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The muscles that control breathing are innervated by motor nerves and when they cease to function, there will be problems controlling breathing. A pulmonologist will be able to evaluate the breathing capacity of a person with ALS and suggest ways to help with breathing such as a tracheotomy and/or respirator. ALS sufferers with a history of chronic obstructive pulmonary disease (COPD) or asthma will benefit tremendously by seeing a pulmonologist.