In the 1990s I was fortunate enough to be enrolled on a six month course specialising in the care of the Spinally Injured patient. This was based at the Southport Spinal Injury Unit , which then had unique experience in caring for patients who had total paralysis of their bodies, including their muscles which initiated breathing. Many of these patients would be ventilator dependent for life. I got very close to one man who I will call Jim. He was in his thirties and had broken his neck in a car accident . The injury was so severe that he would need ventilatory support over night but could come off the vent during the day after which he could breath for himself albeit only for a few hours. He could feel his face and talk in a whisper but had no physical control over his limbs, body and head. My shifts were always weekday mornings with afternoons off for study, and so every morning I would take Jim off the confines of the ventilator, wash, dress and feed him and prepare him f...