She has become increasingly weak and has been unable to function- particularly with her hands. She has also has difficulty walking, and has lost weight and become lethargic. A diagnosis of amyotrophic lateral sclerosis, or Lou Gerhig's Disease, has been made.
Patient gives a history of being very unhappy and isolated.
She feels that the marriage to her husband of 27 years deteriorated. He spends very little time with her and she feels quite alone, particularly since the children have grown. She has done some private duty nursing, and her last case was a man who had Lou Gerhig's disease and recently died. Patient will be seen on a regular basis. Her husband, who is concerned that she will be deteriorating from this disease and won't have long to live, has decided to terminate his presidency of the union.