Thanks for your question on HCM. I can understand your situation and problem. BRCA 1 positive patients tend to have multiple organ malignancy. And esophageal cancer us common. They have incurable disease. So we can offer only chemotherapy and radiotherapy. When tumour advances it starts obstruction to the food pipe. So swallowing is very difficult and painful. In this kind of patients feeding jejunostomy should be done. Another way is parenteral nutrition. In which nutrients like carbohydrates, proteins and lipids are given intravenously. So better to consult your oncologist and discuss these options. You have to accept the fact.