Chumpy, your posts really touched me. This HAS to be so stressful for you and working such long hours while trying to deal with it all. We too are newly weds, my PALS was DX'd about 15 months after we were married but fortunately he has been cooperative all the way an we're working thru it together.
Please, please, please follow the advice about contacting the PVA, you will be STUNNED at the assistance available from the VA. You won't need to work those 14 hour days any longer! Contacting the SCI (Spinal Cord Injury Clinic the department at many VA hospitals that serves ALS vets) social worker for advise as well is a great thing. We call ours our Guardian Angel.
I have insisted on attending every appointment with him and mostly manage his appointments and care. There is SO much to learn, about the VA, about this disease, how to plan ahead and how to LIVE with this disease and it's changes.
We're all different and react differently but there is assistance and peace to be had. I am the pushy type (can you tell?

) and I would and did insist we get help and I kep asking questions and making calls until I figured it out or we got what he needed. Yes, our PALS need to have control but yours is out of control so when you can get some help (medication, financial, aids, etc.) life will be easier for you both.
Sending you strength and support.
Sherry