Hey buyamerican, First off let me express my heartfelt sorrow to you for having to deal with ALS. From those I have known who had this, it's about as tough as it gets. Hang in there and try to enjoy those things in life which bring you pleasure.
I would have to agree with those who have already suggested trying a 1911 in 9mm. I have full size SA Range Officer in 9mm. According to SA customer service the full size Range Officer in 9mm comes with a 9lb recoil spring and 19 lb main spring. It's so easy to rack the slide, you wouldn't believe it.
An additional benefit you would realize is IMO the recoil is about 1/2 of a .45 1911. Very soft and pleasant to shoot.
If you have a retail firearm store nearby, perhaps consider going to one or two and give a 9mm 1911 a look over. Just might be what you are looking for.
Good luck with everything!! John