I think doctors are more apt to get in a hurry when the clinical presentation is really bad (i.e. you can't walk, move your arms or speak). If you still have reasonably good use of arms and legs, it seems as though they don't move as fast as they would if you were brought in in a wheelchair.
It is a shame that so many are walking into clinics in the beginning only to wind up in a wheelchair before finally being diagnosed. My hope is that one day soon, someone will find a way to swiftly identify ALS in its early stages.
There must be something ALS does early on, some way it behaves that can be used to differentiate it from any other disease. It has to have some sort of marker somewhere that is there, just not found yet.
I've gotten worse since my last appointment in July and hope that my degraded condition will aid/hasten the neuros to figure out just what it is that is putting me out of business. Elsewise, a wheelchair too soon!
Zaphoon
p.s. I mowed the lawn today. Kind of an experiment to see if I get as good a case or worse of DOMS like I did last time I mowed.