I have since spoken to L-H. Not sure what she's thinking now, but she wants me to do EMG of things like tongue. Have that scheduled for UCSF in a couple weeks. I sent her an article about autonomic involvement in ALS, and she said she has no patients like that - just refueling that I have something horribly rare....an ALS subtype....or some other MND....but they all get called "ALS".