Fair point. I was hoping maybe a solid trainer could get the idea ingrained to take some of the work off their shoulders, but I do know that reinforcing it after is important, and do understand how exhausting that can be. It's impossible to be on call and ready all the time with this illness. Is there anyone else in your household who would be willing to take an active role in training to take that pressure off of you? Even if training efforts managed to reduce the problem some, but didn't take perfectly, it seems like that would still be an improvement in your quality of life.