“With” is your two thumbs up, clenched together. The sign “together” is the same shapes moved around in a circular motion.
If you are to minister to any specific people group, including the Deaf, it is imperative that you work with – not above or over – but with the Deaf! Since the Deaf know firsthand the needs of the Deaf, they can really help you be effective. God wants us to work together as equals. That is why the two thumbs are on an equal plane. We need to humbly work together.