DEar AmyC, we can all relate to the exhaustion, even if your body can crawl into bed for sleep, usually your brain does not. I used to spend hours [while trying to go to sleep] running through recipes and caloric concoctions that I might offer John the next day. The powdered milk addition to any milk based dish will add more calories. Adding fruit juice to the water he drinks is a good idea. Don't know if his stomach will tolerate it, but Coke and beer through the tube add calories as well as liquids. Lots of trial and error-lots of cooking and pitching things out [or scientific experiments growing in the fridge] One real thing John could eat a few months after radiation was babyback pork ribs, smothered in a mild barbque sauce and baked, covered,for an hour or two in the oven. I preboiled them some first to get some of the grease off. We know what a challange you are dealing with, and we are wishing you well. What a neat thing that MDACC suggested you visit here- I hope Brian reads your post! Amy in the Oz