My conditions 03/3009

symptoms of ALS/MND as of 03/30/09

laughing, not as much since increase of steraline (was laughing excessively before)
Yawning, has been excessivwe and more requent, starting to hurt when I yawn and no gradification
Sanitation and hygiene, wiping my bum has become very difficult, assist tool helps to a certain degree. Shampoo hair has become almost impossible. Brushing teeth and grinding has become a pain. Showering is very difficult, (chair stops me from falling in shower). facecloth is heavy, can't dry off properly. Excessive flaking of face skin and head. Can't clip toe nails anymore, tool is working for fingers just fine.
Dressing/social, can't tie my shoes, stretch laces help, hard to get shoes on. Diffucult to put on/off clothes, jackets, hard to button, zipper, hands in/out of pockets, hard to take socks off, taking wallet out of pocket and pulling ID's out.
Speech slured, labored talk, (run out of breath sometimes when talking), talking on phone more difficult (good/bad days)
Fingers, Hands, Arms writing becoming hard, typing, (can't draw anymore). Numbness sometimes in hands and thighs. Nerves/muscles excessively twitching and pulsating.. Can't hold various objects and perform tasks for periods at a time. gripping, holding, cordinating is beginnig to be hard. fingers let go, stopped driving, hand let go of wheel. Eating utentials are helping a bit, can't hold knife or cut. hold arms up to a certain degree, reaching, holding, etc...is difficult. stiring sauce, picking up and holding coffee pot, taking milk out of refrigerator, lifting and holding pans, dishes are much of a task.
Hard to turn keys, door knobs, open boxes, macroni, etc...
Neck, Head, Eyes neck becoming sore, holding head up while sitting back in chair is labored, eyes seeing double looking to the far left/right. sometimes have a spot numbness to the left side of temple.
Legs, losing balance, leaning back to the slightess degree, fall, stoopiong down on balls of feet I fall over very easy. I have hard time getting up, arms won't support me, getting up by knees. I lean over to kiss my wife, I fall on her and she has to push me up. Getting in and out of bed sometimes is hard (just got bed rail)
Eating, Drinking, Swallowing certain foods have been eliminated, smaller portions. Drinking, no drinking out of bottles, sipping out of glasses. Swallowing sometimes involves spitting out liquid, coughing up food..
Excessive flem, getting harder to cough up, sometimes choking on it.
Shortness of breath, climbing stairs (chairlift was put in), weasing comes and goes, talking too much makes me tired.
Muscles, Nerves, twitching and pulsating is excessive. Most I can curl is five pounds ( I used to curl sixty five). When I'm surprised, disrupted, interrupted, dog balks, door bell rings....I jump eractically. Cramps sometimes in my caffs, hamstrings, thighs, inner arms and forearms.