Vince found pain management critical to his ability to eat. He was able to make it through on long and short acting oxycontin. If his pain ever got above a 2/3 or he was regularly taking the short acting oxy, the med onc upped his long acting oxy. Anytime he really had a hard time eating, it was usually pain related. I would strongly advise Paul to not be shy about asking for pain relief. Use whatever it takes to get through this in one piece!