Adam James

That's right.

Yeah, it's something I see every day.

When a neurologist or any other physician diagnoses a patient with these types of neurological conditions, many times we are then called in and then we see that patient in their own home two, three, four times a week in some cases.

So we become extremely familiar with it.

It's all worthy of discussion.

What you're seeing just with the gait, the swinging that leg in a semicircle at times, I think it's a combination of he's probably had some measure of stroke-like event, whether it's a CVA or TIA, most likely last September when he disappeared for several days.

The swinging of the leg is a...

adaptation to right-sided weakness from some sort of stroke event, I believe.

But a wider-based gait is also a symptom of dementia, specifically frontotemporal dementia, which I think is what he's dealing with most.

So the wider someone's gait gets, the slower their gait speed is, those are all adaptations for an increased risk of falling because subconsciously he knows my balance is decreasing and I need to protect myself.

So to a certain degree, they can be worked on.

With a patient that's in the shape that he's in, honestly, more of my work would be focused on safety adaptations, like in his living space, the use of an assistive device for walking to prevent a fall.

So yes, they can be worked on.

They can be improved upon.

There's a certain measure of improvement you can see from something like a stroke-like event.

But then there's also...

a case of a chronic progressive disease that has no cure such as dementia.

You're literally dealing with losing neurons are dying and you are losing brain tissue.

And that's most likely reflected on the multiple MRIs that he has had because I believe they're tracking the progression of dementia.

Right.