Paul, early and aggressive treatment is a very good thing and tilts the odds very much in your favor. Everyone facing this has dark thoughts, but it is survivable, as you will see from the many people here. True, we have lost a few members, but many, many more are well and back to Real Life. Ask any question you have as you go along, and there will be multiple replies from those who have "been there, done that." I suspect it will be many decades before you are a statistic at your place of employment. Like many others here, I had stage 4 SCC treated with surgery, rad and chemo (and yes, a PEG) and today, more than three years later, have long been back to absolutely normal. You can have the same outcome. Let us help you on your journey.