Thanks for your responses. I have had the swallow study done on numerous occassions. I clearly have a swallowing disorder and have attempted to do the exercises that were perscribed. Unfortunately my throat hurts so bad by mid day I am unable to do the exercises in the afternoon and evening. I'm kinda hoping if I get the tube my throat will not hurt so bad and I can do the exercises diligently. I'll keep you posted. Thanks again.