Dear Walt and Pat- If your Ins company tries to give you ANY trouble about the feeding tube nutrition- just have your Doc write a letter stating that it is her ONLY real source of nutrition [to keep her alive] and there is virtually no way they can deny it. We learned this the hard way, but fought and won- all of John's peg tube nutrition was by a written script and athus paid for by our insurance.It sounds like you are doing a great job as a caregiver. Amy in the Oz