Hi, This is all very new to us. Last week Rich was diagnosed with this and he has had CT scans that shows it has spread to the lymph nodes in his neck. So far we have not really even had to much of a discussion on the tx. All that we were told is that he needs surgery and to have a flap taken from his forearm. Rich is disabled from other medical problems. He has liver damage, peripheral neuropathy, osteoporosis with 3 spinal fractures, and osteoarthritis. Tomorrow he is going to the cardiologist to see if his heart can stand the operation. I'm guessing the cancer doctors are waiting to see if he is strong enough before even discussing it with us. Our main concern right now although we have dozens is that Rich is in a wheel chair and uses his arms to transfer himself. Will he still be able to do this if they take a flap from his arm?