We spoke to doctor about the treatment options. He stated the best option is surgery 6 weeks of radiation and chemo. However he doesn't believe Rich is healthy enough for the surgery. It would involve removing most of the front of his tongue and removing lymph nodes from both sides of his neck. He would have a trach and feeding tube. With all of his other health problems Rich and I discussed it and feel its too much. We decided on comfort mesures and hospice