My husband Dennis had been on a ventilator for 3 years and we decided to go see the doctor that had helped Christopher Reeves, I have blogged about him before. His name is Dr. Onders and he has done wonders with the Diaphragmatic Pacemaker which I have also blogged about. It is an alternative to a bulky ventilator and it has freed Dennis up tremendously.
The middle one is what we have and you hook it up surgically to Dennis (see the blog on Diaphragmatic pacemakers). Now all the tubing and hoses and vent is gone. The pacemaker is hooked up to your diaphragm and the settings help you breathe.