FORT COLLINS, COLORADO - DECEMBER 10, 2006.
Alex performs a "quad-caugh" on his father as his mother, Kathi and brother, Conor order pizza for dinner on Dec. 10, 2006. The need for assisted coughing is a sign that Steve's diaphragm strength had diminished to a dangerous level. At first the quad-coaugh was a hard consequence of the disease for the family and Steve to get used to, but Alex adapted and was an intrigual part of his father care at home. (Photo by Michael G. Seamans)