O.K., I have been mulling over this response for an hour or so now: Whether to post to this at all, or if I do, what exactly will I say, and who might I offend? But--fools rush in where angels fear to tread--- If we[John and I] had "do overs", we would NOT have taken our referred Otolarangologist\Surgeon\Oncologist opinion as the only approach. His field is surgery- no ifs, ands, or buts. We had no second opinions, no tumor board conferences. And John's treatment, thus far has failed to cure him. He might not have been cured by any means- noone can say- but I do have a strong feeling that the journey so far might have been easier if there had been a team approach to dealing with his issues. I truly feel that a major Head and Neck cancer center is paramount in dealing with this disease- this is not a new idea, read this site- unfortunately, many of us do not arrive here until too late. Amy