Welcome back, Johnnie. As you know, this site is full of some very helpful and wonderful people with much knowledge and experience to share. While I can't offer any advice on a permanent feeding tube, I would certainly recommend that you get a second and possibly even a third opinion before you commit to what one doctor has told you. The more experienced people around here will also probably tell you to get at least one of those opinions from a CCC (Comprehensive Cancer Center).

I'm sure others can offer more specific advice relating to your issues. Best wishes and best of luck to you.

Andrew
4x survivor
1998 - SCC of larynx
...laryngectomy, tracheotomy, radiation, caries, HBO, teeth extr, TEP
2002 - lung cancer, wedge resection
2014 - SCC of BOT, pharynx, oropharynx, HPV-, stage IV, T2N0MX, invasive, poorly differentiated
...chemo (carboplatin, taxol), dc'd due to neuropathy
2015 - SCC of palate
...Feb-April IMRT (46 x 70 Gy)
...Jan 2015 - May 2016 cetuximab 500 mg q week x 55wks
2016 - metastases to mediastinum, lungs, spleen, pancreas
...Aug-? pembrolizumab q 3 wks