Got a 65-yr old female who came to me about 3 months ago with just hoarseness of voice. I ask her to get me the results of the EMG to confirm it.

She came back just a week ago, and clearly had fasciculations, and difficulty talking as well as swallowing. Bulbar type ALS.

We dont have much time, I’m too much preoccupied with what else to do for her. But for now, her dental works has to go before any therapy initiated.

Likewise, the breast cancer patient with pulmonary mets is now undergoing chemo. I pray she will get better.


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