A 60-year-old man who requires a wheelchair because of undiagnosed degenerative disease of the spine was awarded $9.65 million Monday afternoon by a Philadelphia jury that found a University of Pennsylvania doctor misdiagnosed the man as having ALS, or Lou Gehrig’s Disease.

The jury award is nearly double the highest medical malpractice verdict out of Philadelphia in 2010, which was $5.17 million, and bucks a local trend of decreasing damages in these types of cases.