From reading your signature, your father had three rounds of radiation, which included IORT, plus a flap, which I had in a different location, and is like 3x the dosage in IMRT, so can see how this impacts his swallowing capability. As far as aspiration, everyone offered very good reasons, and understand your concern for this infection to go systemic, which happened to me, including c-diff, and seems like the priority right now. I was hospitalized, don't recall everything done, but was given IV antibiotics, plus was NPO for a while, meaning no food or liquids by mouth, and had no peg tube in the beginning, was suctioned, etc. They did use my port to give TPN feedings at some point. As mentioned, I would go to the ER, if needed.

Good luck with everything.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs