My daughter calls me paranoid but I don't think so. I think I'm trying to be realistic. Everything I have read about Stage IV spreading to lymph nodes has been virtually a death sentence. I of course am hoping to be in the small percentage that survives, but I don't seem to be at a "lucky" point in my life right now so I really have a lot of fear about my prognosis. I know every case is different. I feel weird things going on in my mouth all the time and hoping it's just the after radiation effects. I see my ENT every six weeks but he can't promise me anything. He's just ready to biopsy anything he sees "suspicious" - so far so good, nothing suspicious. But it's a scary life we have to deal with after that Big C diagnosis.