They are okay. Initially I was more impressed, as I was able to meet with a few of the doctors and specialists and they seemed to be doing a lot for me. In subsequent visits, even as my condition was worsening, they seemed to do less. On my last visit, only Dr. Zinman was there and I only saw him for about five minutes. Myrna is very helpful, as she has had to fill out a lot of forms for me. In the end, you have to look after yourself and make use of all the resources available. In addition to the ALS clinic, there are ALS support groups, online networks (such as ALS forums and PatientsLikeMe), health and service providers that you can get from the CCAC (a personal support worker, occupational therapist, physiotherapist), and support from your family physician.