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  • lgelb
    lgelb replied to the thread Worried about bulbar.
    In all likelihood, this is about allergies, dryness and/or a mild irritation or disturbed sleep. Teeth sometimes shift and make the...
  • lgelb
    lgelb replied to the thread 23 M Could this be ALS?.
    Eric, a lot of people have a lot of genes, that don't affect their health status at all. If you haven't had an EMG since 2021, another...
  • KimT
    KimT replied to the thread 23 M Could this be ALS?.
    First, ALS is a progressive disease. It doesn't come and go. Also, your EMG was negative for ALS so that also rules out ALS. MG and...
  • lgelb
    lgelb replied to the thread extremely worried about my aunt.
    Damage to the nerves that control foot movement does not require pain. And a herniated disk could certainly affect walking. By all...
  • lgelb
    lgelb replied to the thread Signs of ALS? 21F.
    While awaiting the neuro appointment, I'd see a rheumatologist. The good news -- this doesn't sound like ALS or anything like it.
  • lgelb
    lgelb replied to the thread Extremely worried about ALS.
    You can have nerve root irritation that does not show up on EMG. Given the potential relationship between the elbow and your fingers...
  • lgelb
    FYI: 1) The AirCurve is the AC power-only version of the Astral, though it can be "portable" with a third-party external battery. So...
  • lgelb
    You could have a subclinical calf injury or irritation. A lot of PTs are kind of off calf raises anyway, so I would consider working out...
  • lgelb
    lgelb replied to the thread I'm here to listen.
    First, I removed profanity that we do not allow here. Second, if you can still run normally, there is no basis for thinking that your...
  • KimT
    KimT replied to the thread Bruises on arms and legs.
    Do you take any kind of blood thinners (aspirin or Rx)? Different meds, including some antidepressants, can cause easy bruising. Might...
  • lgelb
    We want spontaneous cycling to be 100%, so I'd change Ti max to 2.5. Tracking Va (yes, we set target Va to 1.5L/min) on the monitor...
  • lgelb
    Quick note for anyone on BiPAP -- whether your machine came via cash or insurance, I'm always happy to help adjust settings to comfort...
  • lgelb
    Va, RR, and time on machine.
  • lgelb
    lgelb replied to the thread Twitching, speech concerns.
    We are all capable of telling if someone else's speech is impaired, as I am sure you have heard someone who is drunk, drugged, or...
  • lgelb
    lgelb replied to the thread Twitching, speech concerns.
    If others don't notice speech changes, they are not real. GERD, allergies, dry mouth (which can be aggravated by stress and anxiety)...
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