Yeah. I just happen to work with these patients because they lose the ability to safely swallow and communicate. It starts off as an auto-immune disorder, which attacks enzymes regulating gaba (the neurotransmitter responsible for inhibiting over-firing of neurons). So basically there are too many signals being sent at one time. Her actual nerves (motor neurons) are intact and function as they should. It’s the actual enzyme that produces gaba that is disordered due to the autoimmune attack. I don’t understand where you got nerve damage from?