In the summer of 2013, Andrea Kottow, 51, learned of her father’s first fall. Miguel Kottow Lang — a renowned ophthalmologist, academic and bioethics specialist — had been perched on a chair, trying to repair a curtain in the house he shared with Andrea’s mother, when he lost his balance and fell. The fall changed many things, though not immediately. At first, it was just broken ribs, which Miguel silently managed with medication. However, after his mobility difficulties and other symptoms became apparent, the diagnosis came: he had Guillain-Barré syndrome, a rare autoimmune disease that causes the body to produce antibodies against its own tissues.

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