I would say they should get to a CCC (comprehensive cancer center) ASAP. I would say death by oral cancer is more barbaric then a total glossectomy every day of the week. Several members on these forums have had them and are living a full life, they have challenges sure but they're not dead.

Now not knowing Jim's diagnosis and situation its hard to give advice so the best advice that can be given is to have them get a second opinion from a CCC, preferably a nationally ranked facility. Get the best medical advice available.

Best of luck
Eric