that you can give thanks that you or your loved one has an ALS Society to help you, clinics and volunteers, it is hard for all of us. So when it gets really disgustingly bad, remember someone out there is going through it too and maybe it's even worse for them. P