Thanks Christine, gmcraft and flamez91

Yes, The dietitian prescribed HF powder to be used with water

The Rad specialist changed his personal schedule, so I was lucky to meet him today.

I was moved by his professionalism.

It wasn't like a RAD education lesson as I expected.

It went like this ....

Are you scared ? --- yes

What do you do ? --- I work in Telco industry ...

He said the most difficult day after surgery is day 4 .....

He reviewed my MRI scan with me & my family

He showed us the dreadful tumor on my left tongue (T3), The tumor is quite big, crossed the center line, and the left swollen lyphm node (N2b)

I noticed my sudden swollen neck bump this morning in the mirror, he said it was there for months.

He told me not to blame my self for my current situation. and be confident that we can beat the vicious SCC

According to the Rad specilist, my treatment plan was discussed on their hospital's multi-disciplinary meeting. They say it is curable

They decided that surgery plus radiation is best for me. They never done radiation first to shrink, then cut it ( I read this method somewhere else)

probably 3 weeks after surgery, I will go through 6 weeks radiation, 1 per day, 5 days per week. Total 30 times, I shoud be able to drive

the radiation aera is some aera around the tongue , left / right vertial lyphm lines, and a horizontal line across the neck bottom ( this is new to me, may be due to the worrisome N2b)

the dose is 60 gy, the radiation beam is quite narrow, low depth. my other body parts will be less affected. and my jawbone will be less affected

He ordered a full body PET scan. He will have another chat with me after PET.

Next week, I will be very busy --- PET , PEG, addmission to hospital



T4aN2cM0 left tongue SCC 10/17
Moderately differentiated SCC
PEG, Trachy, glossectomy, en bloc neck dissection and reconstruction 11/17
Perineural invasion present
Radiation (IMRT) and Chemo ( 2xcispltn) completed 2/18
PET - NED 05/18
CT - NED 07/18, 10/18
CT - NED 02/19, 06/19
MRI H&N, X-ray chest - NED 10/19
MRI H&N NED 05/20
CT - NED 10/20
MRI - NED 04/21
CT - NED 10/21
CT - NED 4/22.10/22
CBCT - NED 10/22