Betty's ALS symptoms have continued to worsen though not at the pace that was originally feared. She has lost most movement in her arms, hands and legs and her difficulty in swallowing and speaking has increased. She requires constant care during Earl's long daily absences for work. On April 29 she had an operation to insert a feeding tube that will facilitate feeding and administration of medication going forward. A portion of the care required is funded by the BC Ministry of Health. Generous donations from friends and family have helped support the balance of the cost. Betty continues to keep in touch with family and friends using Skype and Facebook.