IDK MY BFF JILL

If you don't know that reference it is from an 2007 phone commercial. Classic.

Anyways, I wanted to write a post about technology as assistive technology (AT) and more than just soul sucking relationship ruining screens that give you cancer. I will talk about how I use my devices as AT and why they are important for me and because of such, will be talking exclusively about Apple iOS devices because that is what I use. I plan to do another post about iOS as AAC devices and switch access eventually so this isn't the longest most boring post ever!

I am a die hard Apple fan. I was a die hard Apple fan before I got sick and have fallen even more in love since then. First, I am in no way paid by or speak for Apple or anything, I don't know why people have to say that but they do so I will! Second, I am not going to talk about Android because I know nothing of Android. I know they do not have as extensive built in accessibility features but they work better for some and that is fine. Lastly, I'm mainly going to be talking about why I choose Apple products as a person with a disability and what features help me or might be of help to those with similar conditions. So leggo my eggo (not paid by them either :( )!

First I'm going to talk about some settings/features that aren't technically accessibility settings (other menus) but that I have found to be helpful. 

Visual Voicemail and Transcription

Phone>Voicemail

Apple's visual voicemail system is one of the most underrated features in my opinion. For people with hearing/auditory processing issues, gone are the days of trying to remember which button to press to repeat the message...giving up and having to call VM all over again because you didn't quite catch that middle part. New to iOS10 is a beta for automatic voicemail transcription. Now, when you click on a message and press play, the recording plays and an automatic transcription is written below. If it picks up a phone number it will be hyperlinked and a long press will give you options to call, message, or add number to contacts. For someone with Dyslexia this is a god send. I call/text wrong numbers constantly when I try to manually copy them down. Additionally, it is useful for those with hearing loss, auditory processing issues, or even if you want to scan the content in a meeting to know if it is urgent.

Find My Friends/ Location sharing in apps such as messages

At first I was not into having my mom be able to open an app and track my phone but it really has grown on me. This is definitely not the set-up for everyone (could be with someone other than your mom) but in times where I have gotten hauled off to the ER and they leave a VM on her phone saying "Julie's in the ER", being able to see which ER, if I am still there, or where I am if I am too confused to figure it out can be super useful. Again, not for everyone. 

SIRI

Siri is great and almighty electronic goddess, obey her.

EMERGENGY HOME SCREEN MEDICAL ID

(to set up) Health App>Medical ID> Edit

At the minimum please put in your organ donor status, name, and emergency contacts. It can be accessed by EMS/ED staff even if you have a lock on your phone. To view access, get to the lock screen with the number panel, click emergency in the bottom left, click medical ID. 

ACCESSIBILITY SETTINGS (iPad and iPhone though most are available on laptop just different paths etc)

******There are so many-- I'm just going over what I personally use******

Display Accommodations 

Settings>General>Accessibility> Display Accommodations

Another brilliant addition to iOS10 was the Color Filters setting. This allows the user to tint their screen to their liking/need. This is a godsend for anyone with photosensitivity, migraines, color blindness, eye strain, and other vision conditions. It allows me to turn my screen a nice pinky-orangey tint that I would otherwise have to wear my specialty  indoor migraine glasses for. Another feature in this category is Reduce Whitepoint. This setting allows the user to reduce the intensity of bright colors on the screen by 25-100%. No longer need you be blinded by a white screen loading a webpage on ridiculously slow internet.

Speech

Settings>General>Accessibility>Speech

I wouldn't be able to do much of my homework or social media without text-to-speech software due to eye strain, dyslexia, migraines, photosensitivity and reading comprehension issues. This is definitely one of my most undervalued helpers and it wasn't until I was trying to read a textbook chapter on a different computer that I realize how much I rely on it and am assisted by it.

       Features/Settings:

• Speak selection: when on, this will give you a "speak" button when you highlight text (next to copy/paste etc)
• Speak screen: dragging two fingers from the top down will start speaking items on the screen
• Highlight content: highlights words/sentences/words and sentences as they are read
• Typing feedback: options to have keys/words/sentences you type to be read back to you 
• Voices: different synthesized voice options for speaker for gender, language, and accent
• Speaking Rate: how fast the voice talks
• Pronunciations: tell it how to say certain words like Ehlers-Danlos

Reduce Motion

Settings>General>Accessibility> Reduce Motion

This one is really helpful if you have vision triggered disabilities or just don't want all the fancy graphics for things like opening and closing apps. 

Switch Control and Assistive Touch

Settings>General>Accessibility>Switch Control or Assistive Touch

 

These are more specialized/complicated but amazing accessibility features I plan to do a separate post or maybe video for but I will just share their purpose now. Switch Control is for people with physical, cognitive, or sensory disabilities who have trouble accessing all or many of their functions or their iDevices via direct selection AKA touching the screen with their hand or a stylus. It is a built in program that allows the device to be controlled and used entirely via 1 or 1 switches. Switches can be the whole screen, head movements, external switches (wired or bluetooth), sip and puff (controlled by mouth movements) and more! For an example of switch access by someone who can do amazing things with it, watch the video! Assistive Touch is basically an accessible menu for people who have physical challenges performing actions like pinching to zoom. 

Subtitles and Captioning

Settings>General>Accessibility>Media> Subtitles and Captioning

I actually only recently learned about this feature but if you like subtitles or need them, make sure you have this setting turned on and it will automatically turn on subtitles when available in apps like facebook, netflix, chrome etc. 

Accessibility Shortcut

Settings>General>Accessibility> Accessibility Shortcut

Another relatively new feature this one can wear many different hats based on your needs. What is does is set a shortcut on/off switch for a selected accessibility feature by triple clicking the home button. On my phone, this turns on the pinky-orangey tint from my Color Filters settings. Since I only use that at night usually, it saves me a couple clicks turning it on/off everyday. On my iPad, I have it set to turn on Switch Control (more on that later) for when I use that.

Life Hacks: Spoonie Edition

   A friend of mine suggested I write a post about this and I live to please but really not sure how many good ones I can come up with. Eh, should be fun. Life hacks and good products for spoonies in no particular order:

1. Invest in non-bathing bathing supplies

• dry shampoo: greasy hair is gross, showering is an olympic sport sometimes and this stuff is the bomb.com. I recommend this brand. Also super great if you're in the hospital and don't want to wrap IVs etc
• wipes: same purpose but for the rest of your body. Also nice to get ones with aloe so you don't become all dried up. I like these.

2. Keep a to go back stocked in your room/car in case of apocalypse or other unexpected events.

basically if you don't look like this you
aren't doing it right

• change of clothes with warm layered option (don't forget extra underwear)
• extra day of meds
• snack if you eat food
• flashlight
• KT tape and medical tape
• eye mask for sleeping/blocking light
• wipes
• long phone charging cord or cord with power bank thingy (can never reach outlets in ERs)
• carabiners, duct tape and zip ties (1000 uses)
• water
• first aid kit

3. Glass water bottles

• this is kind of a weird one but especially for POTSies, who basically need to constantly drink water to survive, this is a good one
• why: easier to clean, better for putting ice in, won't give you cancer or whatever BPA does to you, durable, taste better
• also recommend getting one with a straw, easier to sip if not upright, and don't spill as much if you're a spazz
• This is the one I have an LOVE! I've dropped it hundreds of times and the straw doesn't require a lot of mouth strength to drink out of (#edsprobs)

4. PillPack

• Pillpack is a mail order pharmacy that pre sorts and packages all your medications and supplements and ships them directly to you. I have been using them for about a year now and love it!
• they call your docs for refills for you
• they accept most major insurance companies
• pay the same copays as you would for CVS, Walgreens, Safeway etc and that is it
• great customer support and online portal
• billing options for credit card automatic/not, FSA/HSA etc
• medication remind app
• don't have to spend time sorting meds (or wrongfully doing so)
• they do my supplements as well as RX

5. Medical alert bracelets/information

• I have spent many years searching for the right type and run into the same dilemma often: classic medical alert (chain and metal with star of life) is recognized but limiting due to allergies, lack of engraving space, or constant changing information vs classier ID or EMR (electronic record) system might not be recognized by EMS. 
• NOTE: after many talks with EMS friends countless have said they're only trained to look at wrists for IDs
• I have implemented a somewhat overkill system but I think its finally working:

• I use the MyID system for my EMR/bracelet/wallet card. It can be accessed by anyone with a QR reader, smartphone, computer, or phone. It is paired with an app/website portal that can be updated whenever and offers options to upload files, notify emergency contacts, write explanations of your rare and weird medical conditions and much more. I have found that of all the solutions for bracelets I have tried (flashdrive, traditional, wallet card, necklace), this works best. I also have a MyID wallet card in my wallet, and stickers on my phone case and school ID (like I said, overkill is best)
• I have this one personalized and on the front is has
  "Medical Alert/ Julie LASTNAME/ "see back ICE for info" 
• Back has the access info, QR code, ID and PIN
• I also have 3 silicone wristbands that give quick information on the same wrist. I do this because those are important for quick access, they draw attention to the other bracelet, and they paint the picture that I have multiple issues and they should definitely look at my EMR
• "MAST CELL DISEASE/ I CARRY AN EPI PEN"
• "LONG QT SYNDROME/ SADS AWARENESS"
• "MEDICAL ALERT/ EHLERS-DANLOS SYNDROME"
• BUT WAIT THERE'S MORE! At school, I also have a folder taped in plain sight on my dresser next to my bed labelled "EMERGENCY INFO" (useful for EMS, often gets passed to nurses too)
• In it I have a copy of my 
• MYID info
• drivers license
• insurance card
• any wishes in regards to my care
• communication instructions (since if EMS are there I often can't communicate well verbally

6. Mobility devices ≠ giving up ≠ bad

• I started off using a cane, which I got from a drugstore, standing in line behind an 80 something year old man buying a cane and wanted to qualify my purchase with something like: "its a birthday present for my grandma...?". It was one of the first times my disability became frequently visible and took a while before I got used to people's questions, judgements, and my own stigma associated with it. But the cane wasn't good for me so I moved to forearm smart crutches which people just assumed I had sprained my ankle or something and left me alone. I hobbled on those for about a year before my shoulders gave out. Then I got my rollator which I like too, but is still hard on my body. For me, transitioning to being a part-time wheelchair user was not very hard. It gave me more independence, less pain, got me places faster, and allowed me more options for bad days. It isn't all magical though, people still judge or make comments, and there are still plenty of times I would rather just be able to walk or not have to worry about accessibility. 
• Most important lesson I learned in that journey was that I needed to do what I needed for my body, lifestyle, and pain levels. I'm not going to lie and say I don't care what people think or that I'm somehow above it all, but for me the independence and assistance my chair allows me if definitely worth it.