It’s sounds like he’s already been to other neurologists from your post, so I’ll add you should be asking for a “second opinion” appointment, might be faster to get one of those than a new patient visit. Be prepared to have all prior test results and after visit summaries on hand as often they want to review everything prior to your consult.

I work in another neurology group in the city, and just want to add you’re not looking for the best Neurologist at Penn, you’re looking for the best ALS neurologist at Penn. Not trying to be pedantic but there are many sub-specialties in Neurology and “the best overall neurologist” might not even specialize in ALS, which is a type of neuromuscular disorder. I think Lauren Elman might be a good place to start though.

Iirc, $2,400 is about what I was paying too. It’s sometimes helpful to find an insurance broker that can do the leg work comparing rates and finding non-advertised plans for you. I’ve had luck with that too.

I feel for you. We paid “city rates” on two cars with zero accident history for years. When we moved out of the city I couldn’t believe we had better coverage for less than our prior 6 month rate for an entire year. The savings isn’t just from the wage tax ya know.

Boiling/heating water kills bacteria and viruses, it does not remove particulate. PFAS, heavy metals, etc. to me, that’s more of a concern in this situation.

Vast majority of filters on the market will not remove the latex if they are made with PFAS. Something to keep in mind.