progressively worse

Thank you additional advice. After one clear EMG, a spinal tap to rule out MS, bloodwork to rule out myasthenia gravis, I'm still without a diagnosis and am fighting to make it through a full day's work. Muscle fasiculations continue, immense fatigue in legs, shortness of breath, difficulty swallowing saliva, and weak left arm persist. I amn ow noticing (although a recent visit to the neuro did not see it,) it seems like I'm not lifiting my left foot high enough to clear the ground, causing minor tripping over the toe of my shoe. The neuro wants the EMG repeated, this time at Duke Univ; however, he does not think I have ALS because "I seem nervous" which isn't characteristic of such patients.  He wants me to visit a psych, which I will do, but I am already taking 40mg of Prozac and have taken anti-anxiety/dep/type meds all my life.  I'm purely and simply miserable. Please help if you can, and thank you.

[Garth L Nicolson, PhD]

In our published study of infections in ALS (Nicolson GL, Berns P, Nasralla M, Haier J, Pomfret J. High frequency of systemic mycoplasmal infections in Gulf War veterans and civilians with Amyotrophic Lateral Sclerosis (ALS), J Clin Neurosci 2002; 9:525-529).we found that >85% of patients had Mycoplasma infections, and in the case of atypical ALS it was even higher.  Therefore, it is certainly a strong possibility that you have this or a related infection.