I spoke to my neuro friend and a vascular surgeon I am friends with as well. They both said that a disease such as als is so tricky to diagnose, but it does not take years to diagnose, yes it is possible that someone twitched for 10 years and then got als, but it is so so so rare, and these guys that I spoke to twitch every day atleast threes to four times a day, they do not worry about it, and they told me that several people twitch like this, if the doctor sees the fasciculation in the office then it is for real, if they cannot pick up a fasciculation on an exam, then it may not be a true fasciculation that you are experiencing. They said after a year or a year and a half, the majority of ALS cases would be diagnosed, it is not the norm for it to take 10 years, but they said that malpractice is a pain in the but, and they would not recommend a doctor telling anyone that they would never get als not even non-twitchers. Athletes get twitching all the time that does not mean they have a better chance of getting als. There is very little data about anyone who had BFS going on to get ALS.
Kerri
Kerri