Yes she has aspiration but to date as she has been active she has not suffered the ill-effects of this aspiration- sounds crazy huh? She basically has not epiglottis movt, although her vocal cords constrict to stop apiration everytime, but the cords do not remain shut long enough each time, so she does aspirate. Plus with the damage toher tongue from the radiation, her tongue function stinks. So the feeding tube is thebest option, she does not want it if she can avoid it. It seems unavoidable to me, but it is her decision.