thanks monarch, I am a 24/7 wheelchair user.. well unless i am in bed or on my mobility scooter! in the UK it is still very much you can have a physical dx OR a mental health dx, but not both! if you are in hospital for one thing they have no time or clue how to deal with your other dxs. e.g going for a scan a quadraplegic was told to "just hop up onto the bed" and others have been in for opsbut there has been very little help with changing cathetersfor paralysed urinary tracts. i was left for 2 hours to get undressed for a scan before anyone took time to listen to why i had not undressed my bottom half.... i can't do it without falling off the bed!