Thanks Gail. I would love to hear the details on the ECOG study.

What a huge difference between the treatment protocol at Moffitt and John Hopkins. Then when I read Brian's comments, it makes me hope that our R.O. was experienced enough to have the 'art' of IMRT down. As I noted in the thread above, we were told last March that Moffitt primarily uses IMRT for patients who did not undergo surgery. They just use conventional radiation for H&N patients who also had pre-radiation surgery. This never made any sense to me, but it is what we were told. It would also mean that they don't have a lot of experience using IMRT for patients who have already had the primary tumor and affected lymph nodes removed through surgery.

As a Moffitt patient who had surgery, Jerry only got IMRT because we learned about it ourselves and specifically requested it. Jerry ended up with a soft tissue injury at the surgery site where he got too much radiation. I wonder now if this is common or an example of not enough experience with the technology.

Thanks again for the information you provide. I find it really helpful.

Connie