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Amanda Tam: Not Letting ALS Write the Story

Amanda Tam: Not Letting ALS Write the Story

ENHDMEHeart of the Home Series2026
Heart of the Home Series

Amanda TamNot Letting ALS Write the Story

Diagnosed with ALS at 20 · Wife to Her High School Sweetheart · Living Life on Her Own Terms

This month marks our first Heart of the Home story with someone living with a terminal diagnosis, and we couldn't think of a better person to share it with you than Amanda Tam. We came across her page and were immediately drawn in — here was a young woman living her absolute best life, refusing to let ALS dictate her days. Amanda and her husband Spencer have made us laugh more than once in our back-and-forth emails, and she may be one of the kindest, funniest people we've met in this entire series.

Amanda Tam
30,000
Americans living with ALS at any given time
ALS Association / U.S. legislative data, 2025
90 min
How often someone in the U.S. is newly diagnosed with ALS
ALS Association, 2025
2–5
Years — the average survival time after an ALS diagnosis
ALS Association, 2025
21
Amanda's age when she was diagnosed with ALS
This Month's Story

In our world of caregiving, it's easy to get caught up in the illness itself — the depressive thoughts, the daily grind of end-of-life care. But there are some who choose to live in the now. You can't fix yesterday, and hyperfixating on what tomorrow might bring only steals from today.

Amanda Tam is a wonderful example of what it looks like to live your best life anyway. She was diagnosed with juvenile ALS five days before her 21st birthday. She met her husband, Spencer, in grade 10 at sixteen years old, got engaged at 22, and married at 23. Spencer became a triathlete during their engagement and completed his first IRONMAN soon after their wedding — proof, he says, that being a caregiver doesn't have to take away from your hobbies and passions. We are so proud to share Amanda's story.

Amanda and Spencer

The Interview

You were diagnosed with ALS just days before your 21st birthday. Looking back now, what were those first months like, and what helped you move from shock to living with purpose?

Honestly, it didn't hit me that hard just because I wasn't seriously affected by it. when I was diagnosed, I immediately went to my class when the appointment was over. It's important to note that my symptoms weren't very life altering at the time. I had muscle fasciculations and my gait pattern was off, but besides that I just kept living as if i didn't have a grim diagnosis. Going into my that appointment, I had already come to terms that it was going to be ALS and with that mindset when it was actually confirmed it wasn't very shocking.

You often speak about living your best life despite a terminal diagnosis. What does a good day look like for you today?

A good day for me Is when I'm well rested. Energy is extremely important when it comes to ALS so if I'm able to get a decent sleep quality, i'm pretty much set up the day. I'm stronger which means less fall potential, I'm energetic and that makes me want to go outside, and by going outside, I just feel a lot better with fresh air. So essentially a giant positive feedback loop.

Amanda outside, enjoying a good day

Adapting & Independence

ALS changes so much physically. How have you adapted your life while still holding onto the things that bring you joy and make you feel like yourself?

Getting my motorized wheelchair has brought me the independence that I lost. It's the best decision I've made on my journey with ALS. I got my wheelchair 2.5 years into having my illness and 2 years into it I was struggling with my energy conservation because it took so much out of me to walk long distances. At a certain point I wasn't leaving my house because I couldn't walk for a prolonged time. So rolling in my wheelchair has given me back my freedom and the ability to experience things.

Amanda in her motorized wheelchair

Finding Community

As the youngest person in the ALS Quebec database, you've had a very unique experience. What has it been like navigating a disease that most people associate with a completely different age group?

It's difficult just because I don't really have a community that I can talk to. Everyone in my vicinity is not in the same stage of life and at the time I joined HerALSStory (a group of women under the age of 35 diagnosed with this disease), but unfortunately, it was the same situation where I couldn't relate because I was still a second year student in university, and they were a lot older and also based in America. When I started my social media presence, I didn't think anything of it. It was a way for me to share my story and kind of a way for me to grieve. The community that came out of it was something unexpected but now I'm able to chat with others who are going through something similar and I couldn't be happier that i'm giving people the opportunity to be seen.

Amanda sharing her story online

Friendship & Family

How have your friendships evolved since your diagnosis? Were there any moments when friends showed up for you in ways you'll never forget?

My friends are the best. Announcing that I have a terminal illness didn't scare me, but I was definitely worried that I'd be treated differently. I hate when people pity me or treat me like I'm fragile, But luckily for me, my friends treat me the same way pre-ALS. But they have a little more work as they help me get in and out of my wheelchair, and tie my hair when I need to eat.

Amanda with friends

Caregiving can be an incredible act of love. How do your family members and caregivers help you maintain your independence, dignity, and quality of life?

They are great because they've been able to help me adapt to my situation, But I grew up with helicopter parents, so the overbearing was just too much for me. They told me it's because they love me and care for me, but I knew I had to move out for my own well-being in order to maintain my independence and mental health. My husband and I are high school sweethearts and I can truly trust him. I know he won't treat me differently and he gives me the space and autonomy that I need.

"My husband and I are high school sweethearts and I can truly trust him. I know he won't treat me differently and he gives me the space and autonomy that I need."

Amanda Tam
Amanda and Spencer, high school sweethearts

Learning to Accept Help

What have you learned about asking for and accepting help, especially as someone who was diagnosed so young?

There was definitely the hardest part to cope with. as a firstborn daughter, I'm someone who hates relying and waiting on others. So when I started needing more help, it was difficult for me to accept that. I'm a stubborn person, but I've learned to realize that the ALS life is easier when you start to let go and trust others.

Amanda accepting help from family

How to Show Up

For family members or friends supporting someone with a serious illness, what are the most meaningful things people can do that truly make a difference?

It's important to not treat them any differently. I've learnt the hard way that you will be treated differently, especially from family. They will Infantilize and hover over you. It's important to set boundaries and for them to actually follow through. Living with the terminal disease is difficult enough, and if the people are around don't give you what you need, life gets astronomically harder. you're already dealing with so much. It's vital for the people around you to listen to what you need and put their own ideas aside.

24–70%

of patients in palliative and end-of-life care experience clinically significant depression — a wide range that researchers attribute to how hard it is to separate depressive symptoms from the fatigue, pain, and physical toll of the underlying illness itself.

Source: Palliative care research, prevalence estimates across multiple published studies

Raising Awareness

You are passionate about raising awareness for ALS and giving a voice to others living with the disease. What do you wish more people understood about ALS and the realities of living with it?

Even though it is a rare disease and typically affects older white men, anyone can get it (in the less menacing and evil tone). Everyone's story with ALS is different because there is no linear trajectory of progression. I want people to understand that victims of ALS are not only ALS, we're still the same person even though we are a prisoner to our own body. Commiseration is the worst and we can see it right away on someone's face. We are still human, and so It's important to still be treated the same way.

"Victims of ALS are not only ALS — we're still the same person, even though we are a prisoner to our own body."

Amanda Tam
Amanda raising ALS awareness

Living in the Present

When people hear the words "terminal illness," they often focus on loss. What has this journey taught you about life, gratitude, love, or living in the present moment?

Because I'm terminally ill, it doesn't mean I have to stop living. I feel like I've experienced more post terminal illness than I did before and I think it's just a very important mindset to have when dealing with this. your life doesn't end because of the situation you're dealt with.

Amanda living in the present

The Bucket List

Bonus question: What are you most excited about right now? What is still on your bucket list?

I can't wait to go to Asia. It's the biggest part of my bucket list. I want to be able to experience as many cultures as possible.

Amanda's next adventure
Amanda Tam
About Amanda
Amanda Tam

Amanda Tam was diagnosed with juvenile ALS 5 days before her 21st birthday. As her 5-year death-sentence anniversary approaches, she has shared what this ruthless disease looks like and how it affects someone in their 20s. She met her husband, Spencer, in grade 10 at 16 years old, got engaged at 22, and married at 23. Spencer became a triathlete during their engagement, and completed his first IRONMAN triathlon soon after the wedding to prove that anything is possible and that being a caregiver does not have to take away from your hobbies and passions.

Follow Amanda's Story

Follow Amanda on TikTok for an honest, funny, real look at living fully with ALS.

Follow @amandatam00

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This story reflects the personal experience of Amanda Tam, shared with her permission. Statistics cited are drawn from published research (ALS Association, palliative care literature) and are provided for general informational purposes; they do not constitute medical advice. Please consult a healthcare provider for guidance specific to your situation.
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