@amyezar, I am a controversial character at this forum and normally am a member of ALSTDI, which focuses more on therapies to try to slow the disease and in my opinion takes a much more realistic view of the medical system and discrimination that we face as Pals. I will tell you my personally opinion on the matter, and some may disagree, but I think "ALS SPECIALISTS", clinics, etc. are not worth very much when it comes to this disease. You are correct to assume that once they diagnose you, you become a statistic and the focus is on palliative care until you die. Many clinics do not even encourage Pals to vent, because they cite that it is such a burden on caregivers, expensive, annoying, etc. The quality of life you will obtain depends upon your progression speed, and at what time you need to vent. However, I have a newborn myself, and to me being in her life is worth a little bit of my sacrifice. Venting requires a tracheostomy, a simple incision in the anterior aspect of the throat region, and a ventilator machine. If you clean the stoma site and are very sanitary to avoid pneumonias, you can indeed live a very long time on a ventilator. Some will disagree, but with very good care decades are indeed possible. The average with mediocre care is about 7-10 years. I am a pro vent advocate especially for younger Pals, because we are no different than vent dependent quads who are not even considered to have a terminal disease. Simply because our disease is progressive, and they have a sudden injury, does not mean one bit of difference to me. In the meantime, I suggest that once diagnosed make an appointment with Doctor Jonathan Bach, in Newark New Jersey and he will explain all the different breathing options for you, and he focuses on keeping you living rather you treating you as a terminal statistic. If you want a dose of reality, I suggest you also join ALSTDI, it is not as compassionate as this forum, but you will understand the system better. Best Regards,