Tillie,
Thanks for your kind thoughtful words. I am going to wind down on this thread and agree that it is probably not going to lead to any more insights. I thought it worth a shot to hear from other caregivers or current PALS who would be able to provide me their first-hand experiences with hospice care. I know the proper protocol based on ALS respiratory guides and numerous publications; I just thought I could hear it from CALS instead of solely medical data and evidence. I look forward to contributing in other threads to this forum.