Hey Thanks for the response David. No it was MO I thought M0 and MX were technically the same! I saw my surgeon again today to discuss my 2nd opinion. He said that he had attended a Head and Neck conference last week and that the going trend for HPV+ is the the pendulum swinging to less aggressive approaches; he said that some surgeons across the country would even argue that since all the margins where negative and only one tonsil was positive at level II; that there is a chance that I was cancer free at this point and wouldn't even do rads and wait and save rads and chemo in case of reaccurance. But he feels and said if it was him he would do radiation and not chemo. Said he was suggesting 55-57 gry for tonsil area and 60-65 gry for right neck. The radiology oncologist wants to do low gry on the left side of neck as well but he is going to discuss that with her because he disagrees. I hope Sloan says the same thing. What were your side effects from cisplatin? Do you know anyone form this site who had really bad side effects? Thanks!

Charles