IMHO, anyone who has BULBAR symptoms needs to have a pulmonologist "on their team". The potential for a respiratory crisis is ALWAYS there. Waiting UNTIL the crisis means that your fate is in the hands of whomever is on call at the hospital ER.........a chance I'd rather not take.

Of course I realize THIS is how it WORKS in the States (ER docs, etc.). Alice may experience something totally different where she lives.