Diagnosis Ambiguity
Please delete if not allowed. My husband was diagnosed with ALS based off an EMG in November. They did the elimination tests and came back to confirm the diagnosis in December.
We then went to an ALS clinic where the doctor stated he was not sure it was ALS and wanted to run through genetic testing and do a repeat EMG before confirming the diagnosis. After 7 months of testing, ruling out all genetic neuropathies, muscular dystrophy’s and axonopathy, the doctor told us that he could state within a 95-96% accuracy that it is ALS or some form of MND.
Today we went in for our evaluation for the Coya 302 trial and a third (new doctor at the same clinic) is now saying she does not feel certain he has ALS (after doing a 5 min exam and reviewing his test results) and wants to perform a muscle biopsy. He previously had a spinal tap and bloodwork on his CK levels in lieu of the biopsy. I’m feeling a little lost since he’s now been diagnosed twice with ALS, but each time we see a new doctor they’re asking for further testing (I know this is a good thing and we of course want to test for any/all possibilities). They said don’t get false hope because he still may have a form of MND that’s terminal but just not “traditional” ALS.
They said once the muscle biopsy is complete we should take everything and go to Mayo Clinic. Just wondering if anyone else was experiencing this back and forth on diagnosis. Did you have to get a 3rd or 4th opinion for your diagnosis?
I know it’s hard to diagnose and there is no definitive test, I just can’t tell if we’re just set up with bad doctors/having a particularly bad experience?