2021 Volume 38 Issue 4 Pages 464-467
ALS multidisciplinary clinics (MDCs) are also provided in Japan, but unlike the MDCs in Europe and the United States, there are only a limited number of facilities where multiple occupations gather at the same place on the same day. For ALS patients who progress quickly and have difficulty moving, it is a great help to be able to solve many problems with one outpatient visit, and it is great for clinical research and clinical trials to gather many patients at once. We established this Western–style ALS MDC (ALS Clinic) in March 2017. At the time of its establishment, there were only three people, the author (neurologist), a rehabilitation doctor, and an outpatient nurse, but now, with the cooperation of many professionals, a “one team” consisting of more than 10 staff members. We Introduce the history of ALS MDC, which has become the standard form of medical care in Western countries in ALS medical care, the current progression of our ALS clinic, and the ALS Café (patient association) that we are conducting as part of our social contribution activities.