I need a little tune up. That's what he calls the operation. This financial stuff really bothers me and look at the damage here. But you just take each day as it is and hope for the best. Sam's involuntary muscle spasms are increasingly obvious, his reflexive swallowing reminiscent of someone gulping air.
Telephone conversations are hard to understand because of the slurring.
This might be the ticket. The alternative is too bleak to think about. Sam's world has become smaller as the disease has progressed. He just can't do some things anymore. I like to drive and now I can't.