Tom, an added observation that recurrent cancer in the head or neck can sometimes be a rapid life ending event. If Pam has mets to other areas, then the time could be quite a bit longer. The reason I strongly suggest getting other opinions is because some Doctors will essentially write off any further treatment when another doc might do something that will yeild longer life with quality. There have been several here that have extended their time with treatments that were NOT horrible. Please look into Mayo or any other superior hospital you can get to.

With regard to medical insurance coverage, go after anything you can get. Don't wait for one then try for another. Try to get on everything. It is bad enough to deal with the cancer you shouldn't have to ruin your finances.

Mark, 21 Year survivor, SCC right tonsil, 3 nodes positive, one with extra-capsular spread. I never asked what stage (would have scared me anyway) Right side tonsillectomy, radical neck dissection right side, maximum radiation to both sides, no chemo, no PEG, age 40 when diagnosed.