Thank you Brian, Kevin, Jim. I've passed the suggestions on to my husband and will post if ENT has any other ideas.

I understand that Speech Therapists caution not to hyperextend the neck. It seems counterintuitive but dropping the chin slightly, after moving pill all the way to back of throat, is recommended. Anyone tried that with success?

CG to husband, dx @ age 65, nonsmoker/social drinker. Dx 5/08 SCC Stage IV, BOT T1N2aM0. 33 IMRT - completed 9/12/08. Induction Chemo (Cisplatin, Taxotere & 5FU), plus concurrent Cisplatin.
1/09 PEG removed; 5/09 neg PET/CT; 5/10 PET/CT NED
Dental extraction & HBOT 2013; ORN 2014; Debridement/Tissue Transfer & HBOT 2016