Hi KR! My husband and I live in Burnsville. I also see Dr. Tyriaki at HCMC. She is awesome. I have really been impressed with everyone at HCMC but especially the ALS clinic. They have all been so wonderful. I began to notice symptoms in May of 2015 (weakness and fatigue) but Dr. Tyriaki gave me an onset date of July 2014, which was my first fall. My progression seems to be more typical. I was walking fine April of last year and I was in a wheelchair full time April of this year. I wish you and your husband good luck also. Praying for a cure. Be well!