Actually, because of our "socialized medicine" here, our various contacts with the rehab center (wheelchairs primarily) have been set up for us by our local health complex. Tom and I didn't have to "reach out to them". We have an occupational therapist from this local health care center who communicates also with the ALS clinic at the neurological hospital, which is also fully staffed with an ALS physical therapist, another OT specific to ALS, a respiratory specialist, ALS nurse, nutritionist, psychiatrist, social worker and chaplain. On that communication circuit are also our local Victorian Order of Nurses (NOVA) who come to do foot care and provide trained caregivers (for a minimal cost, part of which is covered by government, but also partly recoverable by tax deductions) from 9:30 to 3:30 every day now. We have a 10,000$ electric wheelchair, custom made for Tom, on loan from that rehab center and all the OT equipment one could possibly need. Our house was remodeled -- doors widened, ramps and elevators added, bathroom made larger for the wheelchair -- all with government grants. We live in Quebec, which is reputedly the best province for health care. Mind you our taxes are substantial, but we pay them with incredible gratitude for this care which is available to EVERY resident citizen. Our NOVA organization also has a monthly group for the primary caregivers (usually spouses) of ALS patients. We are WELL cared for. At times like this, Tom literally cannot reach out. That's the thing with illness.