Like I do often I qualified that statement with "that I remember" and "but I'm sure there are some". Since I'm a Guy in Red now I am even more cautious about what I say or at least I try to be.

I haven't seen any statistics re starting with Carbo vs Cis but I'm reasonably confident that the overwhelming majority start with Cis.

I also wasn't posting a comment on chemo vs no chemo but since he has nodal involvement, again most would recommend concurrent chemo and I wouldn't compare the treatments of 1997 to what is practiced today. Hopefully they have gotten better! lol

I still stand by my comment/recommendation. If nothing else it's more logical to start with Cis with his tobacco history and switch if it causes a problem which is not a given to begin with but what is a given is that if they don't throw everything at his cancer now, certainly his recurrence chances increase.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.