If there is a problem getting the VHC, consider Nutren 2.0, also by Nestle but 'approved' for PEG feeding and has 500 calories per can -- I think it only comes in Vanilla.

Christine is right about using the pump at night, set on very low speed -- Per her advice (Thanks, Christine!!), I've been loading two cans plus some extra water and an occasional dose of Ranitadine, with the pump set at 75 ml/hr and that has been working well for me. That's a lot slower than gravity feed and I don't notice it.

However, it's really good that David is swallowing his food because that will pay off down the road, and the walking is also really good. Keep in mind that recovery from the nuking is a very slow process and certainly has it's ups and downs.

Try not to pressure him too much as it sounds like he's the type that the harder you push, the more he resists <grinz>.


Age 67 1/2
Ventral Tongue SCC T2N0M0G1 10/05
Anterior Tongue SCC T2N0M0G2 6/08
Base of Tongue SCC T2N0M0G2 12/08
Three partial glossectomy (10/05,11/05,6/08), PEG, 37 XRT 66.6 Gy 1/06
Neck dissection, trach, PEG & forearm free flap (6/08)
Total glossectomy, trach, PEG & thigh free flap (12/08)
On August 21, 2010 at 9:20 am, Pete went off to play with the ratties in the sky.