It gets confusing in my case since I had 5 recurrences, and yes, different treatment plans. I did have two local MO, RO at one point, who did not want to give me chemo or radiation either due to my condition or possible damage from IMRT the 2nd time.

This last one in June, 2012, all my established doctors, Mt Sinai, local doctors were going to do 50Gy, and Erbitux, which I did not feel confident with just doing, and was looking for something more, probably a miracle, and that's how I found Dr. Harrison.

Dr Harrison said, I want you you listen to me closely, you have one chance, and one chance only to cure this. Just doing 50gy is not going to work, and most likely my cancer will come back, and it will kill me. He proposed a 4 part process of 1, re surgery to get all cancer out, btw it did return in the skin 2. IORT radiation during surgery, 3, a pec flap to the neck, and 4. IMRT for 5 weeks with Erbitux, taxotere to follow. I didn't need to shop around any more, I found my doctor, signed all the papers, and scheduled surgery, so I wasn't going with MSKCC, but just wanted to continue with a consult. Maybe they were right, as not to waste each others time. MSKCC does the same IORT, which was started there by Dr. Harrison, so he is the pioneer, and expert with this surgery, and wrote the book with Intraoperative radiation treatment, and another book, multidisciplinary care for head and neck cancer, and a few others.