Best course of action
Hello and thank you for being a valuable source of information out there on the world wide web. So far this is the most comprehensive information I've found on people affected by ALS (both patients AND caregivers).
I was talking on the phone with my aunt last week when something I said alarmed her to the point of actually getting kind of crabby with me. I've never heard her lose her cool or get noticably upset during my entire life.
Almost two years ago I went in for an MRI after telling my primary care physician that I had fainted twice in the same day. A few days later I got a disturbing call from my PCP with the preliminary results of my MRI which said abnormalities were consistent with MS and I should be tested further.
I've suffered from migraines for almost 20 years now (although remarkably better on vitamin therapy for the last two years), so I called my neurologist to follow up. I went through a battery of tests including nervous system functioning, a spinal tap (lumbar puncture) and evoked potential testing. I received the results about a week later in his office, "you don't have MS."
I went on about my merry way although I did wonder why my MRI had changed from years earlier. Could my nearly two decades of dibilitating migraines have caused the abnormality on the MRI? I put the thought behind me.
As I was talking to my aunt, she asked about my prior testing for MS (she has a lifelong friend with the disease) and asked if I had any continuing symptoms. I told her that occasionally I have muscle weakness and attributed it to fatigue from sometimes always spreading myself too thin.
I went on telling her that I was really feeling my age lately (I turned 40 in May) because I felt like I was losing the strength in my hands and frequently dropping things. I told her, "I'm always in a rush, doing too much and I'm just clumsy." Occasionally while sitting at my desk at work, on the sofa at home or in bed at night, I have muscle twitches (mostly in my upper body) in areas that I haven't worked out on. I told her now that I'm older that I just can't keep up and no matter how much I work out I just don't seem to gain much strength and that my leg muscles have lost any shape they once had in my 20s. Also, turning older has made me more, rather than less, emotional in certain situations. I have no breathing or speech difficulty other than my usual habit of speaking too fast and stumbling over my words occasionally. Sometimes I feel like my brain is working at twice the speed of my body.
Normally I wouldn't put much weight in someone overreacting, but my aunt was an administrator for a county run hospital in the states for decades. She is not a doctor, but over many years has seen her share of conditions, symptoms and tradgedy in her career. She was noticeably alarmed and asked that I make an appointment to see my neuro again. She demanded that I ask him about testing for ALS.
I'm seeking any information on whether my symptoms are even consistent with ALS, can symptoms of MS potentially be simiarl to ALS. If my symptoms are possibly consistent with ALS, what questions should I be asking of my neuro when I go for an office visit? Are there specific tests I should request? Is it possible to have early symptoms, test negative and later be diagnosed with ALS? Is there a reliable test for early diagnosis? Is there anyone out there who has had ALS for a number of years since diagnosis without progression of the disease?
I checked out information on the Internet after talking with my aunt and quite frankly it is a little disconcerting I just turned 40 this year and I live 2,000 miles away from my immediate and extended family, although I have a strong network of friends near me. Professionally I work as a financial consultant and I'm used to being able to research a topic to find the answers. The prognosis and speed of ALS from the time of diagnosis is alarming. Any information, guidance, advice is greatly appreciated.
Thanks much and Happy Holidays!