So I just got back from the EMG, they did both arms and hands...I don't know if you would call it clean but according to the doc there were not any fasciculations and he said I do not have ALS or any MND. I do however have 4 pinched nerves (both wrists and elbows) with nerve damage on the left elbow (I had issues with this nerve back in high school). This surprised me because I really had no tingling/numbness.
Still having issues with speech, my tongue is clearly weak, still twitching, and I now know the shortness of breath is clinical due to decreased lung capacity. I did have a chest x-ray to rule out anything that would have found.
So now I'm thinking more along the lines of potentially lyme, who knows maybe MS, idk. Whatever it is, I am pretty much anxiety free about it now and have a much clearer mind going forward, considering I had given myself up for dead in 3 years!