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My wife and I are frequently on the phone together, talking to one of our distant children ( they are all distant - geographically - that is ) and her tremors and dyskinesia produce quite a bit of noise - rustlings etc. Our oldest daughter solved the problem a few years ago - a headset such as they use in offices. Cecily uses it all the time and when I am on line with her - no noises - she doesn't have to hold anything. We also have a speaker phone but sometimes her voice is too faint to register. Bob Anibal [log in to unmask]