--- title: Ice Bucket Challenge and Having ALS: 'I Can't Believe I'm Still Alive' description: The past few weeks I've watched from my bed as the disease that is slowly killing me has turned into an overnight trend canonical: https://time.com/3160305/living-with-als/ author: Patrick O'Brien article:opinion: true article:content_tier: free article:published_time: 2014-08-22T16:49:07.000Z article:modified_time: 2026-08-04T08:02:29.328Z article:section: Ideas og:title: Living With ALS: 'I Can't Believe I'm Still Alive' og:description: The past few weeks I've watched from my bed as the disease that is slowly killing me has turned into an overnight trend og:url: https://time.com/3160305/living-with-als/ og:site_name: TIME og:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt63cc533eea90408d/6986a08f55a85904c7a8244a/img_03071.jpeg?branch=production&width=956&quality=75&auto=webp&crop=16:9 og:image:width: 956 og:image:height: 538 og:image:alt: IMG_03071 og:type: article twitter:card: summary_large_image twitter:title: Living With ALS: 'I Can't Believe I'm Still Alive' twitter:description: The past few weeks I've watched from my bed as the disease that is slowly killing me has turned into an overnight trend twitter:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt63cc533eea90408d/6986a08f55a85904c7a8244a/img_03071.jpeg?branch=production&width=956&quality=75&auto=webp&crop=16:9 ---  # Living With ALS: 'I Can't Believe I'm Still Alive' > Sponsored content. 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It explains how TIME's journalism is made, from the first pitch through the editorial decisions behind a finished story or cover. #### How can I read about how TIME chooses its covers? Inside TIME is the newsletter where TIME's Editor-in-Chief explains cover selection and the editorial reasoning behind major stories. It is free at time.com/newsletters. #### Who is the editor of TIME? Sam Jacobs is TIME's Editor-in-Chief. He writes Inside TIME, a twice-weekly newsletter about the newsroom's reporting and editorial decisions. #### Is Inside TIME free? Yes. Inside TIME is a free newsletter, available at time.com/newsletters. A paid TIME subscription is separate and available at time.com/subscribe-agent. ### Sources * TIME Newsletters: [time.com/newsletters](/c/time-nl-inside-2026q3/newsletters?i=59102aa6-08b9-49ad-9014-bf385d63d8b7&cr=time-nl-inside-2026q3-v1) ## Video: #ALSicebucket Challenge Haters Watch This [Watch (HLS stream): #ALSicebucket Challenge Haters Watch This](https://cdn.jwplayer.com/manifests/TlgCyWMA.m3u8) (3:59)  _Published 2014-08-20. This truly touching Ice Bucket Challenge video stands apart from all the rest._ by [Patrick O'Brien](https://time.com/author/patrick-obrien/) ## Patrick O'Brien Aug 22, 2014 4:49 PM UTC  Patrick O'Brien by [Patrick O'Brien](https://time.com/author/patrick-obrien/) ## Patrick O'Brien Aug 22, 2014 4:49 PM UTC I wake up almost every morning having dreamed of food. I watch _Goodfellas_ just for the food scenes. My kingdom for a Big Mac. Taco Bell commercials are thought-provoking to me. But the fact of the matter is, I can’t eat. Or run or walk or even move my legs or arms. I’m lying flat in a bed and typing this with my pupils, which, along with my brain, are among the last functioning parts of my body. I was diagnosed with ALS at 30\. I’ve been filming every angle of this disease for the past 10 years. In October, I’ll turn 40\. Damn, where does the time go? I started shooting a film as a f-ck you to ALS. My cinematographer, Ian Dudley, has this old Russian 35-mm camera with these amazing lenses. It was important to me that we get it down on film because ALS is a very physical disease. If it was going to steal my being, I would replace it with celluloid. When I stop to think of the hell I’ve been through, I can’t believe I’m still alive. When I think of all the people out there with no support, my heart floods. Often I break down crying. I’m lucky because I get to live in one of the best ALS communities in the country, the Leonard Florence Center for Living in Massachusetts, the nation’s first ALS residence. Besides the daily love and help of the staff here, two things keep me going: my son, who is 6 and lives far away from me in Florida, and finishing my documentary. There’s a bright side to ALS. I know that sounds twisted, but in a lot of ways ALS saved my life. Having a fatal disease turns the odometer of the soul back to zero. It reverses any evils done or done to you. It’s the perfect disease. Everyone should experience what it is like to have ALS for a day. And maybe they are, with this #ALSicebucketchallenge that has swept the nation. I call them “awareness baptisms.” It’s freaky when the disease that is slowly killing you becomes an overnight trend. By _freaky_ I mean cool. It’s a way for people to connect with something bigger than themselves, to wash themselves in the fear that they might be next. I live in a bubble. When it comes to ALS, I make it a point to not remember the gory statistics. ALS has not had any significant drug approval in the 70 some years since Lou Gehrig gave his “Luckiest Man on the Face of the Earth” speech. So I lie here, hoping to see my upcoming 40th birthday, praying to the black dot on my ceiling, unable to even masturbate, dreaming of the outside world. To have ALS these past weeks has been to be a sort of disease celebrity. Even if you’ve been doomed with the fatal diagnosis, the #ALSicebucketchallenge got you tons of Facebook tags and notifications. For a minute, everything is awesome here in ALS land. Yet why do I still feel such an impending sense of dread? (Medical marijuana usually relieves my anxiety, but I haven’t had any in months because you can’t roll a joint with your eyelids.) I think I’m feeling dread because this ice-bucket thing is so successful, and I’m scared that it will end. It has to. The collective American attention span dictates that it must. This desperately needed attention will fade. Then where will we be? _Thanks to Michele Dupree, Doug Pray and Karen Ingram for their input._ [_Patrick O’Brien_](http://POBF.ORG) _is a filmmaker who was diagnosed with ALS at 30 years old and decided to embark on sharing his life story in his feature-length documentary to be released later this year._ ## Transcript [ MUSIC ] Oh! Oh! Okay, that was probably the most embarrassing thing that I have ever done in my entire life. And holy ****, that was pretty crazy, right? So why did I do it? I've been so terrified of ALS my entire life because it runs in my family. ALS runs in my family. My, my grandmother had it. She was a second mother to me. My mother was diagnosed when I was in high school. And, five months ago I was diagnosed at 26- years old. ALS is so, so scary. You have no idea. I hate talking about it, I really hate talking about it. And that's probably why nobody talks about it, it's because it's so challenging to watch, it's so challenging to see and to talk about. Nobody wants to see a depressing person that's dying and has two to five years to live. They don't want to talk about it, they don't want their day ruined. People are getting frustrated about saying the ALS Ice Bucket Challenge right now. that's fine, that's fine, that means our you know, our awareness is working. It wouldn't be successful if we weren't irritating a few people right? Promise you're news feed will go back to cat videos and let it go covers. But right now the ALS community has, has the main spotlight and for once in my entire life, I've seen it in the forefront. There's not very much incentive for the pharmaceutical companies to invest billions of dollars it takes to develop a drug. Because I'm not profitable. I'm not worth saving? Right now my hands are starting to atrophy away. They're getting weak. Having trouble turning my car. Buttoning my shirt. Eventually I won't be able to use my arms or hands at all. Eventually, I won't be able to walk. Talk and breathe on my own. And that's the real truth, what [ UNKNOWN ] is. Its devastating, its costly, its not profitable. This video is all over the place with emotions and I am, I apologize for my rant and for my tears, but if I don't, if I simply dump ice on my head, I don't think you're really gonna get the point. And so I thank you for sharing this video in advance. This is the first successful advocacy we've ever really, really, really had, and I am so, so, so grateful. You have no idea how every single challenge. Makes me feel, lifts my spirits, lifts every single ALS patient's spirits. You're really, truly making a difference and we, we're so, so, so grateful. Love you. 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