I agree 100% with LIsaG that he CANNOT have ___diagnosed___ you with ALS based on that, but he certainly could have found findings consistent with an ALS diagnosis.

Migraines are a symptom of Babesiosis which often occurs with TBE viruses. Babesiosis causes acidosis and TBE viiruses are ph mediated by acidity. I would make sure you are tested for all strains of Babesiosis, and HGE and HME Ehrlichiosis, and TBE viruses- Powassan and the "Deer Tick Virus" are US strains. The progressive form of TBE viruses can cause ALS and can be inactivated.