Kathy, Sounds like you are handling it well and No feeding tube? 20 rounds down? I assume you are still driving yourself to treatment? Your symptoms are very close to what mine were. I managed to deal with the throat pain but needed Tylenol or Oxy to help get a meal down. All I really tried to do was get down good protein and maintain my weight. Hang in there and keep fighting. It will get a little worse up to about 3 weeks after final treatment but you can do it. Today about 18 months out I am back to about 90% with Clean scans. God speed.