I felt the need to point out a couple of things for the benefit of those in this community. 1) TwitchBFS is awesome. His advice and reassurance here is invaluable, and I know he has helped many, myself included. 2)However, this: "you're even *well* past the paraneo time limit for it showing up, which is 4 years" needs clarification. I thought this, and Im sure many readers and lurkers did, even before Seepi27 pointed it out in a WTF kind of way. 3) I was a lurker here for many years (I've been on the twitching train since 2009 folks) and I like to think that we OWE it not just to the registered members, but to everyone who comes across these pages, to be factual and not sugarcoat anything. The great news is that, factually speaking, the chances you (after clean exams, twitching for months, no weakness) have als is so slim its nearly impossible. What I could find, is that paraneoplastic syndrome (is paraneo short for it? clarify please) is a disease or symptom that is the consequence of the presence of cancer in the body, but is not due to the local presence of cancer cells (via wiki). So when he said it had nothing to do with ALS, he maybe meant that it had to do with perhaps twitching heralding cancer. Or ALS heralding cancer. However, 10000000000 other things can mean cancer, such as pain, itching all over, weight loss, rashes, vision loss, etc etc etc etc etc etc etc. So lets not start worrying about getting *beep* cancer on top of getting als please. It must be Monday.