ALS, and cigarette lighters?

That will cause some frustration and cut into his independence. I don't know how much mobility he has, or how he gets around but is using the stove an option? I don't want to suggest anything that will start a fire or anything but I am assuming that his motor skills are okay enough to turn the stove knob. If you have a gas stove that might be a little dicey because he might singe his eyebrows, hair, etc. It is too bad that they don't make something like car lighters, where you just push it in and it pops out when it is ready and you just push the cigarette against it to light it.

Good luck to your friend

Quit Smoking?

He better have some lit hit cigarettes for him. He is liable to start a fire.

STOP SMOKING.