I think the major problem is that people don't seem to know what to do; the obvious is too obvious and when dealing with our PALS they are sometimes insecure and scared. I'd love it if someone would wash the bathroom, do a load of laundry (piquets alone count for a load a day!) make a meal but it doesn't seem to register...I guess we all seem "on top of things".If they only knew how close we feel to implosion, keeping everything pent up because how selfish of us to feel sorry for ourselves... It is safe to say that when someone we love is sick ,we are all sick on some level. In my experience we waited to long to ask for help and people get comfortable with it. When we started trying to reach out she had already progressed to the point where her needs weren't blatantly obvious to anybody but my husband and myself. People would get nervous and would require our help anyway...sort of defeated the purpose,lol. And to make matters worse often our PALS don't want anyone else to help; they don't make it easy on those trying. It requires some patience on their part to allow people the chance to learn to read their expressions(what's left of them), but we must give others the opportunity....our health hangs in the balance.We won't be much use to anyone if we fall apart. I remember how much I needed a break after my daughter was born, stress and sleep deprivation, people cleaned my house, brought meals for the week, offered to help wherever they could but stayed away to allow us some privacy. Its funny how people know how to conduct themselves in certain situations while others are just too "tricky". The fact is I can't say I blame them... I "wing it" half the time!When you don't live there right along side them its hard for anyone to undertsand their needs and wants or ours. I will say this though whatever social workers,nurses,PABs, physiotherapists offer take them up on it! Sometimes we think that we wont or would never use or do certain things and when we realize that we do its too late or more complicated. There are waiting lists, some things must be custom- built, there is paper work,politics and just plain bullshit sometimes but there is a process to all these things, so get the ball rolling. If you change your mind thats fine but at least all options are available. And even when you do the paperwork there is still more paperwork...her work insurance kept sending us a form asking what skills she had that would still enable her to work. I felt like sending it back saying she could type 3 words a minute with one hand, what position is available? This after her neuro sent a letter stating she had an incurable,progressive disease that would eventually lead to her death.....Unbelievable!