No I don't have any help per se. A CNA comes over to bath him and help get him in the chair with me helping of course. My sister, who lives 2 doors down, comes and helps me pull him up in the bed. She will sit with him every other night so I can take a 5 min shower. He is still a big man 200 lbs and he has maintained his weight so far. Joe is on a LTV 1150 vent. He has a permobile chair but he's only gone outside once since on the vent. It makes him too nervous. How about the bathroom situation? He can still use the urinal but can not raise up to be put on the bed pan so that is done in the bed with a chux underneath him. I know he is humiliated. Forgot to say my sister works 2 part time jobs so her help is limited.