I must be doing something wrong. I have put the pictures on my laptop on the desktop as thumbnails but when I try to insert them it's asking for the url or the http.
I will ask a couple of questions until I can figure it out.
I was diagnosed with als on 4/11. I was sent to the neurologist by my pcp after explaining I was unsteady on my feet and feeling my speech was slurred. The neurologist ordered an MRI- clear, VNG- normal, Braincheck- normal, Blood work- except slightly lower WBC and Absolute Neutrophils. (I have allergies). I had a barium swallow test 2018-normal. My EMG came back abnormal stating ongoing active denervation, with chronic neurogenic changes in all 4 segments (cranial, thoracic
paras Pinal, upper and lower extremities) Diagnosis ALS. I was put on 50 my Riluzole twice a day.
The motor exam was as follows, 5/5 neck flexion, 5/5 neck extension. No involuntary movements. No fasciculation noted.Normal bulk and tone through out. No drift or pronation. 5/5 jaw opening strength. No facial asymmetry. Full range of expression. Hearing acuity intact to verbal. Midline palate. Shoulder shrug strong and symmetric. Midline tongue protrusion with quick lateral movements and strong strength. No tongue atrophy or fasciculationso. Sensory-normal.
Reflex testing- right side to left
2/2 Biceps, 2/2 Triceps, 4/2 Brachioradialis, 4/2 Patellar,2/2 Achilles. Planters down going bilaterally.
Coordination- no dysmetria noted
Gait- able to stand up from chair without assistance.
My question is am I missing something? Yes I can definitely feel something is going on with my body but, I still am able to walk 4 miles a day. If I don't walk I pedal on a stationery bicycle for 5 miles at low intensity and I use 5lb weights every other day to work my arms. Am I still in the early stages of ALS that I'm still able to do these things?