I took "not an option" as meaning he has no choice, but to get a peg tube lol. In the absence of sepsis, I agree with the above, and if not a peg tube, due to possible infection fom surgery, stomach issues, at least an NG tube. If not that, Total Patental Nutrition, TPN, through the port instead. How is his weight? Doctors get concerned when 10 percent of the body weight is lost, and may even cease treatment when it gets closer to 20 percent.

There is a link how one manages through treatment, and their overall survival. Ones that do better, have less adverse effects do better than those that don't in the long run. Stopping radiation is not good either, and gives the chance for cancer to repopulate.

I'm not too sure about the reduction of radiation, and why, to reduce toxicities?They may be reducing the delivery volume for now, and accelerate it later on, or give a boost dose at the end, and still get the total intended doses of Gy as recommended by treatment protocols.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs