Hey Ernie,
My name is Luke. I actually went to high school in Sugar Land and currently live in the Heights. I'm 34 and awaiting a diagnosis by Dr. Appel next month. Like you, I have always been extremely healthy. My symptoms are different than most people (mild atrophy in upper arm, noticeable change in strength and diffuse muscle twitching). I was hoping everything was benign in nature, but my EMG stated otherwise. Although I have not been told that I have ALS, I assume based on my test results that it's a foregone conclusion...neuro said if it's not my cervical spine then it's likely ALS. Well, according to a prominent neurosurgeon, it's not my spine. So it's not looking good. The fear has been unbearable. I'm so sorry you are going through this right now. I'll pray for you and your family. If you ever want to talk, feel free to reach out to me (832) 725-0301. Might seem odd because you don't know me, but empathy is something very few can offer.
Be well,
Luke