Thanks all. I will gather more info when he returns from a trip but for now can tell you he is 49 years old, heavy set (most members of the family on that side are) but very healthy. Dark complected (Italian descent). Has pock-marks from bad acne as a teenager. The wrist pain is from computer (mouse) use. His mother had surgery for carpal tunnel a few years ago(she was a seamstress). I don't know what, other than resting it, makes it better or worse. He is very intelligent and respected in his field. He plays guitar and sings for a hobby.

Will gather more info later but appreciate first thoughts!