We saw Dr. B and the ALS team this week. For the first time in my life, I am happy to be "slower than average".
Even though my hands look quite a bit worse, the functional tests don't show huge changes. My legs are still strong and my arms are only minimally weaker.
The "typical' progression in my case would be hands - arms - then respiratory or bulbar (mouth and throat) muscles. As we know, this disease is not reliably predictable and there are always exceptions.
I did a breathing test so that they could have a baseline reading. The computer analysis showed that I blew 104% of what was predicted !
Next appointment in November.