Jim is 66 years old, married and lives in the Central Texas area. He was diagnosed with MSA in the Spring of 2017. He thought he had had a stroke and after finding out that he had not he pursued further and found a neurologist who said it was probable MSA. Slurred speech and noticeable balance problems were the first main symptoms. He has participated in two clinical trials for drugs that were to help slow the progression of the disease. He has a son, step son, 2 daughter-in-laws, a grandson and a granddaughter. His wife, Milissa is 59 and they have been married (together) for 21 years. She is a retired high school math teacher. She is Jim's caregiver, but supported in this journey by their children, siblings and many friends. Milissa will join Jim in this session.