Hey Sandy, I too was DX with vocal cord cancer on 3-4-10. I never felt bad just hoarse. I have just completed RT with IMRT for 39 treatments. No PEG. I never lost weight and continued to eat although very carefully. Wanted you to know that it is possible to get through this . I actually only this past week began to have some difficulty eating and swallowing. RO says I have peaked on my side effects now and I should start improving soon. I have gotten a bit tired on occasion, sleep a bit more but overall compared to most that post here, I have gotten through this relatively unscathed. I smoked 2 packs a day for 40+ years, threw them down "cold turkey" the morning I first saw my ENT. I have 3 children that are nurses and 3 doctors in my family. They all told me to eat as much as possible and get as many calories down as I could for as long as I could. I managed to gain about 7 pounds through treatment and will now at some point have to lose that and a few more. I am convinced that being able to continue to eat helped me get through this. I sometimes had to chew things a very long time and take very small bites , but it was worth it. Good luck to you. This is a great site for support.