Invited Commentary

Commentary on “Updated Prevalence and Demographic Characteristics for ALS Cases in Texas, 2009–2011”

Authors: Earnest Lee Murray, MD

Abstract

One of the most challenging and difficult diagnoses a neurologist can give a patient is that of amyotrophic lateral sclerosis (ALS). The implications of the diagnosis and the perception that little can be done to stop the relentless progression of the disease often lead to a great deal of uncertainty and a sense of hopelessness. Patients, their family and caregivers, and the physicians treating them often are pushed into discussing quality of life and end-of-life issues early in the course of the disease, which is a constant reminder of the inevitable demise of the patient.

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