I have recently been made aware of an ALS patient. I have not personally met him yet, but this is what I have been told:

- computer programmer

- expert user of a Talk to Me Technologies eye gaze

- has no reliable physical movement

- is losing eye gaze access - not sure why but the report from the SLP is that he sometimes has patches on one eye or the other and he will change up which eye is tracked with the eye gaze - I assume that he may not be able to close his eyes and that is what is going on, but I am not sure. 

So, I am looking for any suggestions ideas on things we can try or what to consider for access when visiting with this client. 

I am concerned that because this client is such an expert eye gaze user, changing over to switch will not be acceptable to him. 

I do not have a lot of experience working with someone this far advanced that wants to maintain access to a device. So, and questions I should be asking or any other input is very welcome.