Son(49)dx 4yr ago w/tongue scc.Partof tongue removed,no chemo no rad dx clean.Recurred 1+ yr ago, saw doc 2-1/2 mo ago. dx stg IV scc large pt of tongue root & throat, mets to nk Lymph node. Team recommended 2, 5day inhosp chemo blasts, 2wks apart, if no tumor reduction,then they would would not go fwd with standard tmt-they were not optimistic. Disengaged tubing & left hosp. ama on 5thday. Team said w/o treatmt, 1 mo left. Was 8/12. Saw new team who thought 'cause HPV, he could be helped but neeeds 2,5-day chemo blasts to start 8/21,before standard tmt. Still will not accept tmt. Was the doctor right? Only 1 month? Since Chemo, his behavior borders on "psychotic". When on pain meds-does not sleep - acts like on speed; however, even when he stops meds, is still not completely "with it". Please help. He sometimes thinks he is "cured". Know we cannot force him to do anything, but what would be his prognosis w/o treatment? I feel so helpless and sad that he cannot be reached.