Hello superkate, I am new to this site - mom was diagnosed with advanced ALS last month. My dad had oxygen delivered today even though it will not be covered by Medicare (mom is 82). He just wants her to feel better. I'm so clueless as to when a trache is necessary - I don't think my mom and dad will want that because of mom's age. I am assuming that your mom is young and I pray that she stabilizes. Hugs to you.