Rosie, I am so sorry to hear about Heather's re-occurance. What terrible news to hear, and know that my thoughts and prayers are with both of you - as well as to everyone here. I think it's safe to say that most people put a lot of faith and trust in their team of doctors who are treating them - and if a doctor recommends against chemo, we trust they know what they are talking about. From my personal experience in my husbands treatment - chemo and radiation were both recommended for his stage III/IV scc. The combo did quite a number on his energy and lifestyle - but looking back, I am so glad it was done. I was told that radiation is necessary to shrink the tumor, but the chemo is basically what stops it in it's tracks from spreading. Although I certainly am not a doctor - I can't see why any Physician would NOT recommend both for a later stage cancer - along with possible surgery, unless the cancer is still in it's very early stages. When my husband Johnny was in the hospital getting the chemo - the "chemo doctor" came in one day and told him...."Y'know, this may not help you at all"! When I heard this statement from my husband - I was appalled! Knowing my husband was just starting his treatment at that time - and the level of fear we were both experiencing - it never ceases to astound me how some doctors can be so insensitive and downright negative. As it turned out - my husband proved the doctor wrong - the chemo along with the radiation DID help - as of my husbands surgery last month, he has been declared "cancer free" - and I thank God for that. Although I know he is still not "out of the woods" yet - I always like to hold onto hope - and Rosie, although things may seem hopeless at this time - be strong and keep the Faith - miracles can and do happen all the time. God bless you and let us know how Heather is doing.