Welcome Lloyd, sorry to meet here but glad you found us.

There's a ton of information for you to absorb, you'll find it all overwhelming no doubt. Are you married? Do you have someone to look after you? Its much easier if you have a second set of ears when the doctors are explaining everything. Take notes, you can Google words later. But don't go Googling stats and such, it will only scare you and not be in context for your case. It sounds to me like you've got a pretty good handle on the info you've been given so far.

You'll be weak as a kitten by December. I would be planning on getting help to move.

I was 235 and lost 50 pounds. I could afford to lose some of that, and like many I thought I'll just lose some and get it back later easy enough. It doesn't work that way. Getting adequate nutrition and hydration is crucial for getting through treatment, repair and recovery.

It sounds like a cliche but stay positive. Keep your chin up, because it is contagious when it drops. Its a tough few months, but the prognosis for P16 SCCs is better than many other cancers. Its tough, but its very treatable and very survivable. A positive outlook helps you face the day to day challenges, but it also helps those around you.

Some people go through treatment better than others. Its probably the hardest thing you've ever done, but there are a lot of people here who have been through the same treatment. There won't be a drug, side effect or scrambled eggs recipe one of us hasn't been through.

What to do before treatment starts? It sounds like you on top of the dental. Get admin things out of the way so you don't have to worry about them during treatment. Things like getting help mowing the lawn, getting the car serviced, dog to the vet, whatever. If you can get it out of the way now its one less thing to worry about. Eat well. Eat lots of steaks, you will miss those soon enough!

Lastly whoever your primary caregiver is, they will be scared, stressed and wont get the attention you do. Be conscious of what they're going through to, they can be overlooked.