ALS Awareness Month: The Long Road to Diagnosis
May 11, 2026
Every 90 minutes, someone in the United States is diagnosed with ALS, and someone dies from it.
For many families, though, the path to that diagnosis is not straightforward. There is no single test that simply says, “This is ALS.”
ALS is exceptionally difficult to diagnose. Doctors have to rule out other conditions through clinical exams, imaging, spinal taps, lab work and electromyography. While research into earlier biomarkers is ongoing, most people today still endure long periods of uncertainty, anxiety and repeated, difficult medical appointments, all leading up to the moment when everything changes.
Jeanette’s diagnosis was no exception.
After surgery for a tibial plateau fracture, her second significant leg injury in recent years, and months of hard physical therapy, she still was not walking the way she should have been. Looking back now, Jen wonders if her injuries were not just bad luck, but early signs we did not recognize.
While she was still working through all of that, Jeanette started noticing tingling in her right hand. At first, all signs pointed to a pinched nerve that typically resolve with time and stretching. So she waited, impatiently. But it did not go away. After 12 weeks, she went to the doctor and found out there was no pinched nerve.
She was referred to a neurologist, which took ages to get into. She had an MRI, which sounds routine until you remember that this is Jeanette. She spent the entire time worried there would be a fire and she would be trapped inside the tube, so she got through it by silently singing Disney songs in her head.
The MRI did not provide any answers, so they scheduled her for a needle electromyography, or EMG. Essentially, it checks the health of muscles and the motor neurons that control them by inserting a very thin needle electrode into different muscles to record electrical activity.
It was only supposed to take 30 to 60 minutes. It took three hours. And it, too, was inconclusive. So they scheduled another EMG. Then another.
At this point, Jeanette had seen four different doctors, including out of state. The first two doctors told her it was not ALS. Along the way, they ruled out MS, Parkinson’s, diabetes, brain tumors and spinal tumors.
Jeanette was scared. She was still hoping it was something fixable. At one point, she worried it could be Guillain-Barré syndrome, a condition from which it can take years to recover. Even that would have been preferable to what was to come.
After her final EMG, the fourth doctor, a neurologist (not the one Jeanette now sees for treatment), entered while she was still undressed and alone, with no family or support in the room. He told her without preamble or softness: “You have ALS. You will die within two to five years.” And then he left the room. Jeanette was left sitting there alone, in shock, grappling with those words. Then she had to go home and, as she puts it, “traumatize my family” with the news.
But the doctor's words, as awful as they were, do not define Jeanette. Jeanette refuses to give in to what she calls the “expiration date” her doctor handed her that day. She intends to make the most of every moment with the same determination, curiosity, compassion and stubborn sense of humor she has always had.
ALS has changed so much about Jeanette’s life. But it has not erased the life she is still living.