Jon, do you have a support network? This treatment is difficult and many people get to a point that they are on too much pain medication to drive to treatment. It's also helpful to have someone to go to the pharmacy and help keep track of fluids, calories and medications.

On a good note, my husband was Stage 4 BOT. Treatment was hard, although his recovery has gone very, very well. He's currently 2 years post treatment.

He started w/ Cisplatin and then switched to Erbitux when his hearing started to be impacted by the Cisplatin.