I have finished my signature, please tell me if I need to change anything. I looked at abbreviations. I had a hard time figuring out how to abbrev signature. So much information.

I am currently being treated for SCC Stage 2, and I have and RO and Surg Oncologist (ENT).

Tony, I have some weight to lose, about 70 lbs actually. I am unable to eat, I have had two surgeries already removing portions of my tongue. I am only able to swallow water and Boost or Ensure as of right now. I am not even swallowing my own saliva properly right now.

I plan on visiting VUMC for a second opinion and as I understand they are a CCC. My current team is only the RO and SO. I trust him with my care and he has mentioned a MO for possible chemo, depending on what the thing in the Left back of my tongue is. He said surgery is preferred first method of tx but that chemo and radiation can sometimes take care of it as well. So that is what I am hoping for If this place is another tumor.

After one tumor with negative margins and a recurrence only 2 months later, I am a bit skeptical. We did get negative margins this time also, only 1mm on one side and at least 3mm on the other sides. He is certain this place in the back left was not there when he performed surgery and I do not remember it being there either. There is a possibility it is trauma, has anyone had trauma like this post partial glossectomy? The other fear of course is tumor.

Non-smoker, non-drinker
10.28.13 Biopsy R front tongue
10.30.13 Stage 2 SCC dx HPV Neg, age 27
11.7.13 Right ptl gloss and R neck diss. Nodes neg and neg margin
1.17.14 SO confirmed SCC recurrence
1.23.14 Right glossectomy crossing into midline some of L remv and hollowed out inside, neg margins
1.28.13 swallowing strained, liq diet, Back L tongue shows poss tumor
2.5.14 Clear CT
2.17.14 Clear PET
3.10.14 Start IMRT