Complete failure of my doctor and therapists to recover my left hand

 In Ecuador when on the coast it is quite humid(Porto Lopez and Canoa) which means the salt doesn't flow freely in the salt shakers. I have zero ability to shake salt into my left hand to see how much salt I'm using. My left hand will not open due to spasticity which my doctor never did one damn thing about, except to tell me spasticity wouldn't go away. What a fucking useless doctor.