Unfortunately, he's not really willing to do the additional meds. I mentioned the patch to my Mom (who's an MD) but Dad (who was a pharmacist!)said no way, and he also said that he wouldn't try to swallow and got really angry and defensive when I tried to talk about getting nutrition that way. He won't even allow us to broach the issue of anti-depressants. At least he's using the PEG more -- although he also said no to the pump, which would have helped a lot, since we're convinced he's using the PEG too quickly and that's one of the reasons that he has pain with it.
So, tomorrow is the last chemo, so maybe he'll manage to get the full dose and we'll see!
Meanwhile, I'll keep (gently!) raising the issues of pain management and swallowing and see if we get anywhere!
Eve