I had typed a detailed reply however in my stupidity I accidentally deleted it.

What I would like to say is that I have seen my PCP today after my Surgical Oncologist had canceled my last 3 appointments.

The significance is that I would have expected a better understanding of my condition however my PCP surprised me by sharing his knowledge of radiation damage to the Carotid Arteries.

He has indeed decided to treat this as any other arterial sclerosis. I’m not sure if I am comfortable with that. I have bleeding issues and he has ordered blood thinners. I have read that this isn’t the correct way to approach this situation. He has also indicated that he is concerned that I have blockages in other areas.

I have read a considerable amount of medical journals suggesting this is not the correct approach.

I should add that I have had considerable difficulty breathing lately. My body temperature bounces around as much as my blood pressure, although he didn’t seem concerned about that.

I have read that the temperature issue may be caused by insufficient oxygen delivery to my hypothalamus and the memory impairment I’ve been experiencing is also caused by insufficient blood flow.

I don’t know what to think.


Age 60
DX SCC T3N1M0 R BOT 10/04 135lbs
TX Hemi-Gloss 11/04
MET Neck 12/04
TX 01/05 G-Tube,PortCath,6wks chem+6wks chem& IMRT,Max dose
06/05 RND,42 nodes 1 bad,All clear 120lbs
DX femoral hernia 09/09,repair 10/09 94lbs
HBO 11-12/10
11/10 All teeth out,05/11 dentures
DX hypothyroid,04/13
DX inguinal hernia,repair,04/15 127lbs
DX cachexia (CACS),03/16 98lbs
DX EPI, TX PERT,10/18 115lbs
DX RFS,11/18
DX iron deficiency anemia,02/19 118lbs
TX infusions,04-06/19 115lbs
DX calcified atheroma carotid