Well just when you thought it could not get any worse here I am. The results of the pet scan showed the beast has spread to my lungs, left lymph nodes, and of all places my jaw and possibly under my tongue. Have to go for biopsy of nodes and see a ear nose and throat surgeon. My onco is going to change from hormanal thearpy to chemo at the end of the month. Don't know what cocktail she has in mind but will let you know. I want to thank all who responded to my plea and thank you for your thoughts and prayers. Will let you know what is happening as this fight for life goes on.