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Hello! I very VERY much appreciate this thread, and your list of symptoms! All your input is tremendously helpful. Since my partner was diagnosed a month ago, I am doing exactly what your are doing now. Scouring every bit of information I can possibly get my hands on, trying to find symptoms that do not line up with ALS. When it comes to ALS knowledge, I am lightyears behind most of the kind folks on this site. But, in my humble opinion, I find a lot of what you have posted very optimistic. Clean EMG? I would give anything in the world for that. I hope you have a wonderful birthday! Please keep us post on what happens. And again, thank you for this thread.
 
Oh, also, does he have any indications of Upper Motor Neuron problems? That's another big sign.
 
Blondrea,
What consititues Upper Motor Neuron issues? I am having a hard time differentiating between the two? We are hopeful too. His hands have actually started waking him up at night with pain. I am taking this to be a "good" thing, as they are both 100% functional, so it couldn't be from lack of use. Keep me updated on your partner! I'm thinking about you guys.

Kelli
 
Re: I'm so sorry!

Thanks, Vince.
 
Re: I'm so sorry!

Thank you, Nikki. I am doing a little better. We saw a different Neuro last week and he ran some blood work, which was a relief. I'll keep you guys posted.
 
Glad you are doing a little better upper motor neuron findings include hyperreflexia ( which is pretty nonspecific especially if it is bilateral) babinski sign Hoffmans spasticity...
What did neuro number 2 say? Were you able to get records from the first doctor?
 
Nikki,
He didn't confirm or deny it. He is at least willing to look outside of the initial diagnosis. He took 9 vials of blood and was going to take a week to look at his medical records and we will go from there. He sat with us and listened to his story and did another exam. He also pointed out/noticed how out of line Michaels hips are and found that very interesting. Since we saw him, I got him into a chiro and his leg stiffness/pain has all but disappeared. I am feeling hopeful that maybe this neuro will find that it is something different. He has also been waking up with pain that feels like someone is squeezing his hand in the middle of the night. I am not wondering if he has a case of RA with some severe anxiety. I am hoping that he will go over the EMG's with us today, especially the most recent one, as the two previous ones showed nothing.
 
Oh, and listen to this strange development. On Wednesday, he had a Mt. Dew and his twitches disappeared. How bizarre is that? We tried it again on Sunday and all of them, save for one on the back side of his elbow, vanished...... I don't even know what to make of that development.
 
Welcome to the family,hope you don't need to be here

Janie
 
Wow, I am going to buy some Mountain Dew! Very strange. And, I didn't think that pain was associated with ALS (at least initially) so I personally would take that as a good sign! But again, I am far from an expert. As far as Upper Motor Neuron signs, Nikki is correct. My partner has "brisk reflexes." Sounds look a good thing, right? Nope. It's a sign of UMN trouble. And to have ALS, in almost all cases you need to have both upper motor neuron and lower motor neuron problems. It is my understanding that the EMG can only tell you if there are LMN problems. In my (again, very humble) opinion, you have very much to be hopeful about. I am pulling for you with all my might.
Andrea
 
Kelli thanks so much for keeping us posted on your test/appointment progress. For me, it's like reading a book that the author is still writing. ..
We are with you all the way.
I hope you don't mind but as you have little kids I have shared part of your journey with my kids. They both are eager for positive news.
My journey is quite different to yours. ..but I feel my kids will turn into very compassionate people because of this forum. I may even get them to contact CALS occasionally.
God bless , Janelle x
 
I don't know if our story will help, especially since at your point in the journey, you probably only want to hear the positive stories, and I don't blame you. Our story does come with some hard won advice, might be worth the read, :-)
In 2011 we found a tumor in my husband's lung, cancer. He had surgery, they removed the lower right lobe of his lung (who knew that we have 5 lobes!) his pulmonologist kept telling him that he wasn't recovering fast enough, 80 year olds recover faster he'd say. We agreed, and because my husband Raymond had some other odd things that were happening to him, we began nearly three years of searching for a diagnosis. After his surgery, he began to have tongue spasms and bouts of painful yawning which caused very painful neck and jaw cramps. Within 6 months he began to have the muscle faciculations that looked like worms under his skin. Before too long those worms were everywhere. He had several normal emgs, tons of blood work, X-rays, MRIs, we saw three different neuros, and finally ended up with the diagnosis we were afraid of all along, ALS. When he was finally diagnosed, February 19th, 2014, by the head of Loma Linda's neurology, we felt devastated, but certain it was a correct diagnosis. Now for the retrospective advice, searching for a diagnosis was frustrating, tiring, disheartening, infuriating, and for my husband, who was suffering from the symptoms, all encompassing. During those three years we stopped living the life we had previously enjoyed, so focused on finding out what was wrong, time slipped past us both. You have to find out of course, you have to pursue treatment, but don't let the time slip by wasted, live for each moment, really live, and then no matter what the diagnosis, you won't have any regrets. Many blessings to your family, thanks for letting me share.
 
It is now widely acknowledged that pain and sensory changes are not uncommon in ALS, even at presentation.

Mountain Dew has caffeine (more than most sodas), which can temporarily improve neuronal transmission of impulses that evoke movement (not the most scientific way to put it).

Strength that ebbs and flows based on sleep, stress and tension is not uncommon, either. If he went from 0 to 60 a lot, that would suggest something else, but 30-45 doesn't as much.

Hopefully you will have a definitive answer soon, Kelli, but as Gracious so well points out, live your lives to the hilt while the process continues. Finding something treatable is the purpose of the process, if possible, but it is no substitute for "real life," which in the best of circumstances is too short to be spent in worry. Best of luck @ Mayo.
 
I don't know if our story will help,... He had several normal emgs,...

GRACE, yours is such an atypical story. Didn't you ever have a dirty EMG?
 
Grace,
Thank you for your post. I need to hear these things. I am so consumed by this, I don't focus on anything else. I am much shorter with my children and that isn't fair to them. Ironically enough, my husband is determined to continue to live the life we want to live. We have a camping trip planned in a few weeks and I want nothing more than to get in the mountains and breathe! We will continue to research, but also live. I am still, and will forever remain, hopeful that it is something else, but until then life is waiting..... Thank you.....
 
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