Loo roll dispensers

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Please tell me I'm not the only person who finds these things almost impossible to get anything out of?
I'm OK if there's a dangly bit but if there isn't , I have no idea what to do.
I carry tissues at all times.

I just put my hand in and turned the roll until some comes out.

But usually nothing comes out.

I reach in, find the end and pull it down.
I have worked on geriatric wards where it only took a little bit of physical weakness or limited movements to make these difficult for the patient’s to operate.

this is a fear of mine so i always double check before i begin my business
no tissue no tushie

The worst ones are those round blue ones with a huge rolls of toilet paper inside, with a tiny bit of the end sticking out of the little hole in the middle!
I always pull a fair bit through before I even sit down just in case.

So often there isn't a bit sticking out though.