@alphabeta - welcome to Mayo Clinic Connect. Having a damaged vagus nerve post gastroparesis surgery plus stage 4 COPD sounds like an awful lot to deal with.

You may be interested in this discussion that's been ongoing in recent months in the Digestive Health support group on Connect:

- How do I eat after digestive tract surgery? https://connect.mayoclinic.org/discussion/how-do-i-eat-after-digestive-tract-surgery/

You also may be interested, if you've not yet checked it out, in the Mayo Clinic Connect support group specifically for COPD. This is the home page for it where you will find a listing of all the discussions:

- COPD: Chronic obstructive pulmonary disease Support Group https://connect.mayoclinic.org/group/copd-chronic-obstructive-pulmonary-disease/