Hi Ann,
Sorry to hear about your fiance. My brother is also going in the same path. He has SCC tongue at stage IV and the doctors did the surgery first (removed 30% of his tongue and 26 lymph nodes from his neck) and now they are doing chemo and radiation. They inseterd a tube in his nose, and all he can get is liquids for 10 days after the surgery. He completed 1 chemo out of 6 and 4 radiations out of 30. Currenly he is doing little ok in terms of eating food and talking.
I hope your fiance will get better soon. Please update his status soon.
praveen