Went for my routine 3 month Dr. appointments today, and began with the pulminary technician who gave me a MIP test; I have know idea what the acronym stands for, but it tests the strength of my diaphragm to pull in (ALS weakens the diaphragm muscle).  I had trouble getting a good test so I was expecting bad news – my last test was on the low end of acceptable, and further degradation would lead to being on some type of breathing support.  But i went from a -49  in December to -65 today, a major improvement!  Improvement is not part of the ALS experience.  Don’t know what it means, if anything, but any kind of good news with ALS is worth celebrating! ~ TT


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