1 00:00:02,000 --> 00:00:07,000 Downloaded from YTS.MX 2 00:00:08,000 --> 00:00:13,000 Official YIFY movies site: YTS.MX 3 00:00:19,520 --> 00:00:21,522 [waves crashing] 4 00:00:21,522 --> 00:00:23,566 [atmospheric music playing] 5 00:00:36,120 --> 00:00:38,664 [Brian Wallach] We try to believe that 6 00:00:38,664 --> 00:00:42,710 the things that we don't want to encounter in life 7 00:00:42,710 --> 00:00:43,919 don't exist 8 00:00:43,919 --> 00:00:46,213 because they're something that happens 9 00:00:46,213 --> 00:00:47,840 to the other people. 10 00:00:48,674 --> 00:00:50,634 Poverty doesn't exist 11 00:00:50,634 --> 00:00:52,470 until you are poor. 12 00:00:53,137 --> 00:00:55,556 Racism doesn't exist 13 00:00:55,556 --> 00:00:58,225 until you are discriminated against. 14 00:00:59,185 --> 00:01:01,145 Sickness doesn't exist 15 00:01:01,145 --> 00:01:04,231 until the health care system fails you. 16 00:01:05,065 --> 00:01:08,486 But what happens when you become the other 17 00:01:08,486 --> 00:01:13,157 and you realize that people don't want to pay attention to you 18 00:01:13,449 --> 00:01:16,911 because it disrupts their normal life? 19 00:01:20,873 --> 00:01:22,875 {\an8}[hopeful music playing] 20 00:01:32,510 --> 00:01:34,303 {\an8}[Sandra Abrevaya] Aren't those your shorts? 21 00:01:34,303 --> 00:01:36,180 {\an8}No, they're swim trunks. 22 00:01:37,139 --> 00:01:38,641 {\an8}[Sandra] Yes! [laughing] 23 00:01:39,642 --> 00:01:42,603 {\an8}Ah, he's going in in his clothes. 24 00:01:57,117 --> 00:02:00,412 [newscaster] Brian Wallach, only in his mid 30s, 25 00:02:00,412 --> 00:02:02,206 was diagnosed with ALS. 26 00:02:02,206 --> 00:02:05,251 {\an8}Told he has only six months left to live, 27 00:02:05,251 --> 00:02:07,837 {\an8}he's now launched a nonprofit aimed at finding a cure. 28 00:02:07,837 --> 00:02:10,714 {\an8}Former federal prosecutor and he can't count on Washington. 29 00:02:10,714 --> 00:02:12,633 My body is starting to fail me. 30 00:02:12,633 --> 00:02:15,386 {\an8}There's no cure and few treatments. 31 00:02:15,386 --> 00:02:18,722 {\an8}It is only a rare disease because we die. 32 00:02:18,722 --> 00:02:20,474 You just want to live and you want a cure. 33 00:02:20,474 --> 00:02:21,976 [Brian] How do we actually do this? 34 00:02:21,976 --> 00:02:24,520 Build a patient-centric movement 35 00:02:24,520 --> 00:02:28,899 that helps bring the people living with this disease out of the shadows 36 00:02:28,899 --> 00:02:31,235 and help them lead the fight. 37 00:02:31,235 --> 00:02:33,320 ♪ ♪ 38 00:02:41,370 --> 00:02:46,041 We are here. It's Inauguration Day, January 21st? 39 00:02:46,041 --> 00:02:48,168 - [Anne Sullivan] Twenty-first. - 2013. 40 00:02:48,168 --> 00:02:50,838 Mom and Brian reporting live from D.C. Say hi, Mom. 41 00:02:50,838 --> 00:02:51,922 Hi, Mom. 42 00:02:51,922 --> 00:02:53,757 [laughing] 43 00:02:53,757 --> 00:02:56,218 [Brian] My career has been a interesting one. 44 00:02:57,219 --> 00:02:58,762 {\an8}I am a trained lawyer 45 00:02:58,762 --> 00:03:02,141 {\an8}and have actually been a lawyer in private practice, 46 00:03:02,141 --> 00:03:04,184 {\an8}a lawyer in the White House Counsel's Office 47 00:03:04,184 --> 00:03:05,811 in the Obama administration, 48 00:03:05,811 --> 00:03:08,731 and a Assistant United States Attorney. 49 00:03:08,731 --> 00:03:11,734 I also was on political campaigns for a bit. 50 00:03:11,734 --> 00:03:15,321 We used to joke that I couldn't keep a job for more than three years. 51 00:03:15,321 --> 00:03:17,448 But, for me, 52 00:03:17,448 --> 00:03:20,618 public service and being a part of an effort that is larger than myself 53 00:03:20,618 --> 00:03:23,078 has been a core part of who I am. 54 00:03:23,078 --> 00:03:27,791 {\an8}I met Brian on the 2008 campaign for Obama. 55 00:03:27,791 --> 00:03:31,378 {\an8}[man] The presumptive Democratic nominee for president, Barack Obama. 56 00:03:31,378 --> 00:03:32,463 [cheering] 57 00:03:32,463 --> 00:03:36,467 All of you, most of whom are I'm not even sure of drinking age... 58 00:03:36,467 --> 00:03:37,843 [laughter] 59 00:03:37,843 --> 00:03:41,680 ...you've created the best political organization 60 00:03:41,680 --> 00:03:44,183 in America in the last 30, 40 years. 61 00:03:44,183 --> 00:03:45,935 That's a pretty big deal. 62 00:03:47,561 --> 00:03:49,396 I've always said that 63 00:03:49,396 --> 00:03:51,315 I would not have been president 64 00:03:51,315 --> 00:03:55,110 had it not been for a bunch of 20-year-olds. 65 00:03:55,945 --> 00:03:59,031 Brian and Sandra, who were heavily involved in our campaigns 66 00:03:59,031 --> 00:04:02,534 and worked in our White House, were part of that cohort, 67 00:04:02,534 --> 00:04:06,288 that wave of young people who helped elect me. 68 00:04:06,288 --> 00:04:08,040 [Sandra] Brian was the political director, 69 00:04:08,040 --> 00:04:10,751 and I was the communications director in New Hampshire. 70 00:04:11,877 --> 00:04:14,713 [Brian] She actually walked into the office on the first day, 71 00:04:14,713 --> 00:04:17,758 and she saw a press release that I'd written. 72 00:04:17,758 --> 00:04:21,136 And she came over to me and said, "So, who wrote this?" 73 00:04:21,136 --> 00:04:23,013 And I raised my hand, saying it was me, 74 00:04:23,013 --> 00:04:26,016 assuming that I was about to get some sort of kudos for writing it. 75 00:04:26,016 --> 00:04:29,687 And she said, "Are you a lawyer?" And I said, "I am." 76 00:04:29,687 --> 00:04:32,940 She said, "Okay, we're gonna have to work on this." 77 00:04:32,940 --> 00:04:35,234 Yeah, lawyers can't write press releases, no. 78 00:04:36,402 --> 00:04:37,861 The funny thing about that story is 79 00:04:37,861 --> 00:04:40,114 I have no recollection of it. 80 00:04:40,114 --> 00:04:44,034 I... I appreciate that it was a scarring moment for Brian. 81 00:04:44,034 --> 00:04:46,036 [laughing] 82 00:04:47,204 --> 00:04:50,874 [Brian] We didn't start dating then, but we started dating soon after. 83 00:04:52,126 --> 00:04:55,754 [Brian] So, Sandra, what do you look for in a guy? 84 00:04:56,922 --> 00:05:00,092 Someone with blue bathing suit shorts. 85 00:05:00,092 --> 00:05:01,468 [Brian] Check. 86 00:05:01,468 --> 00:05:03,804 Someone with some serious freckles. 87 00:05:03,804 --> 00:05:05,806 Only on the arm area, though. 88 00:05:05,806 --> 00:05:07,182 That's what I really look for. 89 00:05:07,182 --> 00:05:09,768 Good. All right, I got this. This is good. This is good. 90 00:05:09,768 --> 00:05:12,187 There's a cool Irish guy a couple chairs over. 91 00:05:12,187 --> 00:05:14,440 - Uh-huh. - Fits all those criteria. 92 00:05:14,440 --> 00:05:16,025 [laughing] 93 00:05:16,025 --> 00:05:18,402 - You've got it all, baby. - Oh. 94 00:05:18,402 --> 00:05:22,031 There was a fairy tale element to their work life, 95 00:05:22,031 --> 00:05:26,702 {\an8}to how they met, to the romance and marriage that blossomed. 96 00:05:26,702 --> 00:05:30,122 - [gentle acoustic guitar music playing] - [cheering] 97 00:05:32,374 --> 00:05:34,376 ♪ ♪ 98 00:05:35,294 --> 00:05:37,755 [man] We do not need to explain that, individually, 99 00:05:37,755 --> 00:05:43,260 Brian and Sandra are each simply exhaustingly exuberant. 100 00:05:43,260 --> 00:05:44,720 [laughter] 101 00:05:44,720 --> 00:05:47,598 They work and live in fifth gear. 102 00:05:47,598 --> 00:05:51,101 The two of you are entirely perfect for each other. 103 00:05:51,101 --> 00:05:53,353 - [cheering] - [♪ Ben Rector: "Brand New"] 104 00:05:53,353 --> 00:05:56,940 ♪ I feel like windows rolled down ♪ 105 00:05:56,940 --> 00:06:00,444 ♪ New city, streets and cabs ♪ 106 00:06:00,444 --> 00:06:04,740 ♪ I feel like anything can happen, laughing ♪ 107 00:06:04,740 --> 00:06:07,951 ♪ You take me right back ♪ 108 00:06:07,951 --> 00:06:11,580 ♪ To when we were kids ♪ 109 00:06:12,998 --> 00:06:18,003 ♪ Never thought I'd feel like this... 110 00:06:18,003 --> 00:06:19,421 [camera clicks] 111 00:06:19,421 --> 00:06:22,299 ♪ Like when I close my eyes ♪ 112 00:06:22,299 --> 00:06:26,762 ♪ And don't even care if anyone sees me dancing ♪ 113 00:06:26,762 --> 00:06:28,388 ♪ Like I can fly ♪ 114 00:06:28,388 --> 00:06:33,060 ♪ And don't even think of touching the ground ♪ 115 00:06:33,060 --> 00:06:36,647 ♪ Like a heartbeat skip, like an open page ♪ 116 00:06:36,647 --> 00:06:39,858 ♪ Like a one-way trip on an aeroplane ♪ 117 00:06:39,858 --> 00:06:44,404 ♪ It's the way that I feel when I'm with you ♪ 118 00:06:45,405 --> 00:06:47,241 ♪ I feel brand-new ♪ 119 00:06:47,241 --> 00:06:48,867 - ♪ It's the way that I feel ♪ - ♪ Whoa-oh, oh, oh, oh-oh, oh ♪ 120 00:06:48,867 --> 00:06:51,954 - ♪ When I'm with you ♪ - ♪ I feel ♪ 121 00:06:51,954 --> 00:06:53,831 ♪ I feel brand-new ♪ 122 00:06:53,831 --> 00:06:55,916 [song ends] 123 00:07:02,047 --> 00:07:03,799 [Brian] My symptoms started in 2017. 124 00:07:04,842 --> 00:07:08,345 I initially had left-hand weakness, 125 00:07:08,345 --> 00:07:11,181 and I assumed, like many 37-year-old males, 126 00:07:11,181 --> 00:07:15,185 {\an8}that that was due to exhaustion, caring for a baby, 127 00:07:15,185 --> 00:07:17,688 {\an8}and so initially I kind of wrote it off. 128 00:07:18,897 --> 00:07:20,983 And then the hand kept cramping. 129 00:07:20,983 --> 00:07:23,277 - Whee! - [Sandra] Yeah. 130 00:07:23,277 --> 00:07:30,117 I never even knew that Brian was having weakness in his left hand. 131 00:07:30,117 --> 00:07:32,452 He never even mentioned that to me. 132 00:07:32,452 --> 00:07:36,123 The reason he went to the doctor was because he was coughing a lot 133 00:07:36,123 --> 00:07:40,878 and I thought maybe he should get, you know, his lungs checked out. 134 00:07:40,878 --> 00:07:43,505 But when he went in to talk about his cough, 135 00:07:43,505 --> 00:07:47,176 they asked him to just share anything that had been bothering him 136 00:07:47,176 --> 00:07:50,429 and he mentioned this thing about his hand. 137 00:07:50,429 --> 00:07:55,851 I'd gone to a neurologist for what I thought was a standard checkup. 138 00:07:55,851 --> 00:08:00,314 Walked in and said hi to the doctor and thought, "Okay, this'll be great. 139 00:08:00,314 --> 00:08:03,692 We'll check off a box, and I'll go back home." 140 00:08:03,692 --> 00:08:07,362 And then, ten minutes later, he sat me down in a chair 141 00:08:07,362 --> 00:08:10,866 and said, "Have you ever heard of Lou Gehrig?" 142 00:08:10,866 --> 00:08:14,411 And I said, "Yeah, I mean, everyone has." 143 00:08:14,411 --> 00:08:18,165 And he said, "Well, I think you have his disease." 144 00:08:18,165 --> 00:08:22,836 And I said, "Okay, I don't know much about it, but what does that mean?" 145 00:08:22,836 --> 00:08:25,297 And he said, "Well, it's not good. 146 00:08:25,297 --> 00:08:28,926 There's no treatment. There's no cure." 147 00:08:28,926 --> 00:08:32,554 And I said, "Okay, how long do you think I have left?" 148 00:08:32,554 --> 00:08:37,476 And he said, "On average, people live six months after they're diagnosed." 149 00:08:40,395 --> 00:08:44,316 [Sandra] We found out the day we came home from the hospital 150 00:08:44,316 --> 00:08:46,610 with our second daughter. 151 00:08:46,610 --> 00:08:48,779 I mean, how do you process that? 152 00:08:48,779 --> 00:08:53,784 You have your newborn baby in the house, and your two-year-old, 153 00:08:53,784 --> 00:08:58,789 and this is the person that you are just like madly in love with 154 00:08:58,789 --> 00:09:02,042 and planned on spending your whole life with. 155 00:09:02,042 --> 00:09:04,253 [narrator] First baseman Lou Gehrig 156 00:09:04,253 --> 00:09:08,966 hung up an amazing mark by playing in 2,130 consecutive games. 157 00:09:08,966 --> 00:09:12,552 Then a fatal disease attacked baseball's Iron Man. 158 00:09:12,552 --> 00:09:15,138 {\an8}Amyotrophic lateral sclerosis or ALS 159 00:09:15,138 --> 00:09:18,350 {\an8}is commonly referred to in the United States as Lou Gehrig's disease. 160 00:09:18,350 --> 00:09:19,893 [cheering] 161 00:09:19,893 --> 00:09:23,605 {\an8}Today, I consider myself 162 00:09:23,605 --> 00:09:27,150 {\an8}the luckiest man on the face of the Earth. 163 00:09:27,150 --> 00:09:29,236 [cheering and applause] 164 00:09:31,071 --> 00:09:35,242 {\an8}It's an illness of a particular type of neuron in the brain 165 00:09:35,242 --> 00:09:36,785 {\an8}called motor neuron. 166 00:09:36,785 --> 00:09:40,455 The motor neurons control basically how you move, the speed of movement, 167 00:09:40,455 --> 00:09:44,334 the strength in your arms, legs, speech, every muscle. 168 00:09:44,334 --> 00:09:48,505 [Brian] That causes a progressive weakening of your muscles over time. 169 00:09:48,505 --> 00:09:51,883 Over the course of days, weeks, 170 00:09:51,883 --> 00:09:55,178 months, years-- it's different for every person-- 171 00:09:55,178 --> 00:09:57,139 your body will become weaker and weaker, 172 00:09:57,139 --> 00:10:00,309 until eventually you can't actually do basic life things. 173 00:10:00,309 --> 00:10:03,645 Ultimately, that weakness will actually cause you 174 00:10:03,645 --> 00:10:05,856 to pass away, because it will cause you to stop 175 00:10:05,856 --> 00:10:08,108 being able to breathe on your own. 176 00:10:08,108 --> 00:10:12,863 We don't have a cure for it, and we don't have any therapy that we can offer 177 00:10:12,863 --> 00:10:17,659 to help ameliorate the disease progression or stop it in its tracks. 178 00:10:17,659 --> 00:10:21,163 It's almost unacceptable as a physician to say that to somebody. 179 00:10:21,163 --> 00:10:25,375 I mean, look at pancreatic cancer, one of the ones that have the poorest prognosis, 180 00:10:25,375 --> 00:10:29,963 you know, even in stage four, you have a one percent chance of surviving. 181 00:10:29,963 --> 00:10:32,299 In ALS, it's zero. 182 00:10:43,685 --> 00:10:44,686 So sweet! 183 00:10:44,686 --> 00:10:47,814 [Seide Cimbura] My dad and I were like two peas in a pod growing up. 184 00:10:47,814 --> 00:10:50,192 I was like always his, like, mini-me. 185 00:10:50,192 --> 00:10:52,235 I wanted to be just like him, 186 00:10:52,235 --> 00:10:54,654 {\an8}because everything he did was super cool. 187 00:10:54,654 --> 00:10:55,822 {\an8}[laughs] 188 00:10:55,822 --> 00:10:57,240 {\an8}Mike just had such a zest for life. 189 00:10:57,240 --> 00:10:59,743 {\an8}He was just always an adventurer. 190 00:10:59,743 --> 00:11:02,496 He would never turn an opportunity down. 191 00:11:02,496 --> 00:11:04,956 [Ellie Cimbura] He was a snowboarder, and he was a semipro cyclist 192 00:11:04,956 --> 00:11:07,584 {\an8}for a really long time and he was super active 193 00:11:07,584 --> 00:11:09,669 {\an8}and, like, really in tune with his body. 194 00:11:10,837 --> 00:11:12,839 [Nicole Cimbura] He came home one weekend, and he was like, 195 00:11:12,839 --> 00:11:14,091 "I can't clip my fingernails." 196 00:11:14,091 --> 00:11:16,301 And I'm like, "Huh, that's weird. Okay." 197 00:11:16,301 --> 00:11:19,471 And little did we know that ALS was lurking in the background. 198 00:11:19,471 --> 00:11:22,224 We got an appointment with this doctor, 199 00:11:22,224 --> 00:11:24,851 and she literally looked at Mike and watched his gait 200 00:11:24,851 --> 00:11:26,395 and did some other very basic tests. 201 00:11:26,395 --> 00:11:29,064 And she's like, "You have ALS. 202 00:11:29,064 --> 00:11:31,525 You'll need to be on a breathing machine within six months. 203 00:11:31,525 --> 00:11:33,235 You'll be dead probably within two years. 204 00:11:33,235 --> 00:11:35,195 You need to start getting your affairs in order." 205 00:11:35,195 --> 00:11:38,824 You've just told me that my best friend, the father of my three precious kids, 206 00:11:38,824 --> 00:11:42,452 you know, the person I was supposed to grow old with, is going to be gone. 207 00:11:42,452 --> 00:11:45,455 Mike was officially diagnosed in January of 2015. 208 00:11:45,455 --> 00:11:49,042 And beginning of June, I mean, he had lost his ability with his left hand. 209 00:11:49,042 --> 00:11:52,003 He was already using a cane to walk. 210 00:11:52,003 --> 00:11:55,215 {\an8}And then after that, it happened all super fast, 211 00:11:55,215 --> 00:11:57,634 {\an8}'cause he was pretty fast-progressing. 212 00:11:57,634 --> 00:11:59,219 People really need to understand 213 00:11:59,219 --> 00:12:03,390 that it's not just like some guy who can't walk anymore. 214 00:12:03,390 --> 00:12:05,559 After three months, depending on how fast it's moving, 215 00:12:05,559 --> 00:12:08,019 like, they literally can't take care of themselves at all. 216 00:12:08,019 --> 00:12:12,399 And it's just put completely on families at that point. 217 00:12:12,399 --> 00:12:14,985 How can this disease be that rare? It's not. 218 00:12:14,985 --> 00:12:17,195 And we need to wake up. 219 00:12:18,947 --> 00:12:21,491 [Gwen Petersen] I was 32. 220 00:12:21,491 --> 00:12:26,204 My husband and I were newly engaged. 221 00:12:26,204 --> 00:12:31,751 I had started a new job, all happy things. 222 00:12:31,751 --> 00:12:37,340 I started having early symptoms of ALS. 223 00:12:37,340 --> 00:12:44,347 One minute, I'm getting married and we're trying to start our family. 224 00:12:44,347 --> 00:12:46,391 The next minute, 225 00:12:46,391 --> 00:12:51,813 I'm searching for promising clinical trials. 226 00:12:51,813 --> 00:12:54,733 I don't look like Lou Gehrig. 227 00:12:54,733 --> 00:13:00,113 People need to see what ALS really looks like. 228 00:13:00,113 --> 00:13:02,782 It could be anyone. 229 00:13:02,782 --> 00:13:04,993 [Dr. Jonathan Glass] It takes on every culture, 230 00:13:04,993 --> 00:13:07,871 every race, every age group. 231 00:13:07,871 --> 00:13:10,874 Nobody is immune to this disease, nobody. 232 00:13:10,874 --> 00:13:13,502 So, it's everybody's problem. 233 00:13:15,754 --> 00:13:18,757 [Brian] Every doctor we saw said the same thing: 234 00:13:18,757 --> 00:13:21,301 "I'm sorry, but we can't help you. 235 00:13:23,094 --> 00:13:26,723 Go home, live your life, travel, 236 00:13:26,723 --> 00:13:29,809 eat whatever food you want and get ready to die." 237 00:13:32,062 --> 00:13:34,773 After that initial period of shock, 238 00:13:34,773 --> 00:13:39,736 the question we asked was: "Okay, no one's ever beaten this thing-- 239 00:13:39,736 --> 00:13:41,321 how do we find a way to do it?" 240 00:13:42,447 --> 00:13:46,701 I at least naively believed that if you did get 241 00:13:46,701 --> 00:13:51,456 a diagnosis like this, that there would be a protocol, 242 00:13:51,456 --> 00:13:55,794 there would be a way in which people actually helped you into this world 243 00:13:55,794 --> 00:13:58,296 and helped you figure out where to go, 244 00:13:58,296 --> 00:14:00,966 how to connect, what resources to have. 245 00:14:00,966 --> 00:14:02,676 That didn't exist. 246 00:14:02,676 --> 00:14:07,055 And what you had to do, as Sandra pointed out, was find your own path. 247 00:14:14,563 --> 00:14:16,731 [Paul Wallach] Okay, Brian, swim, let me take your picture. 248 00:14:16,731 --> 00:14:18,858 Swim out toward the deep end. 249 00:14:18,858 --> 00:14:20,902 - To the rope? - Yeah. 250 00:14:23,280 --> 00:14:27,993 [Anne] Brian was a very observant child. 251 00:14:27,993 --> 00:14:30,787 {\an8}He had enough maturity that he was 252 00:14:30,787 --> 00:14:33,331 {\an8}kind of almost automatically in a leadership position. 253 00:14:34,416 --> 00:14:37,127 He was determined about things. 254 00:14:37,127 --> 00:14:39,921 Even in high school, he said he wanted to be a lawyer. 255 00:14:40,797 --> 00:14:45,051 [Tom Wallach] I think he'd been really focused on a competitive drive of success. 256 00:14:45,051 --> 00:14:47,345 {\an8}He used to sleep, like, five hours a night and claim that was fine. 257 00:14:47,345 --> 00:14:49,014 {\an8}He's not one of those people who has the mutation 258 00:14:49,014 --> 00:14:50,682 {\an8}that lets you actually sleep five hours a night. 259 00:14:50,682 --> 00:14:52,350 {\an8}He just only slept five hours a night. 260 00:14:52,350 --> 00:14:54,394 [Paul] Okay, Brian jumps first. 261 00:14:55,937 --> 00:14:57,939 Go ahead, Tommy. 262 00:15:00,567 --> 00:15:02,777 [Brian] Dad, whose splash was the biggest? 263 00:15:02,777 --> 00:15:05,030 [Tom] I think our dad really pushed heavily 264 00:15:05,030 --> 00:15:07,032 towards a certain model of success. 265 00:15:07,032 --> 00:15:12,120 And somehow I think all three of us ended up a bit more focused on public service 266 00:15:12,120 --> 00:15:15,248 than maybe our dad would have expected. 267 00:15:16,333 --> 00:15:18,585 {\an8}So our dad passed away when I was 14. 268 00:15:18,585 --> 00:15:22,005 Very unexpectedly, from a sudden heart attack. 269 00:15:22,005 --> 00:15:25,508 At that point in time, Brian had been gone in college for three years. 270 00:15:25,508 --> 00:15:27,010 [Tom] Brian hadn't seen him in months. 271 00:15:27,010 --> 00:15:30,347 He just kind of got to get called with terrible news 272 00:15:30,347 --> 00:15:32,182 and not know what to do. 273 00:15:32,182 --> 00:15:36,144 And, being Brian, he tried to take charge and, like, make sure things were together 274 00:15:36,144 --> 00:15:38,063 and buried himself in the work of it, 275 00:15:38,063 --> 00:15:42,192 which is how he responds to every stressful situation. 276 00:15:44,778 --> 00:15:48,281 I think that experience really radically turned around what he wanted to do 277 00:15:48,281 --> 00:15:51,534 and what made him happy and feel like he was satisfied with himself. 278 00:15:54,829 --> 00:15:58,083 When Brian was diagnosed, and I was working at that time at Bain & Company, 279 00:15:58,083 --> 00:16:01,086 I had, uh, almost no interest in doing another consulting case. 280 00:16:01,086 --> 00:16:03,421 I wanted to get involved with ALS. 281 00:16:03,421 --> 00:16:08,468 So I was looking at every, you know, early-stage biotech company out there. 282 00:16:08,468 --> 00:16:10,136 [Sandra] Hi, Pete. What are you doing? 283 00:16:10,136 --> 00:16:11,888 Just doing some late-night research. 284 00:16:12,972 --> 00:16:16,601 [Pete] But Brian being Brian, he was just operating on a whole different wavelength. 285 00:16:16,601 --> 00:16:21,815 Brian was thinking about, how do I orchestrate this entire disease category 286 00:16:21,815 --> 00:16:24,526 in a way which benefits everyone in the space? 287 00:16:24,526 --> 00:16:27,779 [Brian] There is a reason to be hopeful. 288 00:16:27,779 --> 00:16:31,825 But hope alone doesn't actually get you a cure. 289 00:16:31,825 --> 00:16:33,702 If you want to defeat ALS, 290 00:16:33,702 --> 00:16:37,163 you need everyone who is in the fight working together to do it, 291 00:16:37,163 --> 00:16:41,668 from the clinician making the diagnosis to the patient who is living with it 292 00:16:41,668 --> 00:16:46,297 to the family member to the researcher to the biotech pharma company. 293 00:16:46,297 --> 00:16:49,592 That is what will ultimately help us win this fight. 294 00:16:50,593 --> 00:16:53,012 And so I turned to Sandra and said, 295 00:16:53,012 --> 00:16:55,306 "I think I want to start an ALS nonprofit." 296 00:16:55,306 --> 00:16:57,183 And her response was, 297 00:16:57,392 --> 00:16:58,727 "#@%* no." 298 00:17:00,770 --> 00:17:03,565 [laughing] 299 00:17:03,565 --> 00:17:05,024 [Brian clears his throat] 300 00:17:05,024 --> 00:17:10,363 I did tell Brian that was a terrible idea and I didn't want to do it. 301 00:17:11,990 --> 00:17:17,495 I had been the founding executive director of two nonprofits. 302 00:17:17,495 --> 00:17:20,457 I knew how all-consuming that was. 303 00:17:20,457 --> 00:17:25,503 And so when we were diagnosed, and we had a newborn and a two-year-old, 304 00:17:25,503 --> 00:17:31,718 and we were floored by the news, the last thing I wanted was all that work. 305 00:17:31,718 --> 00:17:34,345 And he ignored me, like he always does. 306 00:17:34,345 --> 00:17:36,848 ♪ ♪ 307 00:17:39,851 --> 00:17:43,396 [Brian] I spent about seven months flying around the country, 308 00:17:43,396 --> 00:17:48,026 going to every doctor, every clinic, every patient and asking them, 309 00:17:48,026 --> 00:17:50,361 "What's missing from the fight?" 310 00:17:50,361 --> 00:17:53,782 {\an8}I remember the first day someone told me, "You have to meet this guy. 311 00:17:53,782 --> 00:17:56,451 {\an8}He's going to change the world of ALS." 312 00:17:56,451 --> 00:17:58,077 And he did. [laughing] 313 00:17:58,077 --> 00:18:00,705 {\an8}He really talked to all of the stakeholders in the system, 314 00:18:00,705 --> 00:18:04,292 {\an8}patient leaders, policymakers, et cetera. 315 00:18:04,292 --> 00:18:07,879 What he realized was it wasn't a new organization per se 316 00:18:07,879 --> 00:18:10,048 that was needed in ALS. 317 00:18:10,048 --> 00:18:14,719 What was needed was more of a sustained, movement-building effort. 318 00:18:14,719 --> 00:18:17,806 [Brian] Right now, ALS has no survivors. 319 00:18:17,806 --> 00:18:22,852 And if we lose our voice right after we're diagnosed, we become powerless. 320 00:18:22,852 --> 00:18:25,647 We cannot have that be the reality. 321 00:18:25,647 --> 00:18:30,193 [Priscilla Chan] I met Brian Wallach in 2019. 322 00:18:30,193 --> 00:18:33,822 {\an8}CZI had just launched the Neurodegeneration Challenge Network. 323 00:18:33,822 --> 00:18:36,950 {\an8}I was in the back of the room and, all of a sudden, 324 00:18:36,950 --> 00:18:39,494 {\an8}I'm just captivated by this guy. 325 00:18:39,494 --> 00:18:41,287 And that was Brian Wallach. 326 00:18:41,287 --> 00:18:43,832 [Brian] So, I'm here to ask a question 327 00:18:43,832 --> 00:18:46,668 that most patients never have the chance to actually ask you, 328 00:18:46,668 --> 00:18:49,587 which is: How can we help you? 329 00:18:49,587 --> 00:18:52,257 Because that's how we win. 330 00:18:54,300 --> 00:18:56,803 {\an8}What I've found over time is the people who basically 331 00:18:56,803 --> 00:18:59,055 {\an8}struggle with a problem themselves, 332 00:18:59,055 --> 00:19:03,810 people like Brian, who are incentivized to run through walls to go fix them, 333 00:19:03,810 --> 00:19:05,144 are the ones who do. 334 00:19:05,144 --> 00:19:08,189 [Brian] A doctor will come up to me and say, 335 00:19:08,189 --> 00:19:11,526 "I've never actually met an ALS patient before, 336 00:19:11,526 --> 00:19:15,321 and I've been working on ALS for ten, 15, 20 years." 337 00:19:16,447 --> 00:19:18,700 No doctor should not know a patient. 338 00:19:18,700 --> 00:19:23,121 No pharma company should design a trial without talking to patients. 339 00:19:23,121 --> 00:19:26,124 We need patients to lead. 340 00:19:26,124 --> 00:19:31,921 We need to have voices out there that can authentically talk about what this is like 341 00:19:31,921 --> 00:19:37,552 and help lead the revolution like you've seen with HIV, cancer and beyond. 342 00:19:37,552 --> 00:19:40,597 So, why is this what we decided to do? 343 00:19:40,597 --> 00:19:44,100 You know, I have two kids at home. I could be sitting there. 344 00:19:45,184 --> 00:19:46,728 That's the answer. 345 00:19:48,897 --> 00:19:50,815 Thank you, guys, for your time. 346 00:19:50,815 --> 00:19:52,859 [applause] 347 00:19:53,860 --> 00:20:00,283 One thing that I just, I am in awe of patients over and over again 348 00:20:00,283 --> 00:20:03,995 is that, yes, they care about themselves, 349 00:20:03,995 --> 00:20:09,417 but they want to give back and take care of the next person that gets diagnosed. 350 00:20:09,417 --> 00:20:12,295 And so, from that, I AM ALS was born. 351 00:20:13,713 --> 00:20:16,299 {\an8}Welcome to I AM ALS. 352 00:20:16,299 --> 00:20:20,136 {\an8}I'm sorry you're here, but I'm really glad you found us. 353 00:20:20,136 --> 00:20:21,763 My name is Brian Wallach. 354 00:20:21,763 --> 00:20:26,142 I'm alive. I'm fighting. I am ALS. 355 00:20:27,769 --> 00:20:31,898 [Juan Reyes] When I AM ALS began, 356 00:20:31,898 --> 00:20:36,569 {\an8}I first heard of it on social media. 357 00:20:36,569 --> 00:20:40,281 {\an8}I initially thought, 358 00:20:40,281 --> 00:20:43,660 "Well, here's another organization. 359 00:20:43,660 --> 00:20:46,120 Let's see what they're gonna do." 360 00:20:46,120 --> 00:20:48,206 [laughs] 361 00:20:48,206 --> 00:20:53,544 I quickly realized it really focused the voice 362 00:20:53,544 --> 00:20:58,591 of the ALS patient and their families. 363 00:20:59,676 --> 00:21:04,847 Those voices quickly grew into a chorus. 364 00:21:04,847 --> 00:21:08,935 [Sandra] To get to a cure, it's going to take a totally new playbook. 365 00:21:08,935 --> 00:21:11,646 We don't want to do anything that's being done. 366 00:21:11,646 --> 00:21:14,107 We don't have time for that. We don't have any interest in that. 367 00:21:14,107 --> 00:21:16,985 We're just bringing our own expertise, 368 00:21:16,985 --> 00:21:20,947 our own experience in movement building, in politics. 369 00:21:20,947 --> 00:21:23,324 We want to leverage everything we can 370 00:21:23,324 --> 00:21:26,285 to make this thing break through. 371 00:21:26,285 --> 00:21:31,249 [Obama] They took this extraordinary personal challenge 372 00:21:31,249 --> 00:21:33,334 and said, "Well, we're not going to be victims. 373 00:21:33,334 --> 00:21:37,588 We're not going to just sit here passively and wait for things to happen to us. 374 00:21:37,588 --> 00:21:39,465 We're going to go out and make things happen." 375 00:21:39,465 --> 00:21:42,552 And that's what I think you've seen Brian and Sandra do. 376 00:21:43,636 --> 00:21:47,390 [Sandra] It started with just one person, Brian Wallach, 377 00:21:47,390 --> 00:21:49,726 and then it was two of us, 378 00:21:49,726 --> 00:21:55,690 and then soon, we were ten, and then it became hundreds of us. 379 00:21:55,690 --> 00:21:58,151 And then it exploded. 380 00:21:58,151 --> 00:22:00,611 [uplifting music playing] 381 00:22:06,743 --> 00:22:09,120 {\an8}[Nicole] They have done an amazing job 382 00:22:09,120 --> 00:22:12,373 pulling so many different people together across the entire country 383 00:22:12,373 --> 00:22:14,959 and just saying, "We're not going to take this anymore." 384 00:22:14,959 --> 00:22:16,627 {\an8}And I'm like, "We're in." 385 00:22:16,627 --> 00:22:18,629 {\an8}You know, and other families were coming on board 386 00:22:18,629 --> 00:22:19,922 {\an8}saying the same thing: "We're in." 387 00:22:22,925 --> 00:22:26,846 [Nadia] They've created this real feeling of community. 388 00:22:26,846 --> 00:22:29,098 {\an8}You know, the people that I met at I AM ALS 389 00:22:29,098 --> 00:22:32,185 {\an8}have been my rock through all of this. 390 00:22:32,685 --> 00:22:35,646 [Sandy Morris] The power of the patient is huge. 391 00:22:35,646 --> 00:22:39,484 It's actually putting action items and next steps and passion 392 00:22:39,484 --> 00:22:43,029 {\an8}behind that and really an accelerated feel to get this done. 393 00:22:43,029 --> 00:22:44,614 {\an8}And it's working. 394 00:22:44,906 --> 00:22:49,494 [Gwen] It's really patients who bring forth 395 00:22:49,494 --> 00:22:52,997 our ideas and get it done. 396 00:22:52,997 --> 00:22:55,875 [cheering and applause] 397 00:22:55,875 --> 00:22:58,044 [Brian] Thinking about any campaign, 398 00:22:58,044 --> 00:23:02,423 no one person makes that campaign successful. 399 00:23:02,423 --> 00:23:05,593 It is a combination of people giving a lot of time 400 00:23:05,593 --> 00:23:07,929 or a little time to make it work. 401 00:23:07,929 --> 00:23:10,431 ALS can be defeated. 402 00:23:10,431 --> 00:23:13,851 [Brian] You need people who will go on TV to be interviewed, 403 00:23:13,851 --> 00:23:16,604 but you also need people who will knock on a door. 404 00:23:16,604 --> 00:23:18,898 In a rare disease fight, you need the doctors, 405 00:23:18,898 --> 00:23:21,442 you need the experts to be on your team, 406 00:23:21,442 --> 00:23:25,321 but you also need the people that will make that phone call, send that email. 407 00:23:25,321 --> 00:23:29,075 [Christa Thompson] It's about a collective making sure 408 00:23:29,075 --> 00:23:32,995 that people don't die from this anymore. 409 00:23:32,995 --> 00:23:35,081 [uplifting music playing] 410 00:23:38,501 --> 00:23:41,379 [Dan Tate, Jr.] All right, so what are we doing? 411 00:23:41,379 --> 00:23:46,801 I have one hour and 15 minutes. 412 00:23:48,636 --> 00:23:51,347 When your doctor says, 413 00:23:51,347 --> 00:23:54,517 {\an8}"I think you need to get 414 00:23:54,517 --> 00:23:57,854 {\an8}your affairs in order." 415 00:23:57,854 --> 00:24:03,484 {\an8}Your mind kind of explodes. 416 00:24:04,277 --> 00:24:07,530 [Sandra] Dan Tate is the cofounder 417 00:24:07,530 --> 00:24:11,242 of a lobbying firm in D.C. called Forbes Tate. 418 00:24:11,242 --> 00:24:14,453 And so we heard that Dan was diagnosed. 419 00:24:14,453 --> 00:24:18,916 We knew that having someone whose entire career was 420 00:24:18,916 --> 00:24:20,918 to navigate the legislative landscape 421 00:24:20,918 --> 00:24:24,839 be a patient advocate would be an incredible superpower. 422 00:24:24,839 --> 00:24:28,092 So Brian began to reach out to Dan 423 00:24:28,092 --> 00:24:33,181 via phone calls, text messages, emails, 424 00:24:33,181 --> 00:24:36,601 and Dan was a little bit unresponsive at first. 425 00:24:36,851 --> 00:24:42,523 This disease turns people inward. 426 00:24:43,399 --> 00:24:49,780 It throws so much into uncertainty. 427 00:24:49,780 --> 00:24:56,871 And you think about things you had never thought of before. 428 00:24:59,207 --> 00:25:03,002 I was an athlete before this. 429 00:25:04,253 --> 00:25:09,383 I played football and lacrosse 430 00:25:09,383 --> 00:25:13,012 throughout college. 431 00:25:13,012 --> 00:25:17,099 I had some amazing coaches 432 00:25:17,850 --> 00:25:19,644 who taught me, 433 00:25:20,436 --> 00:25:24,398 "We all are part of a team... 434 00:25:24,398 --> 00:25:31,489 ...so you either follow the leader or you lead." 435 00:25:32,406 --> 00:25:36,327 So we just kept bugging him, and... [laughs] 436 00:25:36,327 --> 00:25:39,580 finally, uh, he reached back out. 437 00:25:43,209 --> 00:25:45,836 I decided that 438 00:25:49,131 --> 00:25:50,216 I was 439 00:25:51,425 --> 00:25:55,388 going to play a role in this 440 00:25:55,388 --> 00:25:58,516 so that my family 441 00:26:00,893 --> 00:26:02,687 could see 442 00:26:09,610 --> 00:26:11,362 me fighting. 443 00:26:17,326 --> 00:26:22,123 [Sandra] And so, Dan decided to jump in with us 444 00:26:22,123 --> 00:26:26,002 and became a leading figure in the fight. 445 00:26:31,966 --> 00:26:34,510 [Obama] They're organizing better than I ever did. 446 00:26:34,510 --> 00:26:37,096 Part of what they also understood 447 00:26:37,096 --> 00:26:40,933 about being a good organizer is you gotta know what to ask for. 448 00:26:40,933 --> 00:26:42,810 And they figured out very quickly 449 00:26:42,810 --> 00:26:46,731 that, uh, you know, funding for ALS, uh... 450 00:26:46,731 --> 00:26:48,482 you know, had flatlined. 451 00:26:48,482 --> 00:26:50,484 [stirring music playing] 452 00:26:50,776 --> 00:26:54,113 [Brian] ALS was wandering in the wilderness. 453 00:26:54,113 --> 00:26:56,282 And then you had Ice Bucket. 454 00:26:56,949 --> 00:26:59,201 I'm proud to take the Ice Bucket Challenge. 455 00:26:59,201 --> 00:27:01,329 Ice Bucket Challenge for ALS. 456 00:27:03,205 --> 00:27:04,498 [Brian] And all of a sudden, 457 00:27:04,498 --> 00:27:07,460 money, people and awareness poured in. 458 00:27:08,044 --> 00:27:10,796 [Jinsy A. Andrews] That ice bucket moment really provided 459 00:27:10,796 --> 00:27:13,966 {\an8}the financial resources to kick-start the community. 460 00:27:13,966 --> 00:27:16,302 {\an8}But that was 2014. 461 00:27:16,302 --> 00:27:20,514 {\an8}How do you continue a viral moment? 462 00:27:20,514 --> 00:27:23,434 I gave my money 463 00:27:23,434 --> 00:27:26,687 to the Ice Bucket Challenge 464 00:27:27,188 --> 00:27:29,398 and then I kind of 465 00:27:30,107 --> 00:27:32,777 forgot about it for 466 00:27:33,819 --> 00:27:34,862 three years 467 00:27:34,862 --> 00:27:37,948 until I was diagnosed. 468 00:27:38,366 --> 00:27:40,993 [Brian] We actually put out a national poll. 469 00:27:40,993 --> 00:27:42,828 And we asked the question of: 470 00:27:42,828 --> 00:27:46,290 "Do you know what Ice Bucket Challenge was going to fund?" 471 00:27:46,749 --> 00:27:50,294 {\an8}And more than half the people said they had no idea. 472 00:27:50,294 --> 00:27:53,297 {\an8}So not only did they not know what ALS was 473 00:27:53,297 --> 00:27:56,759 {\an8}they didn't even know what they were dumping ice on their heads for. 474 00:27:59,095 --> 00:28:01,055 The Ice Bucket Challenge has been critical, actually, 475 00:28:01,055 --> 00:28:02,556 to move the field forward 476 00:28:02,556 --> 00:28:04,767 in terms of basic science research 477 00:28:04,767 --> 00:28:07,603 and understanding the biology and clinical trials. 478 00:28:07,603 --> 00:28:11,816 But we have to continue that sustained visibility. 479 00:28:11,816 --> 00:28:15,069 The diseases that have had huge successes 480 00:28:15,069 --> 00:28:19,031 have had a lot of opportunities for federal funding. 481 00:28:19,907 --> 00:28:22,201 So the Ice Bucket Challenge 482 00:28:22,201 --> 00:28:29,291 raising $100 million is impressive. 483 00:28:29,500 --> 00:28:34,088 But if we approach the government 484 00:28:34,088 --> 00:28:36,048 in the right way, 485 00:28:36,048 --> 00:28:42,304 we can get $100 million every year. 486 00:28:44,432 --> 00:28:46,142 [Brian] When you're told that 487 00:28:46,142 --> 00:28:48,936 the world you believed you were going to live in 488 00:28:48,936 --> 00:28:51,397 is no longer there 489 00:28:51,397 --> 00:28:55,067 you have to either choose to curl up into a ball or act 490 00:28:55,067 --> 00:28:57,653 and for better or worse 491 00:28:57,653 --> 00:29:00,573 Sandra has described me as a Golden Retriever who sees a bright, shiny object 492 00:29:00,573 --> 00:29:02,032 and runs at it 493 00:29:02,032 --> 00:29:04,702 and this was a bright shiny object that I had to run at. 494 00:29:06,954 --> 00:29:08,831 Good morning! 495 00:29:10,124 --> 00:29:12,084 - [Brian] Senator, good to meet you. - Good to see you. 496 00:29:14,003 --> 00:29:15,880 {\an8}[Sandra] Our first step was to meet with the members 497 00:29:15,880 --> 00:29:17,423 {\an8}in the House and the Senate 498 00:29:17,423 --> 00:29:23,304 who had the ability to help change the funding levels at DoD and NIH for ALS. 499 00:29:23,304 --> 00:29:27,016 8:17. Cutting it close for an 8:30 a.m. meeting. 500 00:29:27,016 --> 00:29:28,851 [Brian] On time is the new early. 501 00:29:30,311 --> 00:29:34,190 NIH is the single biggest funder of ALS research out there. 502 00:29:34,190 --> 00:29:37,568 {\an8}If we actually step up the investment, in ten years from now, 503 00:29:37,568 --> 00:29:41,238 you and I could be sitting here saying, "Hey, remember when we cured that thing?" 504 00:29:42,114 --> 00:29:44,700 And my goal is to try to figure out how to make this 505 00:29:44,700 --> 00:29:47,369 something that people can actually pay attention to 506 00:29:47,369 --> 00:29:50,039 and try to get all of us talking together-- 507 00:29:50,039 --> 00:29:53,918 Parkinson's, Alzheimer's, ALS, MS, together. 508 00:29:57,838 --> 00:30:03,469 [Obama] If you get enough people who care deeply about an issue 509 00:30:03,469 --> 00:30:06,889 and they organize themselves, 510 00:30:06,889 --> 00:30:08,766 they can get power 511 00:30:08,766 --> 00:30:13,270 and you can start getting people to think about a problem in a different way. 512 00:30:13,270 --> 00:30:14,897 [Nicole] If we're gonna make a difference, 513 00:30:14,897 --> 00:30:18,943 {\an8}we need people on the Hill to understand this disease. 514 00:30:19,235 --> 00:30:21,195 The system is broken for this disease. 515 00:30:21,195 --> 00:30:24,281 It doesn't mean the people that created the system are bad or evil. 516 00:30:24,281 --> 00:30:26,700 They didn't know, and it's our job to tell them. 517 00:30:26,700 --> 00:30:29,453 But once we tell them, they need to fix it. 518 00:30:35,876 --> 00:30:40,089 {\an8}[Sandra] Brian has been invited to testify before Congress about ALS. 519 00:30:41,257 --> 00:30:44,677 Congress controls funding, and Congress needs to understand the urgency, 520 00:30:44,677 --> 00:30:46,929 if they're going to fund ALS research. 521 00:30:55,563 --> 00:30:56,981 Whoo! 522 00:31:00,776 --> 00:31:04,405 [Brian] We are driving to go through a preparation session for me, 523 00:31:04,405 --> 00:31:07,366 {\an8}because despite having grown up in D.C., 524 00:31:07,366 --> 00:31:08,701 {\an8}having been on a campaign, 525 00:31:08,701 --> 00:31:13,622 having worked in the White House, I've never testified before Congress before. 526 00:31:13,622 --> 00:31:18,919 My wife thought it'd be good for someone to tell me what to do and not to do. 527 00:31:18,919 --> 00:31:22,840 So, this is a group called Winning Strategies Washington, 528 00:31:22,840 --> 00:31:26,135 and they've been involved in, like, seven different disease fights. 529 00:31:26,135 --> 00:31:28,804 And so they're gonna help us bring more light to our fight 530 00:31:28,804 --> 00:31:34,602 to get more money for NIH funding for ALS and help us navigate Capitol Hill. 531 00:31:40,232 --> 00:31:42,151 [woman] Can you read that line again? 532 00:31:42,151 --> 00:31:43,944 Of those diagnosed the same day as me, 533 00:31:43,944 --> 00:31:48,616 this time next year, nearly half will be dead. 534 00:31:49,742 --> 00:31:52,995 - We're just over five minutes-- 5:23. - [Brian clears throat] 535 00:31:52,995 --> 00:31:56,790 My voice will be shot, though, tomorrow, so that was a struggle to get through. 536 00:32:02,880 --> 00:32:05,341 That's how you do life. You just keep moving. 537 00:32:05,883 --> 00:32:07,384 Keep trying to make a difference. 538 00:32:08,469 --> 00:32:10,471 It's got moments of beauty where you 539 00:32:10,471 --> 00:32:13,849 reflect on life and enjoy things in a way that you otherwise wouldn't. 540 00:32:14,642 --> 00:32:18,437 But it's got those other moments of frustration where things you used to do, 541 00:32:18,437 --> 00:32:21,148 simply like tying a tie this morning... 542 00:32:21,607 --> 00:32:24,568 You know my brain and hands know exactly what to do 543 00:32:24,568 --> 00:32:27,404 but the actual mechanics of making it happen 544 00:32:27,404 --> 00:32:28,947 you have to think through now. 545 00:32:30,157 --> 00:32:34,078 The crazy part is we're running faster and harder now than we ever did before. 546 00:32:34,495 --> 00:32:36,747 But it is being done in a way that 547 00:32:36,747 --> 00:32:39,333 you wake up every morning and say, 548 00:32:40,334 --> 00:32:42,294 "This is good. This is right." 549 00:32:43,045 --> 00:32:46,465 "I'm exhausted, but this is what I want to be doing." 550 00:32:49,843 --> 00:32:53,430 [Sandra] It's a lot of work, and Brian's now a little worn out 551 00:32:53,430 --> 00:32:55,557 because it is really taxing. 552 00:32:55,557 --> 00:32:57,643 And he's been flying around the country 553 00:32:57,643 --> 00:33:00,354 and we do have our jobs, 554 00:33:00,354 --> 00:33:03,273 and then we have our two kids who are still babies. 555 00:33:03,273 --> 00:33:07,486 And so I-I, like, just... 556 00:33:07,486 --> 00:33:12,408 I'm in awe of Brian's reaction to the situation. 557 00:33:12,408 --> 00:33:15,327 I mean, I don't think there's any test of the human spirit 558 00:33:15,327 --> 00:33:19,164 that's more telling than someone telling you 559 00:33:19,164 --> 00:33:23,127 you don't have a long time to live and-and responding in this way, 560 00:33:23,127 --> 00:33:27,464 not saying, "Oh, this is something I'm going to get done before I die," 561 00:33:27,464 --> 00:33:29,842 but, "We're going to get this done, and I'm going to live, 562 00:33:29,842 --> 00:33:32,845 and we're going to get this done for everyone." 563 00:33:34,638 --> 00:33:37,933 [intriguing music playing] 564 00:33:50,946 --> 00:33:53,741 [woman] Committee is back in session. 565 00:33:53,741 --> 00:33:59,246 Let me ask now Brian Wallach, I AM ALS, to join us. 566 00:34:02,624 --> 00:34:05,586 [Brian] Thank you for the opportunity to testify before you today. 567 00:34:07,463 --> 00:34:11,717 At the age of 37, I was diagnosed with ALS. 568 00:34:11,717 --> 00:34:17,055 My diagnosis was a shock to us because I have no family history of ALS. 569 00:34:17,055 --> 00:34:22,436 It turns out that 90% of ALS patients don't, either. 570 00:34:22,436 --> 00:34:28,776 That's because ALS, like cancer, can and does affect anyone. 571 00:34:28,776 --> 00:34:34,406 in the aftermath of my diagnosis, Sandra, my wife, who's here with me today, 572 00:34:34,406 --> 00:34:37,743 and I cried, and we held our family tight. 573 00:34:38,911 --> 00:34:44,583 We did so because being diagnosed with ALS today is a death sentence. 574 00:34:45,584 --> 00:34:47,002 There is no cure. 575 00:34:47,002 --> 00:34:49,004 I will not see my daughters grow up. 576 00:34:51,131 --> 00:34:54,301 So I'm here today to ask you and this committee 577 00:34:54,301 --> 00:34:56,804 to rewrite the ALS story. 578 00:34:56,804 --> 00:35:01,558 I'm here on behalf of my family and the incredible ALS community. 579 00:35:01,558 --> 00:35:06,104 I'm here to ask you to see us, to hear us 580 00:35:06,104 --> 00:35:09,024 and to fully fund our fight against ALS. 581 00:35:09,024 --> 00:35:11,985 Every day is a fight for survival, 582 00:35:11,985 --> 00:35:15,072 and it's a fight we will all lose, all of us. 583 00:35:16,281 --> 00:35:19,201 This is simply not acceptable. 584 00:35:19,201 --> 00:35:21,703 We can actually cure ALS. 585 00:35:21,703 --> 00:35:27,668 How? By fully and boldly funding the fight against ALS, 586 00:35:27,668 --> 00:35:32,256 just like this government did with the fight against HIV 30 years ago. 587 00:35:32,256 --> 00:35:36,802 And when you do, you will help unlock cures not just for ALS 588 00:35:36,802 --> 00:35:40,806 but for Alzheimer's, Parkinson's and beyond. 589 00:35:40,806 --> 00:35:44,017 This committee has the power to help save our lives. 590 00:35:44,017 --> 00:35:47,437 I thank you for having the courage to do so. 591 00:35:50,607 --> 00:35:52,734 {\an8}Thank you very, very much, uh, Brian. 592 00:35:52,734 --> 00:35:54,611 {\an8}Um... 593 00:35:54,611 --> 00:35:59,408 {\an8}We are all in this room lucky to be able to hear from you. 594 00:35:59,408 --> 00:36:03,704 We want you to see your daughters graduate from kindergarten and beyond, 595 00:36:03,704 --> 00:36:07,958 and I promise you that we will fight for your survival. 596 00:36:07,958 --> 00:36:09,376 Godspeed. 597 00:36:18,260 --> 00:36:20,262 [gentle acoustic guitar music playing] 598 00:36:28,896 --> 00:36:31,398 ♪ Go on ♪ 599 00:36:31,398 --> 00:36:33,901 ♪ Go on, my babe ♪ 600 00:36:33,901 --> 00:36:35,569 ♪ Go on ♪ 601 00:36:36,653 --> 00:36:38,739 ♪ All the way ♪ 602 00:36:41,617 --> 00:36:43,911 [song ends] 603 00:36:50,459 --> 00:36:53,629 {\an8}Tuesday morning, a young man from Chicago 604 00:36:53,629 --> 00:36:57,716 {\an8}named Brian Wallach and his wife Sandra came in to see me. 605 00:36:57,716 --> 00:37:02,721 {\an8}A year and a half ago, 18 months ago, he was diagnosed with ALS. 606 00:37:02,721 --> 00:37:07,809 {\an8}What can you say to the couple and others that face this particular disease? 607 00:37:07,809 --> 00:37:12,981 {\an8}This is a particularly critical and heartbreaking condition, as you well know. 608 00:37:12,981 --> 00:37:16,652 {\an8}It's a very hard problem, but I think our chances are better now than ever 609 00:37:16,652 --> 00:37:19,696 {\an8}to make some real forward motion and maybe even some breakthroughs. 610 00:37:19,696 --> 00:37:21,323 {\an8}Thank you. 611 00:37:21,323 --> 00:37:26,787 {\an8}Brian translates hope into action really effectively. 612 00:37:26,787 --> 00:37:31,291 Another day of amazing meetings in D.C. is done. 613 00:37:31,291 --> 00:37:35,796 In the next few weeks, stay tuned for a few major announcements from I AM ALS 614 00:37:35,796 --> 00:37:37,881 about the meetings that we had today. 615 00:37:37,881 --> 00:37:41,218 [Sandra] This trip, along with several others in 2019, 616 00:37:41,218 --> 00:37:43,929 resulted in things we were told were impossible. 617 00:37:43,929 --> 00:37:47,015 First, Senators Durbin and Murkowski led the charge 618 00:37:47,015 --> 00:37:49,893 to double the funding for ALS research 619 00:37:49,893 --> 00:37:54,064 from ten million to 20 million at the Department of Defense, 620 00:37:54,064 --> 00:37:56,858 which we were then able to double again 621 00:37:56,858 --> 00:38:01,279 from 20 million to 40 million in 2020. 622 00:38:01,279 --> 00:38:04,116 Second, NIH increased the funding 623 00:38:04,116 --> 00:38:07,703 for ALS research to the highest level in history. 624 00:38:07,703 --> 00:38:09,913 Altogether, this community has driven 625 00:38:09,913 --> 00:38:11,999 more than 80 million 626 00:38:11,999 --> 00:38:14,126 {\an8}in new, recurring federal funding 627 00:38:14,126 --> 00:38:16,962 {\an8}for ALS research in just two years. 628 00:38:16,962 --> 00:38:18,755 {\an8}This is a group of people 629 00:38:18,755 --> 00:38:20,841 {\an8}who believe in their own power 630 00:38:20,841 --> 00:38:22,968 and knows that they can change this. 631 00:38:22,968 --> 00:38:26,805 For them to be able to secure an extra $80 million per year 632 00:38:26,805 --> 00:38:29,850 for the basic research that ultimately is going to be the key 633 00:38:29,850 --> 00:38:31,893 to unlocking this disease means 634 00:38:31,893 --> 00:38:34,187 we're going to accelerate progress in ways 635 00:38:34,187 --> 00:38:36,398 that wouldn't have been possible had it not been for, uh, 636 00:38:36,398 --> 00:38:38,108 all the great work they did. 637 00:38:38,108 --> 00:38:40,444 [Mike Merola] D.C. can either move at a glacial pace, 638 00:38:40,444 --> 00:38:42,029 or it can move at a lightning pace. 639 00:38:42,029 --> 00:38:45,824 I've never in 25 years experienced 640 00:38:45,824 --> 00:38:47,951 a movement like this. 641 00:38:47,951 --> 00:38:49,536 It's changing history in front of our eyes. 642 00:38:49,536 --> 00:38:51,413 That's really what they're all about. 643 00:38:51,413 --> 00:38:53,123 [upbeat, percussive music playing] 644 00:38:57,335 --> 00:39:01,173 [Brian] Right now, what we're trying to do is build 645 00:39:01,173 --> 00:39:03,300 a movement to cure ALS, 646 00:39:03,300 --> 00:39:07,512 and that means that we have to keep each and every one of us alive 647 00:39:07,512 --> 00:39:09,598 for as long as possible. 648 00:39:09,598 --> 00:39:12,559 When people are diagnosed with ALS, 649 00:39:12,559 --> 00:39:16,730 {\an8}the health care system is almost set up in a way 650 00:39:16,730 --> 00:39:20,025 {\an8}that becomes an obstacle course 651 00:39:20,025 --> 00:39:23,695 for people who are losing all of their physical abilities already. 652 00:39:23,695 --> 00:39:29,451 Innovative processes or equipment that allows them to have more independence, 653 00:39:29,451 --> 00:39:32,996 it's not covered, and people with ALS 654 00:39:32,996 --> 00:39:34,539 often aren't able to work. 655 00:39:34,539 --> 00:39:38,627 And so, how can they pay for these things that can help empower their lives 656 00:39:38,627 --> 00:39:41,296 or-or to be able to live and-and function? 657 00:39:41,296 --> 00:39:43,131 It-it's awful. 658 00:39:44,091 --> 00:39:49,387 [Juan] This is pretty much the extent of my walking ability. 659 00:39:49,387 --> 00:39:52,474 After a couple of falls 660 00:39:52,474 --> 00:39:58,313 I quickly learned to not push myself. 661 00:39:58,522 --> 00:40:00,065 [Sandra] You just can't escape how hard it is 662 00:40:00,065 --> 00:40:04,736 to live and to survive every day with that disease. 663 00:40:04,736 --> 00:40:10,659 Through our work in supporting patients, it became clear so quickly 664 00:40:10,659 --> 00:40:16,039 that the delay in Social Security disability benefits 665 00:40:16,039 --> 00:40:19,960 was hugely problematic for families. 666 00:40:19,960 --> 00:40:24,840 If you have ALS, you have two to five years to live, typically. 667 00:40:24,840 --> 00:40:26,133 Yep. 668 00:40:26,133 --> 00:40:28,844 I don't think that everybody realizes that. 669 00:40:29,386 --> 00:40:34,349 [Brian] And you have to wait five months to access disability benefits. 670 00:40:34,683 --> 00:40:37,811 That is a huge, huge thing. 671 00:40:38,103 --> 00:40:43,441 You end up losing either a quarter or a half of your life 672 00:40:43,441 --> 00:40:47,654 waiting for those benefits to come to you. 673 00:40:47,654 --> 00:40:50,907 And that means that families go bankrupt, 674 00:40:50,907 --> 00:40:54,077 that means that families can't get caregivers... 675 00:40:56,037 --> 00:40:58,623 the repercussions are real. 676 00:41:03,003 --> 00:41:07,007 For Steve Gleason, Social Security Disability Insurance 677 00:41:07,007 --> 00:41:11,219 has been a passion of his for a while. 678 00:41:11,970 --> 00:41:13,847 {\an8}[commentator] Again, a breakthrough! 679 00:41:13,847 --> 00:41:15,891 {\an8}A kick blocked by Steve Gleason. 680 00:41:15,891 --> 00:41:19,019 {\an8}It is scooped and scored by Curtis Deloatch. 681 00:41:19,019 --> 00:41:21,229 {\an8}Touchdown, New Orleans! 682 00:41:21,229 --> 00:41:22,814 {\an8}[newscaster] Ten years ago today, 683 00:41:22,814 --> 00:41:27,110 former Saints player Steve Gleason was diagnosed with ALS. 684 00:41:27,110 --> 00:41:29,696 Originally given just two to five years to live, 685 00:41:29,696 --> 00:41:33,283 Gleason has defied all expectations 686 00:41:33,283 --> 00:41:37,370 and has become a champion for ALS patients and awareness. 687 00:41:37,370 --> 00:41:39,873 [Clare Durrett] When I first met Steve, he said, 688 00:41:39,873 --> 00:41:42,125 "I want to change lives for people in the ALS community. 689 00:41:42,125 --> 00:41:44,419 But don't have me testify before Congress, 690 00:41:44,419 --> 00:41:48,381 and I don't want to have anything to do with legislation." 691 00:41:51,760 --> 00:41:53,637 [Steve Gleason] Once I was diagnosed, 692 00:41:53,637 --> 00:41:58,892 we learned I could apply for Social Security Disability Insurance. 693 00:41:58,892 --> 00:42:03,980 But it would take at least five months before I could receive it. 694 00:42:04,439 --> 00:42:08,777 Fortunately, I had the money to cover the cost of living 695 00:42:08,777 --> 00:42:13,448 but most people--families--are not so fortunate. 696 00:42:27,462 --> 00:42:31,841 The five month waiting period is simply and completely unnecessary. 697 00:42:31,841 --> 00:42:36,304 And almost always contributes to near financial ruin. 698 00:42:38,848 --> 00:42:40,558 [Brian] Even with someone like Steve 699 00:42:40,558 --> 00:42:45,522 advocating for something that seems to be a no-brainer, 700 00:42:45,522 --> 00:42:47,440 it doesn't happen 701 00:42:47,440 --> 00:42:51,069 unless the entire community gets behind it 702 00:42:51,069 --> 00:42:55,407 and pushes every single person to embrace it. 703 00:42:55,407 --> 00:42:57,826 Steve came up to me and said, 704 00:42:57,826 --> 00:43:02,038 "I don't know how you do the things you do in D.C. 705 00:43:02,038 --> 00:43:05,166 ...but you better pass this damn bill." 706 00:43:05,375 --> 00:43:06,376 [Sandra chuckles] 707 00:43:06,626 --> 00:43:09,045 Brian says to me, 708 00:43:09,045 --> 00:43:12,424 "Dan, I just committed 709 00:43:12,424 --> 00:43:16,594 to Steve to get this done this year." 710 00:43:16,594 --> 00:43:20,807 It just does not happen in D.C. 711 00:43:20,807 --> 00:43:23,268 It just does not. 712 00:43:25,562 --> 00:43:27,272 [laughing] 713 00:43:48,626 --> 00:43:51,713 [Shelly] We personally contacted 714 00:43:51,713 --> 00:43:54,341 every Representative 715 00:43:54,341 --> 00:43:57,052 and every Senator. 716 00:43:57,635 --> 00:44:00,472 Five months is really a big deal here. 717 00:44:00,472 --> 00:44:06,269 {\an8}I've watched my brother go from a professional athlete 718 00:44:06,269 --> 00:44:07,937 {\an8}to quadriplegic. 719 00:44:07,937 --> 00:44:11,358 {\an8}About a two-and-a-half-year process to be completely wheelchair-bound. 720 00:44:12,192 --> 00:44:17,364 Dan and Brian bring so much political clout to the table. 721 00:44:17,364 --> 00:44:21,910 They're able to provide a focus and an access for us. 722 00:44:22,911 --> 00:44:27,165 Well, my staff hates it when I commit to things without consulting with them, 723 00:44:27,165 --> 00:44:29,626 {\an8}but I'm going to do it anyway. So, let's do it. 724 00:44:29,626 --> 00:44:31,920 {\an8}[laughter] 725 00:44:34,381 --> 00:44:39,302 We saw every member of leadership come together. 726 00:44:39,302 --> 00:44:42,680 And every meeting, every conversation was about ALS, 727 00:44:42,680 --> 00:44:45,934 and if you asked me if that was possible 728 00:44:45,934 --> 00:44:48,770 when we began this two and a half years ago, 729 00:44:48,770 --> 00:44:50,730 I would have said you're insane. 730 00:44:51,773 --> 00:44:55,485 I mean, it is just one of those moments where you look around and think... 731 00:44:56,528 --> 00:45:00,156 "Shit, this could actually work." [chuckles] 732 00:45:00,156 --> 00:45:03,576 [♪ Rachel Platten: "Fight Song"] 733 00:45:03,576 --> 00:45:05,453 {\an8}Senator from Arkansas. 734 00:45:05,453 --> 00:45:07,664 {\an8}I'm very pleased the Senate has just passed 735 00:45:07,664 --> 00:45:11,960 the ALS Disability Insurance Access Act 96 to one. 736 00:45:11,960 --> 00:45:16,047 [newscaster] The bipartisan support is the result of four years of work 737 00:45:16,047 --> 00:45:18,675 from organizations and advocates 738 00:45:18,675 --> 00:45:23,304 explaining to lawmakers why this measure is so important. 739 00:45:23,304 --> 00:45:26,099 {\an8}A bill can look like it was easy to get done 740 00:45:26,099 --> 00:45:29,018 {\an8}when it passes 96 to one, 741 00:45:29,018 --> 00:45:31,688 but that doesn't mean that the pathway was easy. 742 00:45:31,688 --> 00:45:34,899 This has been years and years of effort. 743 00:45:34,899 --> 00:45:36,943 The people we really need to be grateful to 744 00:45:36,943 --> 00:45:39,404 and appreciative of are the ALS advocates. 745 00:45:39,404 --> 00:45:42,615 The courage that they show and the way that they persist 746 00:45:42,615 --> 00:45:44,409 stand as an example to all of us 747 00:45:44,409 --> 00:45:49,664 of what courage in impossible circumstances looks like. 748 00:45:51,666 --> 00:45:54,377 - Can you put the hood on my head? - Yeah. 749 00:45:56,713 --> 00:46:00,049 Campaign work never happens in good weather. 750 00:46:00,049 --> 00:46:04,053 You always have to fight through the rain, the snow. 751 00:46:04,888 --> 00:46:07,599 [Brian] Who thought this was a good idea? 752 00:46:07,599 --> 00:46:10,059 [Sandra] "Who thought this was a good idea?" 753 00:46:10,059 --> 00:46:12,937 Brian Sully Wallach! 754 00:46:15,231 --> 00:46:16,983 [Kathleen Rooney] We're such a virtual team, 755 00:46:16,983 --> 00:46:20,403 {\an8}and even to have everyone here in person and to give people a hug 756 00:46:20,403 --> 00:46:22,822 that I have been on phone calls with for months will be incredible. 757 00:46:22,822 --> 00:46:25,825 ♪ And all those things I didn't say ♪ 758 00:46:25,825 --> 00:46:29,078 ♪ Wrecking balls inside my brain ♪ 759 00:46:29,078 --> 00:46:31,080 ♪ I will scream them loud tonight ♪ 760 00:46:31,080 --> 00:46:34,125 - Oh, yes! Yes! - ♪ Can you hear my voice this time? ♪ 761 00:46:34,125 --> 00:46:37,086 - ♪ This is my fight song ♪ - Amazing. 762 00:46:37,086 --> 00:46:39,964 ♪ Take back my life song ♪ 763 00:46:39,964 --> 00:46:43,468 ♪ Prove I'm all right song ♪ 764 00:46:43,468 --> 00:46:45,470 Oh, my God. [chuckles] 765 00:46:45,470 --> 00:46:47,096 ♪ My power's turned on ♪ 766 00:46:47,096 --> 00:46:50,391 {\an8}♪ Starting right now I'll be strong ♪ 767 00:46:50,391 --> 00:46:52,977 {\an8}♪ I'll play my fight song ♪ 768 00:46:54,437 --> 00:47:00,151 {\an8}♪ And I don't really care if nobody else believes ♪ 769 00:47:00,151 --> 00:47:03,029 ♪ 'Cause I've still got a lot of fight left in me ♪ 770 00:47:03,029 --> 00:47:05,782 [all chanting] I AM ALS! I AM ALS! 771 00:47:05,782 --> 00:47:09,702 I AM ALS! I AM ALS! 772 00:47:09,702 --> 00:47:12,288 [cheering] 773 00:47:13,289 --> 00:47:18,294 ♪ And I don't really care if nobody else believes ♪ 774 00:47:18,294 --> 00:47:22,507 ♪ 'Cause I've still got a lot of fight left in me ♪ 775 00:47:24,092 --> 00:47:28,346 ♪ Know I've still got a lot of fight left in me ♪ 776 00:47:29,389 --> 00:47:33,268 [Priscilla] Rare diseases are often windows into biology. 777 00:47:33,268 --> 00:47:35,144 They can tell you a very specific thing 778 00:47:35,144 --> 00:47:38,356 {\an8}about how the human body works. 779 00:47:38,356 --> 00:47:41,609 If you understand in ALS what breaks down 780 00:47:41,609 --> 00:47:45,113 and contributes to symptoms in ALS, 781 00:47:45,113 --> 00:47:48,366 it actually tells you something pretty important about the nervous system 782 00:47:48,366 --> 00:47:54,122 that might apply to Alzheimer's or Parkinson's disease. 783 00:47:55,123 --> 00:48:00,295 [Jinsy] So, if we were able to untangle ALS, we might be able to help others. 784 00:48:00,295 --> 00:48:02,589 That's really the key. 785 00:48:02,589 --> 00:48:05,967 {\an8}ALS has been a puzzle, and we haven't been able to solve it, 786 00:48:05,967 --> 00:48:08,928 {\an8}but there are pieces that have been turned over for us 787 00:48:08,928 --> 00:48:10,471 {\an8}that we can string together. 788 00:48:10,471 --> 00:48:12,557 [Merit Cudkowicz] The broad way that we categorize ALS 789 00:48:12,557 --> 00:48:14,559 is familial or not familial. 790 00:48:14,559 --> 00:48:16,561 {\an8}So, about ten percent of people with ALS, 791 00:48:16,561 --> 00:48:18,271 {\an8}this runs in their family. 792 00:48:18,271 --> 00:48:21,816 There's over 45 different gene changes that can cause the familial form. 793 00:48:21,816 --> 00:48:26,613 We're at the point where we can do really targeted gene therapy treatments, 794 00:48:26,613 --> 00:48:29,616 and that opens up treatment options not just for the people 795 00:48:29,616 --> 00:48:31,451 who have the gene mutations, the familial form, 796 00:48:31,451 --> 00:48:34,203 but also for people who have the non-familial form. 797 00:48:34,203 --> 00:48:38,499 I am so much more hopeful now than I was even five years, ten years ago. 798 00:48:40,543 --> 00:48:43,963 [Kelsie Snow] It's amazing how your definition of luck can change. 799 00:48:43,963 --> 00:48:46,382 {\an8}Because we feel so incredibly lucky. 800 00:48:46,382 --> 00:48:49,344 {\an8}You know, only one to two percent of all ALS patients 801 00:48:49,344 --> 00:48:52,221 {\an8}have this type of ALS and qualify for this drug. 802 00:48:52,221 --> 00:48:55,099 And to be among that one to two percent 803 00:48:55,099 --> 00:48:57,435 is something that we are grateful for every single day. 804 00:48:57,435 --> 00:49:01,648 [Sandra] We've become good friends with Chris and Kelsie Snow. 805 00:49:01,648 --> 00:49:05,568 {\an8}Chris has a type of ALS called SOD1, 806 00:49:05,568 --> 00:49:08,321 {\an8}which is even worse in many ways 807 00:49:08,321 --> 00:49:11,449 {\an8}because it moves particularly fast. 808 00:49:12,492 --> 00:49:15,244 [Kelsie laughing] 809 00:49:15,244 --> 00:49:17,914 I challenge you, Kelsie Snow. 810 00:49:17,914 --> 00:49:19,374 [Kelsie] No way! 811 00:49:19,374 --> 00:49:24,337 [Sandra] And yet Chris is more than two years into his fight 812 00:49:24,337 --> 00:49:27,924 and he's still playing sports with his kids. 813 00:49:27,924 --> 00:49:31,803 The way he has stalled the progression of this disease 814 00:49:31,803 --> 00:49:34,514 as a result of the therapy he's on 815 00:49:34,514 --> 00:49:41,270 makes us see that the future of ALS becoming chronic is possible. 816 00:49:42,563 --> 00:49:44,107 For nine months after he started in the trial, 817 00:49:44,107 --> 00:49:47,568 there was no progression that we saw really at all. 818 00:49:47,568 --> 00:49:50,363 And then in April of last year, we noticed some changes to his face. 819 00:49:50,363 --> 00:49:54,867 He can't move his lips. He can't smile. He can't make facial expressions. 820 00:49:54,867 --> 00:49:57,370 While this drug might not be it for Chris, 821 00:49:57,370 --> 00:50:00,957 it's gonna keep him here until he can get the next thing that might be it. 822 00:50:01,708 --> 00:50:05,211 [Chris Snow] I look at myself doing better 823 00:50:05,211 --> 00:50:10,383 than anyone ever with this disease, who has a fast-progressing version. 824 00:50:10,383 --> 00:50:15,179 And I think, if I was Brian looking at Chris, 825 00:50:15,179 --> 00:50:19,308 I would feel angry that that's not me. 826 00:50:19,308 --> 00:50:23,646 And Brian holds those victories up like they're his own. 827 00:50:26,190 --> 00:50:27,692 I'm here. 828 00:50:27,692 --> 00:50:32,989 And I can honestly do everything I want to do still. 829 00:50:32,989 --> 00:50:35,199 That sheer hope 830 00:50:35,199 --> 00:50:37,410 that this can be a different narrative 831 00:50:37,744 --> 00:50:39,078 that's everything. 832 00:50:39,078 --> 00:50:41,706 [Kelsie] The weight of that hope and the power of that hope 833 00:50:41,706 --> 00:50:44,250 is really, it's quite immeasurable. 834 00:50:44,250 --> 00:50:46,794 And that's what every ALS family wants. 835 00:50:47,962 --> 00:50:50,047 - Oh, that went through! [laughs] - Oh! 836 00:50:51,048 --> 00:50:53,718 [Sandra] For the rest of us who aren't part 837 00:50:53,718 --> 00:50:57,305 of that small subset of ALS patients 838 00:50:57,305 --> 00:51:00,224 and who can't qualify for clinical trials, 839 00:51:00,224 --> 00:51:03,895 we need other options, and we need them now. 840 00:51:05,021 --> 00:51:06,522 We're running out of time. 841 00:51:10,902 --> 00:51:12,153 Okay. 842 00:51:13,571 --> 00:51:16,282 Radicava time! 843 00:51:18,367 --> 00:51:21,037 You have your... your iced coffee? 844 00:51:22,246 --> 00:51:24,749 I could use a refill. 845 00:51:26,709 --> 00:51:28,336 So demanding. 846 00:51:28,795 --> 00:51:29,796 Always. 847 00:51:33,132 --> 00:51:34,467 Push. Pull. 848 00:51:35,593 --> 00:51:36,886 Got blood. 849 00:51:43,976 --> 00:51:46,813 You have to get a shot of the 850 00:51:46,813 --> 00:51:51,192 award that I got from a PR agency 851 00:51:51,567 --> 00:51:54,987 {\an8}that was called the "Fuck Yeah! Award." 852 00:51:56,239 --> 00:51:58,074 [Sandra laughing] 853 00:51:59,158 --> 00:52:02,578 [Sandra] Brian has been on Radicava since 2017. 854 00:52:03,663 --> 00:52:09,460 It's one of only two FDA-approved drugs, and it's slowing his progression. 855 00:52:10,962 --> 00:52:13,548 Being three years into this fight, 856 00:52:13,548 --> 00:52:16,634 he can't qualify for any new clinical trials. 857 00:52:17,760 --> 00:52:21,138 Remember, don't breathe on it when you do it. 858 00:52:21,138 --> 00:52:25,476 Okay. Okay, one, two... 859 00:52:25,476 --> 00:52:27,311 No, I don't have a good handle. 860 00:52:27,311 --> 00:52:28,813 One, two... 861 00:52:28,813 --> 00:52:31,232 No, I-I don't feel like I have it. 862 00:52:32,066 --> 00:52:36,362 Okay, one, two... No, I can't. 863 00:52:36,362 --> 00:52:38,656 One, two, three. 864 00:52:38,656 --> 00:52:40,950 No. Shit. One, two, three. 865 00:52:40,950 --> 00:52:42,702 [sighs sharply] 866 00:52:42,702 --> 00:52:44,245 Not breathing on it. 867 00:52:45,955 --> 00:52:49,834 Just pulled a needle out of Brian's heart, basically, 868 00:52:49,834 --> 00:52:51,878 like they do in The Princess Bride. 869 00:52:51,878 --> 00:52:54,589 No, my heart is on the other side. 870 00:52:55,006 --> 00:52:56,924 [both laughing] 871 00:52:56,924 --> 00:52:58,885 [shuddering sigh] 872 00:53:05,391 --> 00:53:09,145 [Jinsy] ALS is unforgiving and relentless. 873 00:53:10,563 --> 00:53:12,857 It continues regardless of a global pandemic. 874 00:53:12,857 --> 00:53:16,694 {\an8}It continues regardless of your life. 875 00:53:16,694 --> 00:53:19,780 And so, time is a valuable commodity 876 00:53:19,780 --> 00:53:21,449 for people living with ALS. 877 00:53:21,449 --> 00:53:23,618 It's something they just don't have. 878 00:53:23,618 --> 00:53:26,787 [plaintive music playing] 879 00:54:02,740 --> 00:54:07,536 If Brian is one of the first few people on Radicava, 880 00:54:07,536 --> 00:54:11,290 which slows progression by, say, 20 to 30%, 881 00:54:11,290 --> 00:54:16,170 and then he gets himself on another drug that could slow progression by another 15% 882 00:54:16,170 --> 00:54:20,174 and maybe another one that slows it by another 20%, 883 00:54:20,174 --> 00:54:22,885 now maybe we've made him a ten-year survivor 884 00:54:22,885 --> 00:54:25,638 and we've bought ourself time 885 00:54:25,638 --> 00:54:28,849 for more drugs to get FDA-approved, 886 00:54:28,849 --> 00:54:32,687 for drugs that not only slow the disease but might also cure it. 887 00:54:34,981 --> 00:54:36,649 Whee! 888 00:54:37,775 --> 00:54:39,110 I can't keep up. 889 00:54:41,529 --> 00:54:45,366 I thought this scooter was supposed to be about walking together. 890 00:54:46,033 --> 00:54:48,160 [Brian] You walk too slow. 891 00:54:58,087 --> 00:55:00,214 [Sandra] For the first time ever, 892 00:55:00,214 --> 00:55:02,925 {\an8}there are a host of drugs in the pipeline 893 00:55:02,925 --> 00:55:05,261 {\an8}that are showing really promising results. 894 00:55:05,845 --> 00:55:09,390 {\an8}[presenter] One experimental therapy shows particular promise for ALS patients. 895 00:55:09,390 --> 00:55:13,144 {\an8}It's something called AMX0035. 896 00:55:13,144 --> 00:55:15,604 {\an8}That therapy showed in clinical trial studies 897 00:55:15,604 --> 00:55:18,607 {\an8}that it extended life by six and a half months, 898 00:55:18,607 --> 00:55:22,236 {\an8}which when you have a prognosis of two to five years... 899 00:55:22,236 --> 00:55:24,238 [presenter] Or, like in Brian's case, six months. 900 00:55:24,238 --> 00:55:26,907 [Sandra] That's living twice as long. 901 00:55:26,907 --> 00:55:28,451 {\an8}- And yet... - [Sandra chuckles] 902 00:55:28,451 --> 00:55:31,370 {\an8}- you can't get access. - And yet we can't get access. 903 00:55:31,370 --> 00:55:34,081 [presenter] The FDA wants more time to study it. 904 00:55:34,081 --> 00:55:36,333 [Sandra] The extra study is going to take 905 00:55:36,333 --> 00:55:37,501 {\an8}four to five years. 906 00:55:37,501 --> 00:55:42,506 {\an8}By then, pretty much every ALS patient alive today will be dead. 907 00:55:42,506 --> 00:55:46,052 {\an8}How can you look people in the face 908 00:55:46,052 --> 00:55:48,929 {\an8}and tell them that that's acceptable? 909 00:55:50,806 --> 00:55:53,976 [Christa] Because of the ALS clock and how fast the disease moves, 910 00:55:53,976 --> 00:55:58,606 the process by which drugs and treatments move through our government 911 00:55:58,606 --> 00:56:00,316 doesn't work for this disease. 912 00:56:00,316 --> 00:56:02,902 We can't wait two years. We can't even wait a year. 913 00:56:02,902 --> 00:56:06,197 Or I always say we don't have another summer to wait. 914 00:56:07,490 --> 00:56:09,283 [presenter] The FDA's job, in part, 915 00:56:09,283 --> 00:56:11,869 {\an8}is to make sure therapies are safe and effective. 916 00:56:11,869 --> 00:56:14,663 {\an8}But letting patients accept the risks for themselves 917 00:56:14,663 --> 00:56:17,458 {\an8}is the kind of flexible regulation 918 00:56:17,458 --> 00:56:22,963 {\an8}that Brian and Sandra are begging the FDA to grant to the ALS community. 919 00:56:23,255 --> 00:56:25,549 {\an8}We are more than willing 920 00:56:25,966 --> 00:56:27,718 {\an8}to take the risk 921 00:56:28,677 --> 00:56:31,680 {\an8}of experimental treatments 922 00:56:32,139 --> 00:56:35,017 knowing that it may not be 923 00:56:35,434 --> 00:56:38,729 successful for us. 924 00:56:38,938 --> 00:56:40,523 {\an8}If my house is on fire, 925 00:56:40,523 --> 00:56:43,943 {\an8}am I worried that the fire department is going to scratch my walls? 926 00:56:43,943 --> 00:56:47,446 ALS is a house on fire. These people are dying. 927 00:56:48,531 --> 00:56:51,575 [Sandra] If FDA is operating from a position of, 928 00:56:51,575 --> 00:56:57,081 "Well, we're not going to approve drugs that don't show 100% efficacy 929 00:56:57,081 --> 00:56:59,750 because they might do harm," 930 00:56:59,750 --> 00:57:01,418 they need to understand 931 00:57:01,418 --> 00:57:05,756 that ALS is a 100% terminal illness 932 00:57:05,756 --> 00:57:08,425 and that, for ALS patients, 933 00:57:08,425 --> 00:57:11,387 the options are I either die, 934 00:57:11,387 --> 00:57:16,308 or I get a chance to take a drug that has limited risks, 935 00:57:16,308 --> 00:57:19,603 just like I would have if I went under anesthesia 936 00:57:19,603 --> 00:57:21,856 or did any other routine surgery. 937 00:57:21,856 --> 00:57:27,862 The science is making it so that this can be the first generation of ALS survivors, 938 00:57:27,862 --> 00:57:30,948 but the system is stopping that from happening. 939 00:57:30,948 --> 00:57:33,075 And we are all going to die 940 00:57:33,075 --> 00:57:37,288 because nobody cares unless we do something about it. 941 00:57:41,083 --> 00:57:43,252 [Nicole] Here we are, young love. 942 00:57:43,252 --> 00:57:46,338 Little did we know what life had ahead for us, right? 943 00:57:47,506 --> 00:57:48,507 So... 944 00:57:52,303 --> 00:57:54,555 This was our last professional photo. 945 00:57:55,973 --> 00:58:01,353 I'm just grateful that we had so many great pictures, so many awesome memories, 946 00:58:01,353 --> 00:58:04,773 and I just wish he could still be with us here today. 947 00:58:06,066 --> 00:58:09,612 {\an8}Back in 2015, there was really no fighting ALS, 948 00:58:09,612 --> 00:58:12,448 and we were following what studies there were. 949 00:58:12,448 --> 00:58:15,701 {\an8}The most promising study going on at the moment 950 00:58:15,701 --> 00:58:17,995 was BrainStorm's NurOwn trial, 951 00:58:17,995 --> 00:58:20,122 and we met with the clinical trial nurse, 952 00:58:20,122 --> 00:58:24,376 and she's like, "I'm gonna tentatively offer you a spot. 953 00:58:24,376 --> 00:58:26,378 Uh, you'll be number nine." 954 00:58:26,378 --> 00:58:28,172 We knew how fortunate we were. 955 00:58:30,216 --> 00:58:34,261 Within 24 hours of Mike getting it, we saw results. 956 00:58:34,261 --> 00:58:36,263 He could write with his left hand again. 957 00:58:39,183 --> 00:58:42,019 He wrote my kids a note: "Always remember I love you." 958 00:58:42,019 --> 00:58:43,395 Those were the first things. 959 00:58:43,395 --> 00:58:47,483 We saw gains continue probably for about the next 12 to 14 days. 960 00:58:47,483 --> 00:58:49,318 Being able to stand up without my assistance, 961 00:58:49,318 --> 00:58:51,862 being able just to even have the independence 962 00:58:51,862 --> 00:58:54,114 washing your own hair again, right? 963 00:58:54,114 --> 00:58:57,368 We immediately reached out to the company and the FDA, 964 00:58:57,368 --> 00:59:00,746 saying, "Look, this has worked. We're seeing something." 965 00:59:00,996 --> 00:59:03,624 [interviewer] And then, what happened when the trial ended? 966 00:59:04,208 --> 00:59:05,501 The trial ends. 967 00:59:05,501 --> 00:59:09,964 And they would just say, "The trial design was designed this way. 968 00:59:09,964 --> 00:59:11,882 You will just get the one dose, 969 00:59:11,882 --> 00:59:14,051 and there's nothing more we can do for you." 970 00:59:15,886 --> 00:59:17,137 Insanity. 971 00:59:18,806 --> 00:59:20,724 He was like, "I'm good. 972 00:59:20,724 --> 00:59:22,935 If I don't get any worse, I will take that." 973 00:59:22,935 --> 00:59:26,146 And we just didn't have the opportunity to continue on the drug. 974 00:59:27,356 --> 00:59:32,403 Then he started slipping, and I can only imagine the torture. 975 00:59:32,403 --> 00:59:34,196 He never complained. 976 00:59:34,196 --> 00:59:38,409 Like, I just... It-it was just unbelievably cruel. 977 00:59:39,535 --> 00:59:41,954 [Aiden Cimbura] I wish I could talk to him one more time. 978 00:59:41,954 --> 00:59:44,164 {\an8}That would really be what I would really want. 979 00:59:44,164 --> 00:59:46,208 {\an8}But the fact that he was able to write that little note, 980 00:59:46,208 --> 00:59:47,668 that was also pretty sweet. 981 00:59:48,961 --> 00:59:51,255 [Seide] And we actually all got it tattooed. 982 00:59:51,255 --> 00:59:54,675 {\an8}Like, my tattoo is right here on my collarbone. 983 00:59:54,675 --> 00:59:56,385 So, yeah. 984 00:59:56,385 --> 01:00:00,514 [Nicole] We dreamt literally up until the day he passed 985 01:00:00,514 --> 01:00:04,143 of him having the opportunity to try again, 986 01:00:04,143 --> 01:00:07,104 to get, um, the treatment again. 987 01:00:08,731 --> 01:00:11,358 I mean, what a failed clinical trial design. 988 01:00:11,358 --> 01:00:14,987 You know, in oncology, HIV and AIDS, that's unheard of. 989 01:00:14,987 --> 01:00:17,656 Like, if a drug is working, the patient stays on it. 990 01:00:17,656 --> 01:00:19,742 [intriguing music playing] 991 01:00:21,577 --> 01:00:23,537 [Juan] We truly feel 992 01:00:23,996 --> 01:00:27,082 alienated and ignored 993 01:00:27,708 --> 01:00:29,668 by the FDA. 994 01:00:32,129 --> 01:00:34,340 At what point 995 01:00:34,340 --> 01:00:39,178 do you apply humaneness 996 01:00:39,178 --> 01:00:42,014 and empathy 997 01:00:42,681 --> 01:00:49,521 to the hardcore science that you are using 998 01:00:49,521 --> 01:00:54,860 to create, develop, and approve treatments? 999 01:00:55,069 --> 01:00:59,448 ALS patients just don't have the same rights as other terminally ill diseases, 1000 01:00:59,448 --> 01:01:01,950 and we're navigating on our own. 1001 01:01:01,950 --> 01:01:03,994 The time to act is now, 1002 01:01:03,994 --> 01:01:06,080 so that other ALS patients don't start over. 1003 01:01:11,085 --> 01:01:16,632 We are working very hard right now on legislation that's called ACT for ALS, 1004 01:01:16,632 --> 01:01:23,138 which is legislation that is designed to remove a lot of the policy barriers 1005 01:01:23,138 --> 01:01:26,892 for patients to have expanded access to treatments and therapies. 1006 01:01:37,820 --> 01:01:39,446 [Lisa Murkowski] This bill changes everything. 1007 01:01:39,446 --> 01:01:43,617 {\an8}It will bring real tangible hope and treatments 1008 01:01:43,617 --> 01:01:46,412 to people living with ALS. 1009 01:01:46,412 --> 01:01:50,165 We've never had that in this disease. 1010 01:01:50,165 --> 01:01:52,793 {\an8}I made it my mission to pass the ACT for ALS Act 1011 01:01:52,793 --> 01:01:57,631 {\an8}because people with ALS deserve a chance to fight the disease. 1012 01:01:57,631 --> 01:02:01,885 We're now getting to the point where we can start seeing real breakthroughs, 1013 01:02:01,885 --> 01:02:02,970 if it's a priority. 1014 01:02:02,970 --> 01:02:08,684 And what-what patient movements do is make these things priorities. 1015 01:02:08,684 --> 01:02:11,353 For a lot of people, ALS is just a disease. 1016 01:02:11,353 --> 01:02:13,021 They don't know what it looks like. 1017 01:02:13,021 --> 01:02:16,108 {\an8}I think we need to be able to get in front of legislators 1018 01:02:16,108 --> 01:02:20,863 {\an8}so they understand why we're so passionate about this. 1019 01:02:20,863 --> 01:02:23,740 {\an8}If they hear our stories, they will back us up. 1020 01:02:23,740 --> 01:02:30,456 {\an8}So far, I have 8,000 people sharing my story with their congressmen. 1021 01:02:30,456 --> 01:02:34,251 [Sandra] So, we have this historic piece of legislation introduced. 1022 01:02:34,251 --> 01:02:36,753 Now how do we get it passed? 1023 01:02:36,753 --> 01:02:42,676 We're discovering that there is some opposition from federal agencies. 1024 01:02:42,676 --> 01:02:46,555 One thing that we're finding when we're talking to congressional offices 1025 01:02:46,555 --> 01:02:49,850 is there are a lot of myths about the bill. 1026 01:02:49,850 --> 01:02:53,520 {\an8}One myth has been that it's going to slow or impede clinical trials. 1027 01:02:53,520 --> 01:02:54,771 {\an8}We know that it's not. 1028 01:02:54,771 --> 01:02:56,815 {\an8}It's so beyond frustrating. 1029 01:02:56,815 --> 01:02:58,317 {\an8}So, this is what we're up against. 1030 01:02:58,317 --> 01:03:00,903 {\an8}What can we do? Um, what walls are we hitting? 1031 01:03:00,903 --> 01:03:03,405 {\an8}And what can we do to get around those? 1032 01:03:03,405 --> 01:03:05,324 {\an8}We need to set the record straight. 1033 01:03:05,324 --> 01:03:09,620 [Sandra] The bureaucracy, red tape at FDA, is killing us 1034 01:03:09,620 --> 01:03:12,623 and must be changed and challenged now. 1035 01:03:13,624 --> 01:03:19,171 The FDA is preventing broader access to therapies in the name of patient safety, 1036 01:03:19,171 --> 01:03:23,217 but all of these drugs are deemed safe already 1037 01:03:23,217 --> 01:03:25,886 because they've passed phase one of the trial. 1038 01:03:25,886 --> 01:03:30,224 They're just making drugs for ALS to jump through extraordinary hoops, 1039 01:03:30,224 --> 01:03:33,560 even though their own guidance says they're going to expedite therapies. 1040 01:03:33,560 --> 01:03:36,647 This is the most cosponsors of any bill 1041 01:03:36,647 --> 01:03:39,441 that has not yet gotten a vote in this Congress. 1042 01:03:39,441 --> 01:03:43,111 {\an8}[Murkowski] To get over 60 cosponsors 1043 01:03:43,111 --> 01:03:45,614 {\an8}in the United States Senate 1044 01:03:45,614 --> 01:03:48,617 {\an8}on any kind of a measure, it was these advocates. 1045 01:03:48,617 --> 01:03:50,994 It was these grassroots individuals 1046 01:03:50,994 --> 01:03:53,539 who made these calls, who were relentless, 1047 01:03:53,539 --> 01:03:56,917 and when the politics did intervene, they were unleashed. 1048 01:04:04,967 --> 01:04:06,218 You good? 1049 01:04:07,386 --> 01:04:10,556 {\an8}[Sandra] We feel like we're running out of time. 1050 01:04:10,556 --> 01:04:13,559 {\an8}Brian's ALS has accelerated a lot. 1051 01:04:15,561 --> 01:04:18,814 When we talk about federal resources, 1052 01:04:18,814 --> 01:04:22,859 we're talking about funding that is multiyear. 1053 01:04:22,859 --> 01:04:29,116 It is for trials that likely will not come forward with therapies 1054 01:04:29,116 --> 01:04:31,410 until Brian's time is out. 1055 01:04:37,374 --> 01:04:42,045 [Brian] We are fighting history here. 1056 01:04:42,879 --> 01:04:49,886 We either remake the fight against ALS, 1057 01:04:51,138 --> 01:04:52,389 or 1058 01:04:56,018 --> 01:04:58,437 we will die trying. 1059 01:05:09,865 --> 01:05:11,825 [sobbing quietly] 1060 01:05:31,762 --> 01:05:33,764 [birds chirping] 1061 01:05:42,397 --> 01:05:45,400 [♪ Trevor Hall: "Green Mountain State"] 1062 01:05:48,403 --> 01:05:50,489 [Sandra] Let's do this, universe. 1063 01:05:50,489 --> 01:05:52,449 There's a way, there's a way. 1064 01:05:54,076 --> 01:05:56,995 Hey, Bri, there's always been a way. 1065 01:05:58,246 --> 01:06:00,040 We're gonna do this. 1066 01:06:00,040 --> 01:06:01,750 ♪ Hey ♪ 1067 01:06:02,918 --> 01:06:05,504 [automated announcement] Please do not stand in the roadway. 1068 01:06:05,504 --> 01:06:07,297 Thank you for your cooperation. 1069 01:06:08,382 --> 01:06:12,803 ♪ I call to the letters in leaves... 1070 01:06:16,431 --> 01:06:20,227 [Sandra] This hearing came about because thousands of patients 1071 01:06:20,227 --> 01:06:23,063 submitted requests to their members of Congress. 1072 01:06:24,856 --> 01:06:27,693 {\an8}ALS patients feel invisible. 1073 01:06:27,693 --> 01:06:32,072 {\an8}They're so vocal about how desperately they need access to therapies, 1074 01:06:32,072 --> 01:06:34,408 and they feel like nobody's listening. 1075 01:06:35,492 --> 01:06:39,287 We have to find every possible way to be heard and seen. 1076 01:06:45,168 --> 01:06:47,295 [crew member] Whenever the seat belt sign is on, 1077 01:06:47,295 --> 01:06:49,423 please take your seat and fasten your seat belt 1078 01:06:49,423 --> 01:06:50,966 low and tight across your lap. 1079 01:06:50,966 --> 01:06:52,801 ♪ There's a way ♪ 1080 01:06:54,177 --> 01:06:58,682 ♪ It has always ♪ 1081 01:06:58,682 --> 01:07:00,684 ♪ Always ♪ 1082 01:07:05,772 --> 01:07:07,691 [Sandra] And we ask that investigational new treatments 1083 01:07:07,691 --> 01:07:12,028 with positive phase two or three results have a faster pathway. 1084 01:07:12,028 --> 01:07:14,364 You know, the most important part of this hearing 1085 01:07:14,364 --> 01:07:19,035 is the fact that FDA is going to hear the ALS clinicians leading the field 1086 01:07:19,035 --> 01:07:21,121 - saying the exact same thing we are. - Yeah. 1087 01:07:22,164 --> 01:07:25,333 Science is moving quickly. Is the FDA? 1088 01:07:25,333 --> 01:07:28,295 - That last sentence right there. - Yeah. 1089 01:07:28,295 --> 01:07:31,423 [Brian] You had promised to be flexible. 1090 01:07:31,423 --> 01:07:34,551 You actually put forward 1091 01:07:34,551 --> 01:07:37,387 the clinical trial guidelines 1092 01:07:37,387 --> 01:07:39,306 that said you would be more... 1093 01:07:39,306 --> 01:07:41,475 Be more flexible, and you're being less flexible. 1094 01:07:41,475 --> 01:07:42,768 Yes. 1095 01:07:42,768 --> 01:07:44,978 All right, let's write a whole new testimony. 1096 01:07:45,729 --> 01:07:48,106 It isn't really a whole new one. 1097 01:07:48,106 --> 01:07:52,027 [laughs] That's-- None of that is in our current testimony, Brian. 1098 01:07:53,195 --> 01:07:57,115 I'm optimistic this will be fast. 1099 01:07:57,866 --> 01:07:59,785 I'm always fast. 1100 01:08:00,076 --> 01:08:01,077 Watch this. 1101 01:08:02,078 --> 01:08:04,372 [both laughing] 1102 01:08:04,372 --> 01:08:06,625 Was that you doing the running man? 1103 01:08:06,625 --> 01:08:08,168 [laughing] I can't even. 1104 01:08:08,168 --> 01:08:11,463 You have stuff... stuff stuck in your teeth, 1105 01:08:11,463 --> 01:08:14,508 and you're doing an ALS running man. 1106 01:08:14,508 --> 01:08:18,303 Just for the record, it's at 10:00 p.m. the night before the hearing. 1107 01:08:18,845 --> 01:08:20,138 11:00. 1108 01:08:20,347 --> 01:08:22,516 [laughing] Oh, yeah, it's 11:00. 1109 01:08:22,516 --> 01:08:25,519 My clock is wrong. It's worse. 1110 01:08:25,519 --> 01:08:26,603 Okay. 1111 01:08:26,895 --> 01:08:30,524 [Brian] At the time Brian was diagnosed 1112 01:08:30,524 --> 01:08:37,447 he was an Assistant United States Attorney. 1113 01:08:37,739 --> 01:08:41,326 This is my final closing argument... 1114 01:08:41,326 --> 01:08:43,537 No, don't make that sound like you're dying. 1115 01:08:43,537 --> 01:08:45,038 I am. 1116 01:08:45,413 --> 01:08:47,207 That's the whole point. 1117 01:08:54,214 --> 01:08:55,298 What? 1118 01:08:56,383 --> 01:09:00,637 I have to admit that for the hearing 1119 01:09:00,637 --> 01:09:05,559 even though we believe we will find a way. 1120 01:09:05,559 --> 01:09:10,605 The reality is, everyone dies from this. 1121 01:09:11,606 --> 01:09:12,649 Period. 1122 01:09:14,109 --> 01:09:16,653 Me included. 1123 01:09:18,488 --> 01:09:20,615 Okay, let's keep going. 1124 01:09:44,848 --> 01:09:46,433 Hole in one. Okay. 1125 01:09:48,143 --> 01:09:49,686 All right. 1126 01:09:51,187 --> 01:09:53,189 [stirring music playing] 1127 01:10:12,792 --> 01:10:14,794 ♪ ♪ 1128 01:10:20,675 --> 01:10:24,471 I called for today's hearing to discuss the challenge 1129 01:10:24,471 --> 01:10:26,890 {\an8}of advancing treatments and cures 1130 01:10:26,890 --> 01:10:29,601 {\an8}for neurodegenerative diseases. 1131 01:10:29,601 --> 01:10:33,188 Our work today is to help create the fighting chance 1132 01:10:33,188 --> 01:10:35,649 against these deadly diseases. 1133 01:10:35,649 --> 01:10:38,401 I think every member of our committee 1134 01:10:38,401 --> 01:10:42,489 has heard from ALS patients fed up with their lack of options. 1135 01:10:42,489 --> 01:10:44,157 [Schakowsky] My constituents are here. 1136 01:10:44,157 --> 01:10:49,955 I have been getting calls from their friends all over the country, 1137 01:10:49,955 --> 01:10:54,793 who are begging for a bit of hope. 1138 01:10:54,793 --> 01:10:57,295 How do we get to some answers before... 1139 01:10:58,380 --> 01:10:59,965 ...everyone expires? 1140 01:11:02,258 --> 01:11:05,553 Let me help you calm down a bit. 1141 01:11:05,553 --> 01:11:07,097 I'm not calm. 1142 01:11:07,347 --> 01:11:10,767 - I know. But I need you to be. - I'm having an emotional breakdown. 1143 01:11:11,351 --> 01:11:14,437 Don't do that. That will not help us. 1144 01:11:14,437 --> 01:11:16,231 I didn't say it was gonna be helpful. 1145 01:11:16,231 --> 01:11:18,900 [both laughing] 1146 01:11:18,900 --> 01:11:23,613 FDA has denied approval for two ALS drugs. 1147 01:11:23,613 --> 01:11:29,160 What can we do now to give those folks who have ALS 1148 01:11:29,160 --> 01:11:33,081 the hope that their lives will be frozen 1149 01:11:33,081 --> 01:11:37,085 or be bettered while they're still here? 1150 01:11:37,544 --> 01:11:42,298 Do not let another generation of patients die 1151 01:11:42,298 --> 01:11:45,719 in the pursuit of the perfect. 1152 01:11:45,719 --> 01:11:52,142 Instead, let this generation be the first to live. 1153 01:11:52,350 --> 01:11:54,936 [Sandra] You have the power to do that. 1154 01:11:54,936 --> 01:11:56,980 Yeah. Yep. 1155 01:11:58,064 --> 01:12:01,818 Making approval decisions about promising therapy is never easy, 1156 01:12:01,818 --> 01:12:04,070 especially in fatal diseases. 1157 01:12:04,070 --> 01:12:06,406 But year after year, people with ALS 1158 01:12:06,406 --> 01:12:11,369 have shared with the FDA, with Congress and basically anyone else who will listen 1159 01:12:11,369 --> 01:12:13,997 that they're willing to accept greater risks. 1160 01:12:13,997 --> 01:12:17,375 I've cared for thousands of families living with ALS. 1161 01:12:17,375 --> 01:12:19,169 There have been huge advances, 1162 01:12:19,169 --> 01:12:21,671 yet patients can't get access to these treatments. 1163 01:12:23,548 --> 01:12:28,136 [Anna Eshoo] Now, so pleased to recognize our two guests. 1164 01:12:28,136 --> 01:12:32,724 Mr. Wallach, welcome again, and thank you. 1165 01:12:32,724 --> 01:12:35,268 It is, um, more than an honor to have you, 1166 01:12:35,268 --> 01:12:38,605 and, uh, we look forward to your testimony now. 1167 01:12:38,605 --> 01:12:42,442 Thank you for the opportunity to testify before you today. 1168 01:12:42,734 --> 01:12:46,446 My name is Brian Wallach. 1169 01:12:46,446 --> 01:12:49,199 I am 40 years old. 1170 01:12:49,199 --> 01:12:54,079 I have been fighting ALS for four years. 1171 01:12:54,079 --> 01:12:55,997 I am Sandra Abrevaya. 1172 01:12:55,997 --> 01:12:59,000 I'm a caregiver. I am Brian's wife. 1173 01:12:59,000 --> 01:13:02,962 And as you will hear today, I will be his voice. 1174 01:13:02,962 --> 01:13:07,425 At the time that Brian was diagnosed, he was 37 years old 1175 01:13:07,425 --> 01:13:10,720 and he was an Assistant United States Attorney. 1176 01:13:11,012 --> 01:13:16,601 This is our closing argument for our lives. 1177 01:13:16,601 --> 01:13:20,230 This is our closing argument for our lives. 1178 01:13:22,107 --> 01:13:26,820 As you just heard from the panel's expert ALS clinicians, 1179 01:13:26,820 --> 01:13:29,906 we are all aligned. 1180 01:13:29,906 --> 01:13:34,244 ALS, while currently a 100% fatal disease, 1181 01:13:34,244 --> 01:13:37,747 is no longer hopeless. 1182 01:13:37,747 --> 01:13:43,419 Today, there are more promising therapies that are slowing or stopping ALS 1183 01:13:43,419 --> 01:13:48,258 in people, not in animal models. 1184 01:13:48,258 --> 01:13:49,759 In people. 1185 01:13:50,844 --> 01:13:55,181 So, the question we all need to answer today is: 1186 01:13:55,181 --> 01:14:01,771 How do we get the tens of thousands of ALS patients alive and dying today 1187 01:14:01,771 --> 01:14:06,734 using the tools and the science that currently exists? 1188 01:14:07,861 --> 01:14:10,321 Therapies that can keep patients alive, 1189 01:14:10,321 --> 01:14:12,657 to be here to see cures. 1190 01:14:12,657 --> 01:14:18,580 One, urge FDA to approve AMX0035 today. 1191 01:14:19,622 --> 01:14:23,877 Two, urge FDA to approve NurOwn 1192 01:14:23,877 --> 01:14:27,422 for the over-35 subgroup today. 1193 01:14:27,422 --> 01:14:31,217 Three, pass ACT for ALS, 1194 01:14:31,217 --> 01:14:35,096 which funds expanded access, today. 1195 01:14:35,096 --> 01:14:38,725 Four, pass the Promising Pathways Act 1196 01:14:38,725 --> 01:14:41,144 to provide a conditional approval pathway 1197 01:14:41,144 --> 01:14:45,523 for rapidly progressing fatal diseases, even beyond ALS. 1198 01:14:46,774 --> 01:14:48,693 I beg of you. 1199 01:14:48,693 --> 01:14:52,363 There are tens of thousands of patients who are watching this from their homes, 1200 01:14:52,363 --> 01:14:56,993 wheelchair-bound, some of them on life support, watching this today. 1201 01:14:56,993 --> 01:14:58,912 Their hope is in this hearing. 1202 01:14:58,912 --> 01:15:00,747 Some of them have waited 1203 01:15:00,747 --> 01:15:04,751 and postponed their decision for suicide to see this hearing. 1204 01:15:04,751 --> 01:15:08,963 I don't think you understand what this hearing means to us. 1205 01:15:08,963 --> 01:15:13,051 Please do not let another generation of ALS patients die 1206 01:15:13,051 --> 01:15:15,553 in pursuit of the perfect. 1207 01:15:15,553 --> 01:15:19,390 Please let this be the first generation to survive. 1208 01:15:19,891 --> 01:15:22,685 We want to live. 1209 01:15:22,685 --> 01:15:27,565 You have the power to make that possible. 1210 01:15:27,565 --> 01:15:29,442 We want to live. 1211 01:15:29,442 --> 01:15:32,570 You have the power to make that possible. 1212 01:15:34,239 --> 01:15:35,657 Thank you, Chairwoman. 1213 01:15:38,534 --> 01:15:40,536 [gentle piano music playing] 1214 01:15:47,627 --> 01:15:49,629 ♪ ♪ 1215 01:15:54,842 --> 01:15:57,845 [strings join in, playing melancholy melody] 1216 01:16:17,073 --> 01:16:19,367 [man] No further debate on this bill? 1217 01:16:21,119 --> 01:16:22,745 There is no further debate. 1218 01:16:22,745 --> 01:16:24,038 The question is on the bill. 1219 01:16:24,038 --> 01:16:25,456 All those in favor, say, "Aye." 1220 01:16:25,456 --> 01:16:26,791 [others] Aye. 1221 01:16:26,791 --> 01:16:28,167 All opposed, no. 1222 01:16:28,167 --> 01:16:30,253 The ayes appear to have it. The ayes do have it. 1223 01:16:30,253 --> 01:16:32,130 - The bill is passed. - [Sandra yelps happily] 1224 01:16:32,714 --> 01:16:35,466 - Holy fuck. - [Sandra] What just happened? 1225 01:16:35,591 --> 01:16:39,512 ACT for ALS just passed the Senate. 1226 01:16:39,512 --> 01:16:40,847 [Sandra] What does that mean? 1227 01:16:40,847 --> 01:16:44,225 It means it will become law. 1228 01:16:44,976 --> 01:16:46,144 [Sandra] Holy shit. 1229 01:16:46,144 --> 01:16:47,603 [laughing] 1230 01:16:47,603 --> 01:16:49,605 Yeah, "holy shit" is right. 1231 01:16:49,605 --> 01:16:52,400 We fucking did it! 1232 01:16:52,400 --> 01:16:54,777 - Look at my shirt. - [Sandra laughs] 1233 01:16:54,777 --> 01:16:57,280 For once, Brian is speechless. 1234 01:16:57,280 --> 01:16:59,991 Yeah, we're all... we're sort of in shock. 1235 01:16:59,991 --> 01:17:02,493 ♪ I can't keep waiting, waiting ♪ 1236 01:17:02,493 --> 01:17:04,245 ♪ Out in the cold ♪ 1237 01:17:04,245 --> 01:17:08,624 ♪ I need a good time, sunshine, dance in the glow ♪ 1238 01:17:08,624 --> 01:17:11,044 {\an8}♪ I'll make it rain champagne ♪ 1239 01:17:11,044 --> 01:17:14,130 ♪ So let's make a toast ♪ 1240 01:17:14,130 --> 01:17:16,507 ♪ Celebrate every day, here I go ♪ 1241 01:17:16,507 --> 01:17:19,135 ♪ I'm-a be dripping in solid gold ♪ 1242 01:17:19,135 --> 01:17:21,220 ♪ Dripping in solid gold ♪ 1243 01:17:21,220 --> 01:17:23,806 ♪ Dripping in, dripping in solid gold ♪ 1244 01:17:27,268 --> 01:17:30,188 [Joe Biden] Today, we're finally closer than ever to new treatments 1245 01:17:30,188 --> 01:17:32,190 and hopefully a cure. 1246 01:17:32,190 --> 01:17:36,444 And it's because of the movement led by the patients and caregivers 1247 01:17:36,444 --> 01:17:39,238 and members of Congress of both parties, 1248 01:17:39,238 --> 01:17:42,533 many of whom are joining us today virtually. 1249 01:17:42,533 --> 01:17:46,329 Patients like Brian Wallach and his wife Sandra-- 1250 01:17:46,329 --> 01:17:48,790 I say hi to you both, 1251 01:17:48,790 --> 01:17:53,753 because they turned their pain into purpose. 1252 01:17:55,338 --> 01:17:56,881 I'm honored to sign 1253 01:17:56,881 --> 01:18:01,928 the Accelerating Access to Critical Therapies for ALS Act into law right now. 1254 01:18:01,928 --> 01:18:05,973 God willing, we're gonna make real progress. 1255 01:18:05,973 --> 01:18:08,101 Again, thank you all. 1256 01:18:08,101 --> 01:18:09,894 Thank you, Mr. President. 1257 01:18:09,894 --> 01:18:11,396 - [Biden] Thank you, thank you, thank you. - Yay. Thank you. Thank you. 1258 01:18:11,396 --> 01:18:12,605 - Thank you, Mr. President. - Bravo! 1259 01:18:18,027 --> 01:18:21,614 {\an8}[Brian] Usually, when there's a new law... 1260 01:18:21,614 --> 01:18:23,324 {\an8}[Sandra] Usually, when there's a new law... 1261 01:18:23,324 --> 01:18:26,411 {\an8}It takes over a year to get funding for it. 1262 01:18:26,411 --> 01:18:28,788 It takes over a year to get funding for it. 1263 01:18:28,788 --> 01:18:30,415 - But here... - [Sandra] But here... 1264 01:18:30,415 --> 01:18:32,875 We were able to get Congress 1265 01:18:32,875 --> 01:18:36,504 to give $25 million right away. 1266 01:18:36,504 --> 01:18:40,425 We were able to get Congress to give $25 million right away. 1267 01:18:40,425 --> 01:18:41,717 - And that means... - And that means... 1268 01:18:41,717 --> 01:18:44,762 - ...that ALS patients... - ...that ALS patients... 1269 01:18:44,762 --> 01:18:49,934 ...should have access to promising new treatments... 1270 01:18:49,934 --> 01:18:51,853 ...should have access to promising new treatments... 1271 01:18:51,853 --> 01:18:55,648 - ...by the end of this year. - ...by the end of this year. 1272 01:18:55,648 --> 01:18:59,193 That was supposed to be impossible. 1273 01:18:59,193 --> 01:19:01,237 That was supposed to be impossible. 1274 01:19:01,237 --> 01:19:03,489 But is now very, very real. 1275 01:19:04,115 --> 01:19:05,575 But is now very, very real. 1276 01:19:05,575 --> 01:19:06,951 [Sandra chuckles] 1277 01:19:06,951 --> 01:19:10,079 [♪ Charles William: "No Ordinary"] 1278 01:19:53,498 --> 01:19:57,293 {\an8}♪ Time, tell me what you're thinking ♪ 1279 01:19:57,293 --> 01:19:59,754 {\an8}♪ Are you even listening? ♪ 1280 01:19:59,754 --> 01:20:02,507 {\an8}♪ I'm afraid of wasting ♪ 1281 01:20:02,507 --> 01:20:04,926 {\an8}♪ This daylight ♪ 1282 01:20:04,926 --> 01:20:07,762 {\an8}♪ I'm already growing ♪ 1283 01:20:07,762 --> 01:20:10,306 {\an8}♪ Into the unknowing ♪ 1284 01:20:10,306 --> 01:20:15,061 ♪ Here we are supposing it's all right ♪ 1285 01:20:15,061 --> 01:20:17,355 ♪ Whoa-oh-oh-oh-oh ♪ 1286 01:20:17,355 --> 01:20:20,149 ♪ Maybe right here, maybe right now ♪ 1287 01:20:22,527 --> 01:20:24,820 {\an8}♪ I can be anything ♪ 1288 01:20:24,820 --> 01:20:27,532 {\an8}♪ I think I'm ready to go ♪ 1289 01:20:27,532 --> 01:20:30,034 {\an8}♪ I think I'm ready to be ♪ 1290 01:20:30,034 --> 01:20:32,495 {\an8}♪ I think I'm ready to show ♪ 1291 01:20:32,495 --> 01:20:34,789 {\an8}♪ That I'm no ordinary ♪ 1292 01:20:34,789 --> 01:20:37,708 ♪ I think I'm ready to know ♪ 1293 01:20:37,708 --> 01:20:40,127 ♪ Don't need the world to believe ♪ 1294 01:20:40,127 --> 01:20:42,838 ♪ Right now I'm ready to show ♪ 1295 01:20:42,838 --> 01:20:45,258 ♪ That I'm no ordinary ♪ 1296 01:20:45,258 --> 01:20:48,469 ♪ Whoa-oh-oh-oh-oh-oh... 1297 01:20:50,846 --> 01:20:52,765 - Hey! - [Sandra] Hi! 1298 01:20:52,765 --> 01:20:54,267 Mr. President! 1299 01:20:54,267 --> 01:20:55,560 How are you doing? 1300 01:20:55,560 --> 01:20:57,228 Good. How are you? 1301 01:20:57,228 --> 01:20:58,396 I'm doing great. 1302 01:20:58,396 --> 01:21:01,315 I've said some pretty nice things about you. 1303 01:21:01,315 --> 01:21:02,900 [Sandra laughing] 1304 01:21:03,818 --> 01:21:07,530 I still... I don't blame you guys for me losing New Hampshire, by the way. 1305 01:21:07,530 --> 01:21:10,116 I just want to point that out. 1306 01:21:10,116 --> 01:21:14,120 You know, we, this whole romance happened because you decided to... 1307 01:21:14,120 --> 01:21:15,663 I... 1308 01:21:15,663 --> 01:21:18,082 I-I take, I take full responsibility. 1309 01:21:18,082 --> 01:21:19,375 [Sandra and Brian laughing] 1310 01:21:19,375 --> 01:21:22,878 At some point, uh, when I get a chance to-to see the kids, 1311 01:21:22,878 --> 01:21:27,967 um, I will ask why at least one of them wasn't named Barack, but... 1312 01:21:27,967 --> 01:21:30,136 It's a fair question. It's a fair question. 1313 01:21:30,136 --> 01:21:31,679 [chuckles] 1314 01:21:31,679 --> 01:21:33,973 The good news though is... 1315 01:21:33,973 --> 01:21:37,018 One, I'm alive. 1316 01:21:37,018 --> 01:21:40,730 So I've already beaten the odds on that one. 1317 01:21:40,730 --> 01:21:47,194 Two, I'm gonna eat sushi tonight for the first time in 6 months 1318 01:21:47,194 --> 01:21:50,823 so I am fucking stoked about that. 1319 01:21:52,825 --> 01:21:54,994 ♪ ♪ 1320 01:22:14,347 --> 01:22:16,349 ♪ ♪