In this joint talk, Dr. Nathan Staff (Neurology) and Dr. Kai Miller (Neurosurgery) present Mayo Clinic’s vision for a patient‑centered brain‑computer interface (BCI) platform designed specifically for people living with ALS, a devastating neurodegenerative disease that progressively removes a patient’s ability to move, speak, and communicate. Dr. Staff describes the urgent unmet need: as ALS advances, patients lose speech, hand movement, and eventually even the ability to use eye‑gaze systems—