Hi Lori. It's weird how these things happen.The more I thought about what my husband Brian was like before the injury I realize there were subtle hints we missed, stuttering when talking. off balance etc. I think ALS was present for quite a while and didn't notice it until it was in our face, just like other diseases such as Alzheimer's. Just recently in Manitoba alone last count was 200 people living with ALS. Makes you wonder.