My husband really wasn't listening until he coughed often on coffee and actually choked on food. Unpleasant to say the least. Then he was ready to listen. He tried to get a feeding tube June July but his breathing has deteriorated significantly and he doesn't tolerate bipap due to claustrophobia. We were told there would be a high risk that he would require venting during the procedure(based on severe panic) so we decided to forego the procedure.