Thanks Helen for sharing your experiences. I met with my ENT doc a year ago to discuss options. He also mentioned a vocal cord laser procedure where part of the paralyzed cord is excised. I declined because of a fear that would set me up for even more aspiration issues assoicated with eating/drinking and he mentioned I would lose more of my ability to talk & sound kind of "breathy" what ever he meant by that. Once done there is no going backwards to undue the procedure so I was scared to proceed.
The idea of a PEG is a little spooky as well as I'm a pretty active fellow physically, within reason, and would worry about sufficient calories and nutrition. I suspect one day I will have no choice on the PEG and possibly on a "T" trach tube. In the meantime, it's one day at a time.
Don