All - thank you for your opinions and insights - I totally agree about making decisions based on finances, however, trying to convince my Dad about that is a different story and in hindsite - I wish I got more involed with his initial diagnosis of the Tonsil but was pregnant with twins living across the country but my sister said she had these conversations with him.. but I guess they felt the Boston VA was doing all that a CCC would do and maybe they did and his cancer is just stubborn and came back or never was all gone.. We are seeking some more opinions - one from head ENT at Biloxi VA. He is suppose to get another CT scan, and get fitted for his next radiation mask.. I am not sure he is going to tolerate another round of radiation and/or this is the best way to combat this latest tumor but his other choice is the salvage surgery that the Dr's seem to think is worse. I think the Oncologist woudl just like to do more chemo and pain mgt to keep it in check... How long can one survive before the cancer invades the rest of you?