No comment, just fact, learned how to use hoyer on my on , had very little help with tobii communication, about an hour, learned to change diapers, enema, anything to do with hygiene on my on, went to clinic multiple times, mostly to sell stuff, she's late stage now, hospice not much help, something needs to be done for caregivers, symptoms started in 2015, 12 Dr later diagnosed ALS 2018, it's tough right now, thanks for letting me vent