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Thanks JB. I'll keep my eye out for it, but he needs something in the short term as well.
I found a mouse that you can extend with plug in buttons for sale on a US site - goign to see if I can get it in the UK.
I think I'll get the Stream Deck anyway and see what we can do with it. Even if it doesn't solve the mouse requirement I could set some keys up to Zoom or Skype family members directly, open an email to people he contacts a lot, that sort of thing. (Actually if he can handle Alt+key, maybe I can do a lot with Autohotkey)
Sorry to hear this. Microsoft are supposed to be releasing an adaptable mouse this autumn. This could work if you can wait for a little bit?
https://www.microsoft.com/en-us/store/b/microsoft-adaptive-accessories