Hi, Loretta-you are right- a recurrance diagnosis does take wind out of our sails. The only consoling words I can offer are these: This time around, you will be more familiar with the terminology, more informed going in, you will know better how to prioritize your time during his treatment, what help you can ask for from family and friends, etc. While youall are selecting the place to be treated, start reading about the chemo combinations that are being used today so you can ask good questions about what the Doc is planning to use. [in our case, John's recurrance was treated by another surgery plus more neck dissection. Then he started on Carboplatin\Taxol, which did nothing to the tumors. He could not have more rad. So now we are doing the Erbitux. Asking ahead for Step 1, 2, 3 will at least give you something to research. You both got through this the 1st time, you can do it again. Amy