Hi,
Thank you all for your input. If anyone else has any further advice it would be greatly appreciated. My brother in-law was seen and had his surgery at Sloane Kettering in Manhattan. His surgeon there is a very respected Doctor worldwide. He is having the radiation at a satellite branch of Sloane Kettering closer to home and outside of the city. Which makes it difficult to decide whether to listen to the Oncologist and Radiologist here or the highly respected surgeon in Manhattan. He also at a younger age suffered a mild heart attack and had angioplasty done about 10 years ago. His cardiologist said the chemo would not affect his heart. His primary tumor at the base of his tongue is 4 X 3 x 2 cms and the tumor in his node was 4 cm. He is borderline Stage IV. After reading your replys he is seriously considering the chemo. The earliest he would be able to start would be this Wednesday, wondering if starting late will ruin the effectiveness? Also, if anyone could give any details of what he should expect to happen, would be appreciated. Think it is better to be informed than surprised. He is quite terrified. Thank you all so much for your help. Best wishes to you all.