I have a super slowly progressive patient with intact legs/feet, who is loosing arms/hands and speech.  He has been using an iPad with TTS but wants to start exploring options for once his hands are completely gone.  Portability is key and he is very independent.  He drives with his feet and is seldom seen with a caretaker.

My ideas were morse code on something small and portable (sure we could find a switch spot or two).  The Xpress doesn't allow for morse code, the Lightwriter may be too big and heavy although worth a try.  Any suggestions of something small and lightweight that works well with morse code?  Preferably something worn around the neck or attached to the waist.

He could use scanning on the Xpress or his iPad with certain apps.  Thinking of an auditory prompt on the Xpress with an earpiece as I'd really like to avoid having to "set-up" every place he goes.

Any ideas are greatly appreciated!

Jen Coggiola, MA, CCC/SLP
Speech Pathologist
ALS Center at UCSF
400 Parnassus Ave., 8th Floor
San Francisco, CA 94143
(415) 353-2122 clinic phone
(415) 353-2524 clinic fax
(925) 323-0175 cell phone
xxxxxx@xxxxxxxxxxxxxx