david
WHO HE IS
clinical profile
44-year-old; male; police officer; father of 4 Trying to reconcile a disease of decline with being in good physical shape
Jan 2017 Presents—referred by police department physician—with gait disturbances and has frequent complaints of fatigue over the past few weeks Mentions past episodes of clumsiness of both legs Examination o Neurological exam shows mild gait ataxia
What David feels is most at stake: Burden on family “I can’t lose my job. My family depends on me. Who will pay the bills? Will my wife have to get a second job? Will my children be able to go to college? What will this do to my family? Sure, I have a tough job. But nothing will be as tough as having my wife and children to have to care for me”
o MRI shows 1 T1 Gd+ lesion, 3 T2 lesions in the posterior fossa Current treatment: n/a