WEBVTT 99:59:59.999 --> 99:59:59.999 What is the most difficult symptom to manage? 99:59:59.999 --> 99:59:59.999 I would say seizures 99:59:59.999 --> 99:59:59.999 being the first, 99:59:59.999 --> 99:59:59.999 and the saliva. 99:59:59.999 --> 99:59:59.999 Secretions. 99:59:59.999 --> 99:59:59.999 Ruby had problems with airway 99:59:59.999 --> 99:59:59.999 from when she was born really. 99:59:59.999 --> 99:59:59.999 Looking back now there was 99:59:59.999 --> 99:59:59.999 a lot of hypotonia, low muscle tone in her throat. 99:59:59.999 --> 99:59:59.999 That was a personal thing to Ruby, I think