So after a very long wait, my insurance company sent me a letter denying a 2nd opinion at the Mayo Clinic. It was mentioned also in the letter that I could go to an in network provider for one, which one of them is Gunderson Health Systems in LaCrosse, WI, that is affiliated with the ALS Association, but I was really hoping for the Mayo Clinic, with their expertise.
Again I was diagnosed with an ALS specialist at UW Hospital, Madison, as having Bulbar Onset Motor Nueron Disease, but just the variant unknown, since only affecting upper nuerons at this time (clean EMG/NCS testing). I have been to one ALS clinic there so far there as well.
I know the ALS Association recommends a 2nd opinion, which I think I should still pursue, but just wanted to get others opinion.
If there is even a 1% chance that it could be a seronegative auto immune disease (all blood work negative), or something else, I would think is worth pursuing.
I am about 7 1/2 months in since this started, and symptoms are still strictly Bulbar, most challenging with my speach, and still cautious when swallowing pills, but can still eat ok. And the Nuedexta helping me with the PBA / emotional issues.
Comparing my symptoms with what I've read from others, it is most likely this is Bulbar Onset ALS or PLS, as my Nuerologist has diagnosed me with.
The only thing that I can think of too, that was not done, was a spine MRI, or spinal tap. Not sure if that should always be included or not, when ruling out other conditions.
Sorry for the long message here, and thank you to anyone, and their opinion. Have a good evening all.