still u've got voice activation, with s/w like dragon naturally speaking, u can do wonders, and check the joystick type mouse it's a 3m product called renaissance or something like that www.3m.com <--- not an advertisement

and loads of other solutions, how about touch screens or light pens.

man I'm sure it's gonna be OK just have loads of faith, and don't give up, I know it sounds lame but believe me it works, and if you are relegious GOD likes us to remember HIM in such situations...

take care I'm sure u'll get out of it stronger and more resourcful