For people who have a disease such as ALS, amyotrophic lateral sclerosis, or Lou Gehrig's disease, losing the ability to speak can be frustrating and emotionally devastating. But technology today is offering ways to maintain communication so that a person still has some independence, explains speech-language pathologist Jenna Gardner. She tells about the "voice library" for Upstate patients and the transitional devices that can help patients maintain communication using an iPad with an app called Predictable.