In the Game: Music and Multiple Sclerosis begins with the author's story of his rise and success in the music profession. Described as "being in the game," he lays out his method for success in one of the most difficult professions in America. Following a quick rise as a professional musician, he explains the first moment a strange malady is discovered while trying to jog, through to an eventual diagnosis of primary progressive multiple sclerosis fifteen years later. The last part of the book is a researched critique of the medical profession from how MS is diagnosed and treated to how the greater research community and America's political system are failing MS sufferers. Now "in the game" of multiple sclerosis, he documents learning how to live and prosper while having MS.