My mom, Jean, was officially diagnosed with ALS in April 2019, although looking back there were symptoms a year and a half before which we attributed to other issues. Leading up to this day was a mash up of events including numerous falls (in moms words "my legs just go out from under me"), swallowing problems (we attributed to radiation damage), weight loss and an ER visit in February. Today, mom requires 24/7 skilled nursing care, communicates via a computer, uses a motorized wheelchair and only has use of her left arm. ALS is a cruel disease.
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