My husband uses a nasal mask, we and the therapists are aware the air escapes but he just can't use a full facial mask. We are one year in, perhaps as this beast progresses, things will change. He has said no to trach. I'm glad to hear your husband is still walking some! And still texting!! Hugs!! Hope it keeps up! The only thing I'm concerned with is his breathing. I pray constantly for strength from Jesus to endure what we must! It is comforting to me. My husband is on Trilogy also and has had a hospital bed since coming home from the hospital from the AAA one year ago. Should I think about getting a pwc? We haven't yet, but at what point did you? And I had no idea what an AFO was until you said it and I looked it up, thanks again! I need to look into that better! I am so glad you are here, I don't mean that in any bad way. Comforting to me to have someone else going through the same, so thank you so very much again! Hugs!