Just got off the phone with one of my clients. I hope this post gives you comfort! My client said his dad has ALS, I said WHAT! He is like yes he was diagnosed 2/12 years ago (Aug 2009). I said to my client, sorry to get personal with you but this has been my worste fear for almost that long, it will be 3 years for me in July 1st,2009. I asked him, how did your dad know he had als? He said he was golfing and his left hand wouldn't work. Just one day, LIKE THAT! from there it went down hill, he is still alive but now is on hospiss. I asked him, did your dad ever have muscle twitching, he said NEVER not once even before he was diagnosed NEVER! my heart was pounding, I was waiting for a response of YES. I was so releaved! My client said he went through major worrying of the fact that he could some day get als now, spent time researching ect. One thing he told me is that his dad said he has never had a head concussion. He did work in aviation if that means anything. I feel so much relief talking to this guy! I hope this helps you, if you have any questions please let me know. I asked this guy a ton of questions, TONS. Ashley ( Sorry for the mispelled words, I'm on my I phone LOL)