He has been choking on food for a few years - but this got suddenly very very bad right after the prostatectomy. In fact, we were driving home (6 hours) from prostatectomy surgery and he started going downhill - by the time we got home, I had to call an ambulance.

He has had 2 bouts of much more minor pneumonia in the last few months - too bad the doctors (and us) didn't pay more attention to the cause (aspiration) on those earlier occasions.

Hopital doctor told me last night that they see his issues, usually at 20 years out for H&N patients, not his 10 years out.