David. I'm glad you are finally putting in that "despite ourselves" addition to your relentless defense of no PEG tube use. Toughing it out, and losing as much weight as you did may have come out ok for you, but it does not for most people. Given the very small down side to this, a I still do not understand your fighting for something that you lucked out not having slow healing and weight loss complications from doing, not benefited from doing. You defense of the neck dissection issue makes more sense to me as there are pros and cons to that based on staging and HPV status, I wish you would keep you recommendations and advocacy in that arena. Next month we have the onco-gastroenterologist from MD Anderson joining OCF advisory board. I can assure you that we will have an official informed position at that time on this. It will likely be lose a certain percentage of body weight = get a peg tube. You will always be entitled to your opinion, but advocating for something as a non doctor that may have negative consequences probably will not be part of what we as "OCF" do for people coming here.

Having said all that, I also want to say that you have become one of the most valuable posters at OCF, and I am proud to have you as part of the family.