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People address your concerns and you ignore them, just as you ignore your doctors. If you bothered to read the stickies you would know that concerns like this have been tackled over and over again; instead you return over and over again to the same old, same old.

If you continue like this then in the end you will destroy yourself just as thoroughly as motor neuron disease could; why should anyone want to spend time with someone as self-obsessed as you are? That applies irrespective of whether you are genuinely concerned or just trolling; the end result is the same. The only person who can change that is you...
 
I'm not ignoring anybody! I'm asking genuine questions of concern that were not addressed by the doctor and have left me in this limbo land between visits. My EMG was clean in all three limbs, but I haven't had one in the limb that has actual weakness...genuine cause for concern?

I guess all I need to watch out for is if I become a cranky ass. Seems some of you share this trait. I won't return here until I know for sure whether or not I have the disease. I laid out 3 simple questions that only one person has answered. I appreciate your insight and i understand that ineed to just keep living, but think back to how you felt when you told something was wrong..and a doctor floated ALS around and you had to go through all the testing to figure it out. It's kind of hard to focus on your life when you are reminded something is wrong every time you put food in your mouth or pick up a toothbrush. Or every time you walk you feel 100x heavier than you are. For no explained reason. For having spent a ton of money and having no answer. It's torture. And something like this is supposed to help people. But I will take your advice and just not return until I know for sure. You're right, what difference does it make?
 
You need to get a grip! it can take months or years, 5 in my case to get a answer. These good people here have given you their time and patience and you have thrown it back in their face.

It may not be als. I don't have als but I have serious problems walking and fatigue and a list too long to go on. Diagnosis is a process of elimination and you need to settle in for the long haul. All this need to know now isn't going to happen and these good people are tired of trying to give you their opinion, you won't listen because it is not what you want to hear. Get over yourself, you aren't the only one with a problem. I truly wish you peace.
 
Getting a D X can take a long time, or it can be immediate, as was my husbands case, as he had had it for quite awhile. If it is ALS, you will know eventually, and worrying about it now won't change a thing. The EMG would show a problem anywhere in your body, just like your Doc said. Good luck to you. Enjoy the next 6 months, and if in 6 months time you still think you have ALS, go back to the Doctor.
 
I've copied and pasted every single one of your questions below, so I'm going to answer them for you . . . not that they haven't already been answered . . . but I'll humor you:

*Can you go from difficulty swallowing to the beginning of difficulty with speech in a few weeks?

Answer: NO . . . and, the "swallowing difficulties" you are having are not the swallowing difficulties someone will have with ALS. Liquids is what will initially be hard to swallow and you make no mention of that

*Were the issues with balance and muscle twitching in my extremities the beginning of limb onset ALS, but then it decided effect my swallowing simultaneously without having fully diminished my ability to use my limbs? In other words, how common is bulbar and limb onset simultaneously?

Answer: NO . . . having limb-onset symptoms and bulbar-onset symptoms occur simultaneously in the beginning stages of ALS is almost unheard of. That is not at all how ALS works.

Can balance problems in ALS come before muscle atrophy? Does the disease attack your balance center? Or is the reason for loss of balance due to muscle atrophy?

Answer: YES . . . there is no set way ALS presents itself or progresses. That point is moot, however, because you don't have ALS.
Answer: NO . . . ALS does not affect your balance center, although there are multiple areas of the brain (and the inner ear is also involved) that are responsible for balance, so there is no "balance center." You could certainly have balance issues with leg weakness and spasticity but you have don't have leg weakness or spasticity.
Answer: NO . . . and not sure why you're asking about muscle atrophy because you don't have any in your legs or your neuro would have indicated it.

He chopped it up to anxiety. Which is what I kind of lived with until this balance and swallowing stuff started happening. Does this sound like ALs to you?

Answer: NO.

*Do tongue fasciculations present prior to advanced bulbar function degeneration? In other words, can you have tongue fasciculations before you lose your ability to speak, chew etc? All I have is slight swallowing inability....

Answer: YES . . . but another moot point, given your "swallowing inability" is not the type of swallowing issues that someone with ALS would have in its early stages.

*Is it normal for someone to have body wide fascics for almost a year, then have problems with gait, then swallowing, then right hand weakness without one of those body parts becoming considerably atrophied first? In other words, why am I getting symptoms all over? This is not ALS's typical presentation.

Answer: I have no idea what you have, so I have no idea why you're having body-wide symptms. Actually, your swallowing issue is from anxiety, as are your fasics. Your balance issues can be from a gazillion different things, but ALS isn't one of them, given your story.

*The tongue Fasciculations and the right pinky/ring finger weakness with the muscles contracting in my hand are what have me the most worried. I am now going to have an EMG NCS on my right hand...but meantime, does this sound like bad news? I know you can't diagnose me here, but you can help with the agony of waiting.

Answer: NO . . . and how strange it is that after you got your EMG that you all of sudden have weakness in the limb that didn't get needled. I'm 100% sure that your neuro evaluated your right limb and found no weakness, by the way.

*I am a 22yr old male...so I know it's rare, but not unheard of....I am really starting to lean towards yes...I just don't know what else it could be. I tested negative for myasthenia. Thank you

Statement: You don't know what else it could be? Maybe that's because you're not a neuro. Maybe that's because you didn't go to college for 4 years and got unbelievable grades and earned a spot in a medical school. Maybe that's because you then didn't go through 4 years of medical school. Maybe that's because you then didn't go through residency. Maybe that's because you didn't go through at least one fellowship. Maybe that's because you then didn't have years of experience evaluating patients after all of those grueling years. Maybe that's why.

I close with this: stop trying to diagnose yourself with a condition you clearly do not have and let trained physicians determine what it is you do have. In the meantime, try to be a bit more polite to perfect strangers who actually had the heart and compassion to help you when they clearly were not obliged . . . it's not very endearing . . . and try doing a little more listening than talking, not only here but everywhere in life.
 
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I have read and re-read everyone's responses, and appreciate each and evey one of them, but they're telling me I don't have ALS without directly addressing the concerns that are leading me to ALS in the first place. Nobody is obsessing here.

I have three questions:

-can an EMG anywhere on the body, detect ALS anywhere in the body? My neuro told me an EMG on my left arm would detect abnormalities in my right.

-is it typical for multiple body parts to be affected at once (swallowing, hand, balance, Fasciculations all over) without one of those body parts first becoming severily disabled?

-how did ALS affect your hands? Could you see the muscles spasming in your hand? We're the pinky and ring fingers the first to go?

Think Wright missed one of your questions... The last.

In the hands, most OFTEN, ALS affects the thumb and forefinger. That is normally the first place atrophy is seen as well.

You mention doctors floating ALS around--did one float ALS to you or did you ASK if it could be ALS?

The GOOD sign for you (and just one of them, there are multiple) is ALS starts in one area--not body-wide. It doesn't affect every muscle to the same degree at the same time.

You mentioned only one person had answered you--at least 4 in this thread alone did.

I'll say again--the most common cause of issues in the ring and pinky fingers is a pinched nerve. It's almost ALWAYS a pinched nerve--whether in the elbow region or in the wrist or in the neck.

Hope between all of us--we've alleviated the fear of ALS. Good luck to you. Oh and a last comment--Ottawa is one of the nicest people here--if you've managed to annoy her--you're probably one of the first to do so. She's an absolute sweetheart--WITH A DISEASE that's insidious and unrelenting--that started in her hands--yet she is still here typing answers to you and those like you with questions--so a little understanding goes a LONG way on your side.

I don't have an ALS diagnosis-but I've lost 90% of my dominant hand at my last doc visit, 75% strength loss of the other--and I too am answering your questions.

I'm personally in limbo land--they have absolutely no clue what is wrong with me--only that something is. Want to talk anxiety regarding issues? I've been at the 'figure it out' phase for over two years--and my issues started with a hand that didn't work--I went to the doctor because I did not have the strength in my fingers to push buttons on a car door--it wasn't hard, it wasn't painful--it simply could not be done.
It was a few months after the first neurosurgeon looked at me that the spasticity, hyper reflexes, etc were noted by an ALS specialist--and she STILL can't say what I have--and she's an ALS specialist. See my point?

EVERY doctor and neuro I saw mentioned ALS--the Neurosurgeon was sure it was ALS--I have the report saying so---but to date--it's not as the EMG doesn't support ALS in any but ONE LIMB--and that isn't enough for an ALS diagnosis--why? Because ALS is one of countless issues that causes the kinds of symptoms I'm having--and it's the LEAST likely of them all.

Personally I'm content that right now, today, I have not been diagnosed with a disease that comes with a potential death sentence.

I spent months like you, obsessing that I had ALS. I had good reason to be worried--but I realized I was so busy being worried I forgot all about living. So my solution? I haven't seen a doctor in a year for more than my medications. No more EMGs. No more tests. If it IS ALS that I have--it will become apparent on its own time..in the meantime, I've chosen to live. I have that luxury--and so do you.

Many here have a shadow over their heads because they KNOW what is wrong with them and that it's almost always fatal pretty darn quickly.

Please--don't think I'm bashing you--I'm not--but perhaps I can help with a little perspective.

We are trying to reassure you--but we can only say "No, it doesn't sound like ALS" so many times before it begins to feel like beating our head against the wall.
 
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see, you just gotta stir the fire a little bit and the answers start flowing. THANK YOU ALL! I didn't mean to piss anyone off with my questions. I'm just scared. i'm going to try and stay off this site now until I know more. it isnt healthy.

will let you know what the doctors say.

regards
 
We already know what the doctor's going to say.
 
Wow. Really? Seriously?

I spent 20 minutes answering--and Wright went into tons of detail--and you think its because you stirred the pot? Just wow.

This'll be my last response to you. It's obviously not appreciated if your response is
"see, you just gotta stir the fire a little bit and the answers start flowing."
Read back through the posts--you had TONS of answers before you ever got snippy.

Does it concern you at ALL that the folks that are answering you, for the most part, are disabled to some extent by ALS? Elaine's hands are going. Ms Pie isn't tons better off. My hands are nearly useless...but hey--stir the pot for help. Wow. How sweet.

Don't burn bridges you might need later. The answer I typed in the middle of the night to you was during an agonizing attack of spasticity that'd kept me awake and in too much pain to sleep til I doped myself to the gills to get a little sleep and your reply is 'stir the pot'. I gotta say--for the first time since I've been replying in this section--I'm TICKED OFF

I, along with several others, spend countless hours on this portion of the board trying to help anxious people like you.

Wanna know why more PALS don't answer? It's posts like yours that have chased the majority of them away.
 
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YOU GO NOTME! Give em what for. It is attitudes like theirs that make it hard to be compassionate.
 
He's just a punk. One of these days he's going to talk himself into a real disease and the wind will be knocked out of his sails. Or maybe he'll grow up! That would be his best route.
 
Unbelievable.

You lovely people are to be thanked for your incredible compassion and generosity. You have a lot more patience than I do.
 
I'm much easier ti rile than Elaine. That comment just ticked me off. I should apologize, as I preach if you can't say anything nice, don't respond....but sheesh.
 
What the child should have said at the very least: Thank you so much for your detailed answers to my questions Wright and Notme! I really appreciate it! I'll let you know what the doctors tell me.
 
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