Guila, if the Docs refuse to figure out a way to feed him by peg or pic or whatever, then ask about Megace. It is an appetite stimulator that is used for cancer patients, Aids patients,etc. You can read about it on the internet. It is very expensive but supposed to work well. It was offered to us, but we did not try it because John was at the max. volumn of what he could tolerate in a day. Also, we are using a NUTRITION product called 2CaL-HN. It has 475 calories per can and John takes 4 cans a day [by peg].It can be pump fed and it can be swallowed if the patient can swallow. That's 1900 cal. in just 4 feedings. Add some Welches Concord grape juice or gatoraid and you can boost the calorie intake to 2000+.Keep fighting for you Dad. Amy