Gary, I was diagnosed at Johns Hopkins, where I was told either I could travel there to be treated or else be treated locally. I went local, looked into Rilutek on the internet, then was told by my local dr that if I'd stayed with Hopkins they'd have me on Rilutek--which the local dr thinks has way too many side effects and very little to offer. That happens to be what I had also learned in looking into it personally. Having said that, please do look it up for yourself so you can make an informed decision.