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My wife has always been against her having a tracheostomy. She is 53 years old, Bulbar onset ALS diagnosed three years AFO. The Pulmonologist asked her about her wishes and she said she was no longer sure. She has lost all voice and has minimal right thumb movement along with some head/neck...

My wife has had Bulbar onset ALS for three years. Last vestige of motor function is her right thumb, head and eyes. She alerts me with wireless doorbell when needed at night and day when she needs help. With inevitable loss of thumb, what advice do you have for me to set up alert device...