Summarize the following:
In some cases, people with dual-sensory loss are accompanied by a partner trained to facilitate communication for the deaf-blind. This person will have sometimes formal education in deaf-blind communication, and will have developed rapport. It has been shown that the level of education in deaf-blindness has the greatest impact on communication with the deaf-blind. These may include hints in the form of:  Changes in body language Pre-written notes or cards Recordings or utterances Changes in the person's breathing Changing facial expressions Physical actions (such as taking you to the fridge for food) If they reach for your hands, this could be an attempt to communicate. Then hand it back, unless instructed otherwise. A person who is deaf-blind might communicate using written messages or pre-recorded messages. These are used to convey essential information about their activities. Communication for the deaf-blind can be extremely difficult. The person may need considerably more time than you are used to in order to express what he is trying to say. By giving him the time to fully convey or to try different ways to express the idea, you can help facilitate interaction.

Summary:
Look for a communication partner. Look for more subtle cues. Take any card or note that is provided to you, so that the person knows you have received the message. Be patient.