Heres the story.. Since march i noticed some minor weakness and pain in my right hand/wrist. I also noticed some mild twitches from time to time in my arms , legs , feet, sometimes tongue. I saw a neuro doc in late march about what was going on. He did an EMG with NCV only in my arms. I was told not to worry about als, and that his findings confirmed carpal tunnel syndrome. Honestly i was having all symptoms of carpal. He told me that the twitches i was getting was due to BFS (benign fasics syndrome). He also told me that stress and anxiety can and will bring on twitching of muscles groups. Since that time , every now and then i noticed that my speech is alittle off. For some reason i feel as if when im saying things that involve the letter S or G, it sounds slurred. I also noticed that i have had alittle more saliva than usual. I dont know if it has/had anything to do with the removal of my lower left wisdom tooth. The speech thing happened somewhat b4 that, but alittle more after it was taken out. So, i went back to see the same neuro doc and told him what was going on. He suggested that i go see a psych doc because he feels my anxiety is getting out of control.He did a quick exam, and said that since i wont believe his diagnosis, he'd send me for and mri of my brain to prove i have one up there. He said he was 99.9% sure its anxiety related. If this is the case, how do you explain my speech thing? Also, why does it feel like when i drink something, i sometimes feel it in the back of my nose? Im just worried thats all. If anyones wondering im 29yrs old.I told my primary care doc about all of this, and he feels the same way as the neuro doc. So he wont send me out to see another neuro doc. I dont know what else to do. Truth is everyone, im worried that i might have Bulbar Als. And since like i stated earlier, my pcp doesnt think anything of it so he wont give me a referral to see a different neuro doc. Its gotten to the point that im listening/trying to catch myself with my speech. My insurance provider in nyc is hip, so if i need to see a specialist it has to come from my pcp.