My brother, who has had his 2 year post treatment ENT clearance, is still not back at work. He was told he had to be off for 2 years to reduce the risk of sudden catastrophe due to brain metastasis to less than 1% (he's an airline pilot). Now that the 2 year mark is up the goal posts have been moved by the company medical department, and he believes they are angling for him to have regular pet scans, which his ENT (and the NCCN guidelines for memory)advise against. We're staggered by this, although hugely gratified that he is now 2 years past treatment and well. He's been off work for 2 and half years. He doesn't want a scan and feels this should be his line in the sand - the company medical GPs shouldn't be overuling his own treating doctors. Can anyone point me in the direction of the treatment guidelines? I've managed to find them before, but no luck at the moment. Sorry to rant, and I know we have much to be thankful for.


Brother 49yo DX 22/6/11 Tonsil SCC HPV+ Stage IV T4N1(?)M0. Carbo/docetaxel (Taxotere)19/7, 11/8 (with E-tux), 1/9; E-tux 11/8, 25/8, 15/9, 30/9, 14/10, 28/10; IMRT X 35 (70gy tumour;63gy nodes;56gy gen area) 19/9-4/11/11. Clear PET scan 1/2/12. 1 and 2 year post treatment checks good.