Thanks Ken nice to meet you, We also saw your pics, nice family, we can tell you are truly loved and you have a great support system. we too have been blessed with a great Family, they are all in Denver Colorado, We currently have Luz Elena's mom, brother and sister in law here in Mexico helping us out with the boys .. This forum is overwhelming but very informative, we have truly learned a lot about als , other than Doctor's , all they say is there is nothing else they can do for Felipe and just enjoy life , so that's what we have been doing. Ken I understand you were in the hospital recently, hope you are well or better. We are noticing that Felipe is having trouble sleeping at night due to him not able to breathe. is it that the ALS is progressing rapidly?