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When you need assistance press the medical alert systems help button while having necklace or wristband. In less than a minute, an operator will begin to speak you through the speaker box which is part of your medical alert system. On the have the chance to tell the operator if you need assistance. Of course, if you don't speak, the monitoring center will treat it as an unexpected emergency and dispatch the local paramedics spontaneously. And the best part is, usually have to reach for the phone.