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David AtkatzThis is from Jonathan Eig's terrific book, "Luckiest Man." On January 27, 1940, Gehrig visited a Manhattan doctor, Israel Wechsler. Wechsler wrote that "When first seen, [Gehrig] had marked spasticity in both lower extremities... generalized fibrillations, weakness of the shoulder and arm muscles, and almost complete paralysis of the hand muscles... (Emphasis added.)
By 1940, Gehrig could not write.