Thank you so much for your advice! No, he works and lives in VA and apparently there are many hospitals but can yiu believe, just one outpatient place that does PET SCANS? The is seeing a team of oncologist, radiation oncologist, ENT and dentist. They did a tumor board meeting and told him that no surgery would be done as local regional metastasis already. Only radiation and chemotherapy. PET scan almost 3 weeks ago did NOT show below neck mets, but I am very worried that distant mets can develop within the 5 weeks between PET scan and beginning of treatment. It is an extremely difiicult time for him and all those around him (family and close friends) who love him.