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The difficulties facing the canal were first outlined in a letter sent to local businesses by Glandŵr Cymru, the Canal and River Trust in Wales, in February.

"I'm concerned that if some people can't swallow because of their disease process, and if they're not able to take the entire quantity of medication because of breathing difficulties or swallowing difficulties, what will happen?"

The difficulty of finding medical treatment prompted Dressen to co-found REACT19, a tax-exempt organization that provides grants to patients and providers; Hertz is listed on its website as a research advisor.

You may no longer have the energy or willingness to face such difficulties.

During his childhood, he wrote, “autism was mostly diagnosed among children who had huge difficulties in daily functioning and needed extensive support. I wasn’t flagged for evaluation or diagnosis, but that might be different today.”