Sorry for bumping an old thread, I meant to reply sooner but I got caught up with school/life.
The visit went well for the most part. He had a great bedside manner, very friendly and reassuring. He did answer his phone like literally 3 times while I was with him but I was willing to let it slide because of his friendly disposition along with the fact that he has 23 years of experience, and presumably knows his stuff. He was very compassionate and patient and answered all my questions. He said a lot of what has been repeated on here: ALS doesn't typically present with twitches, that ALS twitches are a result of the muscle being separated from the nerve.
He assured me if this was ALS I would have lost function by now. He told me he only sees maybe 1 or 2 ALS patients each year, and that in his 23 years of being a neurologist, the youngest ALS patient he had ever seen was in his 40's, with the vast majority of them being in their 60's and 70's. He did strength tests, reflex tests, etc. All normal, of course. I thought the reflexes in my left knee were brisker than my right, which sent me into panic mode for a little while after the appointment, where I was constantly checking them before I began thinking rationally and decided, "who am I to say someone who specializes in neurological disorders doesn't know what normal reflexes look like!?" So the reflex thing is behind me.
One thing he said did make me raise an eyebrow though: he told me anxiety, while it can worsen twitching, doesn't cause it. That was a complete contradiction to everything I have heard on here and other similar websites. Either way, I figured this guy knew what ALS looked like, and could tell me I didn't have it.
I have been twitching quite a bit since the appointment, seemingly moreso, but I'm trying to maintain the confidence that these hotspots (which have now moved to my right bicep) will eventually pick a new location just like the rest of them have.