The MDA clinic at Duke follows approximately 1200 patients, with a multidisciplinary team that includes a physical therapist, occupational therapist, and a dietician. Vern Juel, MD, directs the MDA Clinic. For more information, call 919-783-0222. The Myasthenia Gravis Clinic meets two half-days each week. It is attended by fellows and neurology. The University of Maryland Medical Center's Neuromuscular Program provides specialty comprehensive-specialist care for patients with ; amyotrophic lateral sclerosis (ALS, or Lou Gehrig's disease), muscle disease, myasthenia gravis, and peripheral neuropathy.