I am 51, married 24 years with 23 year old daughter and 17 year old son. My diagnoses with ALS was September 18th, 2008. First onset in my speech around March/April and shortly after my left leg and left arm. I still continue to degress and I am now a speechless quadriplegic. Though I still try to stay mentally positive with regard to everything in my life, it is getting harder to cope each day. If there are other PALS or CALS who can offer me suggestions please email me at jstysenn@aol.com.