I was diagnosed in May 2022, onset of symptom[s] was 2nd week of October 2021 with progressive loss of voice, chewing and swallowing difficulties. Slurred speech with nasaly sound. After 2 scopings by an ENT, one threw the neurological possiblity. Only other symptom is visible epidermal muscle twitches, like a muslce spasm, but not an appendage shake. 66 years old and in very good shape. Dr. James Caress from AHWFB was my doctor. I'm just not ready to grab a pillow and slip into the afterlife. Need some hope.