This is my first post to this forum, however, I have been reading these threads for a couple of months now and must say I am inspired and amazed at the strength and courage of all. God bless you all. My mother started slurring her speach back in the summer. We finally convinced her to see a doctor a couple of months ago. The neuro said today he was confident it was ALS. This was her third visit to this neuro and ALS was mentioned at the first appointment. My questions are this: 1) How can a Dr. mention such a life altering disease at first appointment only from a clinical evaluation? Is this normal? 2) The Dr. said he had NOT tested for Lyme or thyroid. Isn't this part of the normal "ruling out" out phase and should have been done before diagnosed? 3) IF this is really ALS where do I go from her. Any suggestions will be helpful.