John,

We are following up with the doctors every month by alternating between the ENT and the radiation oncologist and in between sometimes we see the medical oncologist.

We were finally referred to pain management little over a month ago and given morphine and Nortriptylene which is used normally for depression but in low dosage (10 ml daily) can be effective against pain.

We were also given the fentynal patch (100 microgram) but the pain persists.


CG to wife;
Jan 2005 DX SCC Tongue T2N1MO; RND surgery Mar 2005; 35 XRT and 4 cisplatin completed Jul 2005.
Dec 2006 tongue surgery, Scar tissue no cancer.
Feb 2010 neck node FNA - negative.
2010 ORN right jaw plus fracture
2015 ORN left jaw plus fracture
Feb 2016 Lower jaw reconstruction by Fibula free flap+titanium plate - Permanent G-tube
June 2016 Difficulty breathing - Permanent Trachea tube
Dec 2019 DX Cervical cancer - Stage 1 - Surgery Jan 16 2020.
15-20 esophagus/larynx dilations