Seriously MDA is the absolute best facility for treatment I your neck of the woods. It's one of the best. Having to travel I am sure is inconvenient - but as you've said his cancer appears aggressive - and rads is only for six weeks - its worth the inconvenience to make sure he gets the absolute best treatment possible. his life depends on it and sometimes with this cancer you only get one good shot. I know it seems radiation is radiation, but there's more to it than that. I'm Canadian but if I had to choose an American hospital to receive treatment at it would be MDA. this is one of the things we always tell newcomers - get treatment at a top notch ccc. Take care.