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Stuart is a 65-year-old man and a long-time patient of yours. Two years ago, he presented to your office with several disturbing and distressing neurological symptoms. Eventually, after several tests and consultations, the diagnosis of multiple sclerosis was made. You have spent time with Stuart to carefully explain the details of the disorder and, when needed, have provided support reading material and connected him with community. Stuart has appeared to cope very well with his illness.

  • One year after his diagnosis, Stuart’s condition began to worsen and he was eventually began to use a wheelchair for most of the day.

  • During a routine follow-up visit to your office one day, Stuart breaks down in tears and reveals that he is very unhappy.

  • He reveals that his primary caregiver, his long-time boyfriend, is suffering from caregiver burnout. He says that his partner could no longer cope with the stress of his worsening illness.

  • Stuart wonders if he would need to be transferred to long-term care facility, but he fears that such facility may not treat gay people fairly.


What would you do in this case ?


What are the unique issues faced by an older gay man ?


What are the issues faced by a disabled gay man ?

Canadian resources for sexual orientation, aging and disability: