Within 15 minutes of meeting the head of neurology at one of the top facilities in Chicago, they wrote "concern for ALS" at the top of my folder. I had already been researching my symptoms for some time and knew exactly what that such a diagnosis meant. However, the minute ALS was ruled out, I was passed off to a newer neuro who after another year with no definitive answer suggested Cognitive Behavioral Therapy. That was the last time I visited that facility.
Four years later when Seronegative MG was confirmed with a Mestinon trial, I sent an email to both of them explaining my journey. Not to call them out for missing something they should have been very well versed on, but in the hope that it may spare a future patient of theirs the same ordeal as mine. Surprisingly, the head of neurology did reply to my email and while stopping short of an apology (I'm guessing would create liability), did acknowledge reading my story and thanked me for the information to be shared within the department.