Hello all,

I sure needed your expertise yesterday. I have a new patient on my caseload with ALS who is moving toward a trach in a couple of weeks. He is wearing his bi-pap 24/7 and cannot control head movement when he does not have it on due to respiration difficulty. He cannot use his hands, could use a switch with head movement but really is going to need eye gaze so we are moving toward that also. But I could not capture his gaze with the bi-pap. We could not get the device positioned on the rolling mount or holding it up over him so that the mask did not interfere. Any experience here? I have not yet had a patient with bipap on all the time.

Deborah Bell, MA/CCC

Licensed Speech Pathologist

Santa Cruz, CA