Thank you Melody - no such luck about a different dx - I got him in with the the neuro team at Methodist Hosp in Houston. After 2 days of extensive testing they confirmed ALS. He's an actor at heart who couldn't make a living acting and ended up on the radio for work and doing community theater for fun. Right now it's extremities - legs and now left arm and hand - just starting to affect the right arm and hand now - plus his breathing is very shallow now, and he is clearing his throat a lot - not sure what that means yet - but I doubt it's anything good. Thanks for prayers - all are welcome, needed, accepted and reciprocated. Thanks - M