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Dave-We acquired a LiftSeat from a friend whose husband had ALS. Here is a link to the item: https://liftseat.shop/products/liftseat-independence-ii-toilet-lift This lift runs about $1400. My husband can still stand up from seated position, but getting off the toilet is a challenge from time to time. The LiftSeat can be outfitted with a bidet, and if you get a bidet you’ll need an outlet closeby with 2 plugs–one for the LiftSeat and one for the bidet. My friend ordered several items fromLiftSeat (LiftSeat Independence II, Brondell 1400 Bidet, Bidet Extension Kit, Big Button Hand Pendant). We also have a splash guard. Contact info for LiftSeat is (630) 424-2840; [email protected] Website: http://www.liftseat.com