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The promise of this app and subsequent lack of delivery on that promise borders on cruelty. This app has no instructions once opened, no training mode and because of these deficits -- unsurprisingly -- doesn't help my intubated brother currently in ICU. He desperately wishes to communicate, but all this app accomplished was to enrich the "developer" and Apple itself by $1.99. Now, my expectations were low to begin with, and I was willing to give this as much time as needed to get it working. But the app is completely and totally useless (and the "support" is Japanese only. If you want to scam people, I guess the easiest ones are those like my brother who are in desperate straights. Both the developer and Apple itself should be ashamed. A refund would be appreciated, but more importantly, this app needs to be removed from the App Store to prevent others from experiencing false hope.