Like "They used manual and upper arm and wriston the left side cannot use right because of mastectomy .Always have a hard time but have never failedto get one .wasn't supposed to see doctor for another month but she had an opening for tomorrow,so will be seeing her maybe she tell me if I'm still alive,sometimes I wonder about that.Other than a headache and some dizziness I feel pretty good,actually better than when taking so much meds I have more energy ,but my son says I am a real"b" I'm always screaming"