We use Draytel's pay as you go service over cable broadband. You get a geographic number so people can call you and cheap VOIP to landline calls. You manage and top up credit online, and use an Internet phone (Siemens Gigaset) that plugs into both your internet router and also old fashioned...
The use of language to obfuscate true meaning is a curse of our modern age. At least they didn't encounter "buoyancy issues resulting in a negative floatation event".
Nasty disease, son had it. The NHS were no help at all, but we found a retired doctor who knew a lot about the subject, and had started a non-profit community clinic to help people with Lyme. Although I was initially sceptical, the coil machine treatment worked for him.