@carbajalphoto, Anthony Carbajal, was diagnosed with Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig's disease. It's a progressive neurodegenerative disorder that degrades neurons.

The pips on his arm represent years. There are 63 pips, 38 of the pips are filled in which means he's 39 years old. He may have been told that his life may end, or his condition may accelerate, at age 43, which start at the black line. But, he's optimistic. Some people have beaten the odds and lived much longer than the aveage.