This document discusses amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease, which involves the progressive loss of motor neurons in the brain and spinal cord. It causes gradual muscle weakness, atrophy, and stiffness as well as difficulty swallowing, talking and breathing. Death usually occurs within 3-6 years after symptoms appear, most commonly from respiratory failure or pneumonia. The document also discusses physicist Stephen Hawking's diagnosis with ALS in 1963 and his exceptional longevity despite being given only a few years to live at that time.