RogerP, welcome!

It sounds like you have a few issues looming ahead. The help and support may apply regardless of where you are but doing this alone in a foreign city doesn't sound good, to me. I think you would be fine for 4 weeks or so and then things can start to escalate, but not in everyone. I've seen people coast through IMRT without taking off work.

As far as proton beam or not, I can't help much with that.


SCC Stage IV, BOT, T2N2bM0
Cisplatin/5FU x 3, 40 days radiation
Diagnosis 07/21/03 tx completed 10/08/03
Post Radiation Lower Motor Neuron Syndrome 3/08.
Cervical Spinal Stenosis 01/11
Cervical Myelitis 09/12
Thoracic Paraplegia 10/12
Dysautonomia 11/12
Hospice care 09/12-01/13.
COPD 01/14
Intermittent CHF 6/15
Feeding tube NPO 03/16
VFI 12/2016
ORN 12/2017
Cardiac Event 06/2018
Bilateral VFI 01/2021
Thoracotomy Bilobectomy 01/2022
Bilateral VFI 05/2022
Total Laryngectomy 01/2023