The main thing is to take one step at a time. I hate that comment myself but it's true. David is absolutely right in the fact that the pain has to be managed.

I think the fentanyl patches are great as you only have to change them every 3 days, can take "breakthrough" pain meds as needed and is an effective pain med by its self.

It's easier to have hope when you're not in pain. Worry about the neck dissection when it comes, thinking about everything can be too overwhelming and I do think antidepressants should be used.

My thoughts and prayers

Eric