Hmmm. Is the fatty liver doesn't indicate too much alcohol, then the route the doctors are taking for evalulation is nothing, if not odd.
Usually, blood work is done first, to rule out or in the common causes. Evaluation of antibody status, general autoimmune illnesses associated with pn, prediabetes, all these are usually done prior to a spinal tap.
He's had two taps? Did I read that corrctly?
Please check out the charts I've put up at
www.lizajane.org. You can use them as a guide for what tests are appropriate given his findings on emg.
But your docto has acted rather oddly.