Thanks for the advice. In terms of pain management, they are upping the fentnyl patch, increased frequency of oxycodone (every 3 hours), and starting a new pain medication that addresses nerve pain (for both nueropathy and neck pain). We are going to try these and see if they work.

I'll be getting them filled today.

Cg to partner, Stage IV SCC of upper left mandible, met to lymph nodes. Dx 4/1/2008. Inopperable, 3 rounds of chemo followed by 2 rounds of chemo with 33 tx of radiation. Growth started again immediatly following. She crossed over November 30, 2008.